Journal of Developmental Medicine(Electronic Version)  2021, Vol. 9 Issue (5): 359-365 DOI: 10.3969/j.issn.2095-5340.2021.05.007 |
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| Formulation and application of family readiness program for premature infants with bronchopulmonary dysplasia |
| Wang Zizhen, Cheng Liping, Li Ting,et al
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1. Nennatal Intensive Care Unit, the Seventh Medical Center of Chinese PLA General Hospital, Beijing 100700, China; 2. Medical Service Training Center of PLA General Hospital, Beijing 100700, China)
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Abstract 【Abstract】 Objective To study the formulation and application effect of family preparation for discharge of premature infants with BPD. Methods 41 cases of ultra-preterm infants with BPD and their family main caregivers admitted in Nennatal Intensive Care Unit, the Seventh Medical Center of Chinese PLA General Hospital from June 2018 to December 2019 were selected as control group. The intervention was carried out according to the routine discharge preparation, their parents couldn't enter the ward, twice a week for 30 minutes each time to visit the patients through glass windows, regular health education was conducted on the day of discharge. From January to July 2019, 44 cases of ultra-preterm infants with BPD and their primary caregivers were included in the observation group. The family readiness program for discharge was formulated and implemented in four aspects: child readiness, primary family caregiver readiness, environment readiness, and health support system readiness. Parents' anxiety scores and self-assessment of care ability before discharge were compared between the two groups. After discharge, the growth rate of weight, head circumference and body length >P10 and the rate of returning to hospital were analyzed. Statistical methods were used by χ2 and t test. Results There was no statistical significance in the general data of preterm infants and their parents between the two groups (P>0.05). The score of generalized anxiety scale in the observation group (17.0±1.0) was significantly lower than that in the control group (20.1±1.3), with statistically significant (P<0.01). The self-assessment score of care knowledge of main family caregivers in the observation group was (102.1±6.1), significantly higher than that the control group (68.2±7.8), with statistically significance
(P<0.01). After discharge, the growth rate of body weight >P10 in the observation group at 1, 2 and 4 weeks was 88.6%, 86.4% and 90.9% respectively, which was better than that in the control group (65.9%, 65.9%, 60.0%). There was no difference in the growth rate of body length in the two groups at the first week after discharge. The increase rate of body length > P10 were 88.6% and 90.9% at 2 and 4 weeks respectively, whichwas better than that in the control group（70.7% and 72.5%）. There was no difference in the increase levelsof head circumference in the two groups at 1, 2 weeks after discharge, and the increase rates of >P10 for headcircumference in the observation group at the fourth week were 90.9%. It was higher than that in the controlgroup (70.0%),with statistically significance (P<0.05). The return to hospital rate of the observation group afterdischarge was 4.55%, which was lower than that in the control group (21.95%), with statistically significance(P<0.05). Conclusion The formulation and application of family readiness for discharge of ultra-prematureinfants with BPD can reduce parents' anxiety, improve the level of care knowledge, promote the growth of children's weight, head circumference and body length, reduce the rate of return to hospital, and improve the quality of life.
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Received: 18 March 2021
Published: 29 September 2021
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