Yanover M J, Jones D, Miller M D
N Engl J Med. 1976 Mar 25;294(13):702-5. doi: 10.1056/NEJM197603252941306.
A family-centered perinatal-care program featuring collaboration by nurse practitioners, obstetricians, pediatricians, and paramedical personnel was developed to enhance family participation and achieve a shorter but safe hospital stay. Discharge from the hospital was permitted as early as 12 hours after delivery. A perinatal nurse practitioner made daily home visits. The program's safety, feasibility, and acceptability to patients was studied by comparison of 44 patients so treated (study group) with 44 receiving traditional care (controls). Twenty-one study families, but no controls, went home within 24 hours. The study and control groups had no significant differences or trends in numbers of types of morbidity during hospitalization or the six-week post-partum period. The expense of the program is approximately equaled by hospital costs saved through early discharge. The results indicate that early discharge with home-care follow-up observation as described is safe, economically feasible, and well accepted by patients.
一个以家庭为中心的围产期护理项目应运而生，该项目由执业护士、产科医生、儿科医生和辅助医疗人员合作开展，旨在提高家庭参与度，并实现更短但安全的住院时间。分娩后最早12小时即可出院。围产期执业护士会进行每日家访。通过将44名接受该治疗的患者（研究组）与44名接受传统护理的患者（对照组）进行比较，研究了该项目对患者的安全性、可行性和可接受性。21个研究组家庭在24小时内回家，而对照组没有。研究组和对照组在住院期间或产后六周内的发病类型数量上没有显著差异或趋势。该项目的费用大致与通过提前出院节省的医院成本相当。结果表明，如所述的提前出院并进行家庭护理随访观察是安全的、经济可行的，并且深受患者接受。
