家庭是否为从新生儿重症监护病房出院做好准备？

Are families prepared for discharge from the NICU?

作者信息

Smith V C, Young S, Pursley D M, McCormick M C, Zupancic J A F

机构信息

Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.

出版信息

J Perinatol. 2009 Sep;29(9):623-9. doi: 10.1038/jp.2009.58. Epub 2009 May 21.

DOI:10.1038/jp.2009.58

PMID:19461593

Abstract

OBJECTIVE

(1) Quantify and compare the family's and the nurse's perception regarding the family's discharge preparedness. (2) Determine which elements contribute to a family's discharge preparedness.

STUDY DESIGN

We studied the families of all the infants discharged from a neonatal intensive care unit after a minimum of a 2-week admission. The families rated their overall discharge preparedness with a 9-point Likert scale on the day of discharge. Independently, the discharging nurse evaluated the family's discharge preparedness. Families were considered discharge 'prepared' if they rated themselves and the nurse rated their technical and emotional preparedness as >or=7 on the Likert scale.

RESULT

We had 867 (58%) family-nurse pairs who completed the survey. Most families (87%) were prepared for discharge as assessed by the concordant questionnaire (Likert scores of >or=7 by the parent and the nurse). In multivariate analysis, confidence in their child's health and maturity (odds ratios, OR=2.5 95% confidence interval, CI (1.2, 5.3)), their readiness for their infants to come home (OR=2.9 95% CI (1.0, 8.3)), and selecting a pediatrician (OR=4.2 95% CI (1.6, 11.0)) were statistically significant.

CONCLUSION

Assistance with pediatrician selection and home preparation may improve the percentage of families prepared for discharge.

摘要

目的

（1）量化并比较家庭与护士对家庭出院准备情况的认知。（2）确定哪些因素有助于家庭做好出院准备。

研究设计

我们研究了在新生儿重症监护病房住院至少两周后出院的所有婴儿的家庭。在出院当天，家庭用9分制李克特量表对其总体出院准备情况进行评分。同时，负责出院的护士独立评估家庭的出院准备情况。如果家庭自评以及护士对其技术和情感准备情况的评分在李克特量表上≥7分，则认为该家庭为“做好准备”。

结果

我们有867对（58%）家庭-护士对完成了调查。根据一致的问卷评估（家长和护士的李克特评分≥7分），大多数家庭（87%）已做好出院准备。在多变量分析中，对孩子健康和成熟度的信心（优势比，OR = 2.5；95%置信区间，CI（1.2，5.3））、对婴儿回家的准备情况（OR = 2.9；95% CI（1.0，8.3））以及选择儿科医生（OR = 4.2；95% CI（1.6，11.0））具有统计学意义。