Lian Yeo Cheo, Ying Selina Ho Kah, Peng Cheong Chiu, Yann Tay Yih
Perm J. 2008 Fall;12(4):15-8. doi: 10.7812/TPP/08-040.
At Singapore General Hospital, approximately 240 infants of the 1500 deliveries per annum are delivered preterm, many of very low birth weight-median of 1210 g-often have extended hospital stays, even after they are declared medically fit.
To better understand the discharge patterns of the preterm infants in the department, a team of two neonatologists and two nurses performed a retrospective review of 36 premature infants. The underlying causes leading to and the root causes of discharge delays were identified as: Required goal weight of 2 kg, even when medically fitDelivery of discharge plan to parents delayedDischarge planning delayedNo ownership in discharge planning.
RESULTS/CONCLUSION: The length of hospital stay was reduced 59.8%, primarily by improved discharge planning, revised guidelines (mean discharge at 1915 g), and nurses' active preparation of parents psychologically and mentally for care of their babies at home.
在新加坡总医院,每年1500例分娩中约有240例婴儿早产,其中许多出生体重极低——中位数为1210克——即使在宣布医学上健康后,住院时间往往也会延长。
为了更好地了解该科室早产儿的出院模式,由两名新生儿科医生和两名护士组成的团队对36例早产儿进行了回顾性研究。导致出院延迟的潜在原因和根本原因被确定为:即使医学上健康,也要求达到2千克的目标体重;向父母传达出院计划的时间延迟;出院计划延迟;在出院计划方面缺乏主人翁意识。
结果/结论:住院时间缩短了59.8%,主要是通过改进出院计划、修订指南(平均出院体重为1915克)以及护士积极帮助父母在心理和精神上为在家照顾婴儿做好准备。