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一项教育干预措施对新生儿重症监护病房中家长对早产儿出院准备情况的影响。

Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units.

作者信息

Chen Yongfeng, Zhang Jun, Bai Jinbing

机构信息

The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.

HOPE School of Nursing, Wuhan University, China.

出版信息

J Adv Nurs. 2016 Jan;72(1):135-46. doi: 10.1111/jan.12817. Epub 2015 Oct 1.

DOI:10.1111/jan.12817
PMID:26428947
Abstract

AIM

To examine the effect of an educational intervention on parental readiness for premature infant discharge from neonatal intensive care units.

BACKGROUND

Low readiness for discharge can result in negative healthcare outcomes for infants and their parents. However, few studies have examined the effect of discharge education programmes on parental readiness for premature infant discharge in Chinese critical care settings.

DESIGN

A quasi-experimental study.

METHODS

Between October 2011-March 2012, 154 parents of premature infants were recruited from neonatal intensive care units of two tertiary hospitals in Central China. These parents were assigned to either the intervention or control group based on their entry order. Parents in the intervention group received two sessions of 60-minute discharge education along with hospital routine care; parents in the control group only received hospital routine care. Parental readiness for discharge and quality of discharge education were assessed on the day of infant discharge from neonatal intensive care units. Independent samples t-test and linear regression were used to analyse the data.

RESULTS

Parental readiness for premature infant discharge was in the moderate level. Independent samples t-test showed that both mean scores of parental discharge readiness and discharge teaching quality from the intervention group were significantly higher than those in the control group. Linear regression analysis showed that discharge teaching quality explained 39·7% of the variance in parental readiness for premature infant discharge.

CONCLUSION

Discharge education can improve parental readiness for premature infant discharge. Quality of discharge teaching can significantly predict parental readiness for premature infant discharge.

摘要

目的

探讨教育干预对新生儿重症监护病房(NICU)中家长对早产儿出院准备情况的影响。

背景

出院准备不足可能会给婴儿及其家长带来不良的医疗保健后果。然而,在中国重症监护环境下,很少有研究探讨出院教育计划对家长对早产儿出院准备情况的影响。

设计

一项准实验研究。

方法

2011年10月至2012年3月期间,从中国中部两家三级医院的新生儿重症监护病房招募了154名早产儿家长。这些家长根据入院顺序被分配到干预组或对照组。干预组的家长在接受医院常规护理的同时,接受了两次时长为60分钟的出院教育;对照组的家长仅接受医院常规护理。在婴儿从新生儿重症监护病房出院当天,评估家长的出院准备情况和出院教育质量。采用独立样本t检验和线性回归分析数据。

结果

家长对早产儿出院的准备情况处于中等水平。独立样本t检验显示,干预组家长的出院准备平均得分和出院教学质量均显著高于对照组。线性回归分析表明,出院教学质量解释了家长对早产儿出院准备情况差异的39.7%。

结论

出院教育可以提高家长对早产儿出院的准备情况。出院教学质量可以显著预测家长对早产儿出院的准备情况。

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