Moradi Shahla, Arshdi-Bostanabad Mohammad, Seyedrasooli Alehe, Tapak Lily, Valizadeh Sousan
Research Committee of Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pediatrics, Nursing and Midwifery Faculty, University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2018 May-Jun;23(3):172-177. doi: 10.4103/ijnmr.IJNMR_110_17.
Despite the increased survival of premature infants, many infants are discharged from the hospital while they still require care and follow-up. The present study aimed to determine the effect of empowerment program on maternal discharge preparation and infants' length of hospital stay.
In this pretest-posttest clinical trial, 60 premature infants along with their mothers were selected from the neonatal intensive care unit (NICU) of a teaching hospital in Kermanshah in 2016 via convenience sampling and were allocated to experimental and control groups. Mothers in the control group performed routine care and those in experimental group, in addition to the routine care, performed an intervention program, training sessions including touching and massage, bathing, infection prevention, warning signs, and neonatal resuscitation. Data were collected by a maternal and neonatal demographic questionnaire and a discharge preparation checklist, performed twice (at admission and before discharge), by the researcher. The collected data were analyzed by independent and paired -test.
The mean (standard deviation) of the total score of maternal discharge preparation in intervention group 44.65 (3.90) was significantly higher than that of the control group 33.00 (8.28) ( = -6.58, <0.001). The mean length of neonatal hospitalization in the intervention group (14.79 days) was significantly shorter than that of the control group (20.43 days) ( = 0.020).
The increasing maternal discharge readiness and reducing the length of neonatal hospital stay would decrease the medical costs and supply more beds for admission of other infants.
尽管早产儿的存活率有所提高，但许多婴儿在仍需要护理和随访时就已出院。本研究旨在确定赋权计划对产妇出院准备情况和婴儿住院时间的影响。
在这项前后测临床试验中，2016年通过便利抽样从克尔曼沙赫一家教学医院的新生儿重症监护病房（NICU）选取了60名早产儿及其母亲，并将其分为实验组和对照组。对照组的母亲进行常规护理，实验组的母亲除常规护理外，还参与了一个干预项目，包括触摸和按摩、洗澡、预防感染、警示信号以及新生儿复苏等培训课程。数据由研究人员通过一份母婴人口统计学问卷和一份出院准备清单收集，在入院时和出院前各进行一次。收集到的数据通过独立样本和配对样本检验进行分析。
干预组产妇出院准备总分的平均值（标准差）为44.65（3.90），显著高于对照组的33.00（8.28）（t = -6.58，P < 0.001）。干预组新生儿住院的平均时长（14.79天）显著短于对照组（20.43天）（t = 0.020）。
提高产妇出院准备程度并缩短新生儿住院时间将降低医疗成本，并为其他婴儿的入院提供更多床位。
