有限英语水平家庭的新生儿重症监护病房出院准备情况。
Neonatal Intensive Care Unit discharge preparedness among families with limited english proficiency.
机构信息
Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Division of Newborn Medicine, Harvard Medical School, Boston, MA, USA.
出版信息
J Perinatol. 2019 Jan;39(1):135-142. doi: 10.1038/s41372-018-0255-z. Epub 2018 Oct 19.
OBJECTIVE
We compared the Neonatal Intensive Care Unit discharge preparedness of families with and without Limited English Proficiency (LEP).
STUDY DESIGN
We performed a retrospective analysis of discharged families. Each family's discharge preparation was self-assessed on the day of discharge, and the discharging nurse assessed the family's overall emotional and technical discharge preparedness all on 9-point Likert scales. Families were considered not prepared for discharge if they rated themselves or the nurse rated their preparedness as <7 on the Likert scale.
RESULTS
Among 1307 discharged families, 90 had LEP. The odds of being prepared for discharge were the same for both groups (aOR = 0.62, 95% CI: 0.27-1.41; p = 0.258). In multivariable analyses, families with LEP were less likely to be prepared with technical baby care skills (aOR = 0.32, 95% CI: 0.13-0.81).
CONCLUSION
Families with LEP are at higher risk and may require special attention when preparing for NICU discharge.
目的
我们比较了有和没有有限英语水平（LEP）的家庭在新生儿重症监护病房（NICU）出院准备情况。
研究设计
我们对出院家庭进行了回顾性分析。每个家庭在出院当天对出院准备情况进行自我评估，护士则对家庭的整体情绪和技术出院准备情况进行评估，均采用 9 分 Likert 量表。如果家庭自己或护士对准备情况的评分<7，则认为他们没有准备好出院。
结果
在 1307 个出院家庭中，有 90 个家庭有 LEP。两组准备好出院的几率相同（优势比（aOR）=0.62，95%置信区间（CI）：0.27-1.41；p=0.258）。在多变量分析中，LEP 家庭在掌握婴儿护理技术方面不太可能做好准备（aOR=0.32，95%CI：0.13-0.81）。
结论
有 LEP 的家庭风险更高，在为 NICU 出院做准备时可能需要特别关注。
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