Centre for Reproductive Health, College of Medicine, University of Malawi, Blantyre,.
Afr J Prim Health Care Fam Med. 2020 Aug 17;12(1):e1-e11. doi: 10.4102/phcfm.v12i1.2266.
Every Preemie-SCALE developed and piloted the Family-Led Care model, an innovative, locally developed model of care for preterm and low birth weight babies receiving kangaroo mother care.
The aim of this study was to describe healthcare workers' experience using Family-Led Care.
This study was conducted in five health facilities and their catchment areas in Balaka district, Malawi.
The mixed-methods design, with two data collection periods, included record reviews, observations and questionnaires for facility staff and qualitative interviews with health workers of these facilities and their catchment areas. The total convenience sample comprised 123 health professionals, support staff and non-professional community health workers.
Facility-based staff generally had positive perceptions of Family-Led Care (83%). Knowledge and application-of-knowledge scores were 69% and 52%, respectively. A major change between the first and the second data periods was improvement in client record-keeping. Documentation of newborn vital signs increased from 62% to 92%. Themes emerging from the qualitative interview analysis were the following: benefits of Family-Led Care; activities supporting the implementation of Family-Led Care; own care practices; and families' reaction to and experience of Family-Led Care.
This article reports improved quality of care through better documentation and better follow-up of preterm and low birth weight babies receiving kangaroo mother care according to the Family-Led Care model. Overall, health workers were positive about their involvement, and they reported positive reactions from families. Lessons learned have been incorporated into a universal Family-Led Care package that is available for adaptation by other countries.
每个早产儿 SCALE 都制定并试行家庭主导护理模式，这是一种针对接受袋鼠式护理的早产儿和低出生体重儿的创新、本土化的护理模式。
本研究旨在描述卫生保健工作者使用家庭主导护理模式的体验。
本研究在马拉维巴拉卡区的 5 家卫生机构及其服务范围内进行。
本混合方法研究有两个数据收集期，包括对设施工作人员的记录审查、观察和问卷调查，以及对这些设施及其服务范围内的卫生工作者的定性访谈。总方便样本包括 123 名卫生专业人员、支持人员和非专业社区卫生工作者。
机构内工作人员对家庭主导护理模式的看法普遍较为积极（83%）。知识和知识应用评分分别为 69%和 52%。在第一和第二数据期之间，一个主要变化是客户记录保存情况得到改善。新生儿生命体征的记录从 62%增加到 92%。定性访谈分析中出现的主题包括：家庭主导护理模式的益处；支持实施家庭主导护理模式的活动；自身护理实践；以及家庭对家庭主导护理模式的反应和体验。
本文报道了通过更好的文档记录和更好地跟进接受袋鼠式护理的早产儿和低出生体重儿，护理质量得到了提高。总体而言，卫生工作者对他们的参与持积极态度，并报告称家庭反应积极。所吸取的经验教训已纳入通用的家庭主导护理包中，可供其他国家借鉴和改编。
