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经鼻胃管喂养及门诊随访的早产儿早期出院的安全性及家长满意度

Safety and Parental Satisfaction With Early Discharge of Preterm Infants on Nasogastric Tube Feeding and Outpatient Clinic Follow-Up.

作者信息

Schuler Rahel, Ehrhardt Harald, Mihatsch Walter A

机构信息

Department of General Pediatrics and Neonatology, Justus Liebig University, Giessen, Germany.

Hospital Pforzheim, Teaching Hospital of Heidelberg University, Pforzheim, Germany.

出版信息

Front Pediatr. 2020 Aug 25;8:505. doi: 10.3389/fped.2020.00505. eCollection 2020.

Abstract

To evaluate our early discharge program of preterm infants with nasogastric tube feeding (NTF) and close outpatient clinic follow-up with regard to safety, parent satisfaction and parental stress level. 119 preterm infants were discharged on NTF from our tertiary care neonatal unit (median gestational age 31.0 weeks, median birthweight 1,650 g). Parental satisfaction was evaluated by a standardized questionnaire. For safety assessment growth until term equivalent age and re-hospitalizations within 2 months after discharge were evaluated. Infants were discharged home at a median gestational age of 35.4 weeks after a median hospital stay of 22 days. Follow up was attained in 95 of 104 parent-infant dyads. The majority of parents (94%) reported that they had made the right decision in taking their infant home on NTF. At the time of discharge 86% of parents felt very well-prepared to perform NTF. 70% Of parents rated their stress level at home as low (≤2 out of 5). There were no NTF associated readmissions and no growth faltering until term equivalent age. Early discharge of preterm infants with NTF together with outpatient clinic follow-up is very well-accepted by parents and appears to be safe.

摘要

评估我们针对经鼻胃管喂养(NTF)的早产儿并进行门诊密切随访的早期出院计划在安全性、家长满意度和家长压力水平方面的情况。119名早产儿从我们的三级护理新生儿病房经鼻胃管喂养出院(中位胎龄31.0周,中位出生体重1650克)。通过标准化问卷评估家长满意度。为进行安全性评估,对矫正年龄足月前的生长情况以及出院后2个月内的再次住院情况进行了评估。婴儿在中位住院22天后,于中位胎龄35.4周时出院回家。104对母婴二元组中有95对接受了随访。大多数家长(94%)表示他们做出了让婴儿经鼻胃管喂养出院回家的正确决定。出院时,86%的家长感觉为进行经鼻胃管喂养做好了充分准备。70%的家长将他们在家中的压力水平评为低(≤5分中的2分)。没有因经鼻胃管喂养相关的再次入院情况,且直到矫正年龄足月前没有生长发育迟缓。经鼻胃管喂养的早产儿早期出院并进行门诊随访很受家长欢迎,且似乎是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a82b/7491054/b644b2126d7d/fped-08-00505-g0001.jpg

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