Murphy Madeleine, Shah Vibhuti, Benzies Karen
Department of Pediatrics, Mount Sinai Hospital, 600 University Avenue, Toronto, ON M5G 1X5, Canada.
Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.
J Clin Med. 2021 Dec 14;10(24):5871. doi: 10.3390/jcm10245871.
Family-Integrated Care (FICare) empowers parents to play an active role as a caregiver for their infant in the neonatal intensive care unit (NICU). This model of care is associated with improved neonatal outcomes, such as improved weight gain and higher breastfeeding rates at discharge in infants admitted to level III NICUs; however, its effectiveness in level II NICUs remains unproven. The objective of this study was to evaluate the effectiveness of the model on neonatal outcomes in a cluster randomized controlled trial conducted in 10 level II NICUs randomized to Alberta FICare or standard care. Mothers and their preterm infants born between 32 and 34 weeks' gestational age were included. The primary outcome was the proportion of infants who regained their birth weight (BW) after 14 days of life. The analysis included 353 infants/308 mothers at Alberta FICare sites and 365 infants/306 mothers at standard care sites. There was no difference in the proportion of infants who had regained their BW by 14 days between the groups. A lack of perceived improved weight gain trajectory for those in the FICare group is attributed to a shorter length of hospital stay and infants being discharged prior to regaining BW.
家庭整合式护理（FICare）使父母能够在新生儿重症监护病房（NICU）中积极承担起照顾其婴儿的责任。这种护理模式与改善新生儿预后相关，例如入住三级新生儿重症监护病房的婴儿体重增加情况改善，出院时母乳喂养率提高；然而，其在二级新生儿重症监护病房中的有效性仍未得到证实。本研究的目的是在一项群组随机对照试验中评估该模式对新生儿预后的有效性，该试验在10个二级新生儿重症监护病房中进行，这些病房被随机分配接受艾伯塔省家庭整合式护理或标准护理。纳入的是孕周在32至34周之间出生的母亲及其早产婴儿。主要结局是出生后14天体重恢复到出生体重（BW）的婴儿比例。分析纳入了接受艾伯塔省家庭整合式护理的353名婴儿/308名母亲以及接受标准护理的365名婴儿/306名母亲。两组之间在14天时体重恢复到出生体重的婴儿比例没有差异。家庭整合式护理组中体重增加轨迹未被认为得到改善，这归因于住院时间较短以及婴儿在体重恢复到出生体重之前就已出院。
