新生儿重症监护病房（NICU）中早产儿父母的出院准备情况及其与出院指导质量的相关性
Readiness for Hospital Discharge and Its Correlation with the Quality of Discharge Teaching among the Parents of Premature Infants in NICU.
作者信息
Meng Li, Lingling Zhang, Haihong Zhang, Xiaobai Zhang, Dandan Huang, Shaoyan Wu
机构信息
Health Management Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
The First Affiliated Hospital and Clinical Medicine College, Henan University of Science and Technology, Luoyang, 471003, China.
出版信息
Appl Bionics Biomech. 2022 Jul 13;2022:4924021. doi: 10.1155/2022/4924021. eCollection 2022.
OBJECTIVES
To assess the extent of the readiness for hospital discharge and the correlation with discharge teaching quality among parents of premature infants' in the NICU.
BACKGROUND
Low readiness for discharge from the hospital can lead to negative outcomes in healthcare for infants born prematurely and their parents. Discharge guidelines are a basic approach to ensure the readiness of the parents for discharge from the hospital. No investigation has ever been conducted into the sufficiency of hospital discharge guidelines for premature infants and their impact on parental readiness for hospital discharge.
DESIGN
Data was collected from four hospitals in China using a correlational descriptive study.
METHODS
Two hundred and eight parents of premature NICU-hospitalized infants of four tertiary hospitals in Henan Province from May to October 2020 were enrolled. The general information questionnaire, the readiness for hospital discharge scale- (RHDS-) parent form, and the quality of discharge teaching scale- (QDTS-) parent form were used for data collection. Spearman correlation analysis and descriptive statistics were used to analyze the data.
RESULTS
The total score for hospital discharge readiness was high (8.05 ± 1.11). The total score of the quality of discharge guidelines was moderate (7.44 ± 1.44). Moreover, the discharge teaching quality was positively correlated with the parents' readiness. Positive correlations were found between PRHDS and QDTS subscales, including content received and delivery, physical-emotional status, knowledge, and expected support.
CONCLUSION
The quality of the discharge guidelines perceived by parents of premature infants was moderate, which may have reduced their readiness for hospital discharge. . This study furnishes basic information on the importance of readiness of discharge for the parents of premature infants. The teaching guides nurses to enhance the quality of discharge teaching and the readiness of parents for discharge from the hospital.
目的
评估新生儿重症监护病房（NICU）中早产儿父母对出院的准备程度及其与出院指导质量的相关性。
背景
出院准备不足会给早产儿及其父母的医疗保健带来不良后果。出院指南是确保父母为出院做好准备的基本方法。目前尚未对早产儿出院指南的充分性及其对父母出院准备的影响进行调查。
设计
采用相关性描述性研究方法，从中国的四家医院收集数据。
方法
选取2020年5月至10月在河南省四家三级医院NICU住院的208名早产儿父母为研究对象。采用一般信息问卷、出院准备度量表（RHDS）家长版和出院指导质量量表（QDTS）家长版收集数据。采用Spearman相关性分析和描述性统计方法对数据进行分析。
结果
出院准备总分较高（8.05±1.11）。出院指导质量总分中等（7.44±1.44）。此外，出院指导质量与父母的出院准备呈正相关。在RHDS和QDTS各子量表之间发现了正相关，包括所接收内容与指导方式、身心状况、知识和预期支持。
结论
早产儿父母对出院指导质量的感知中等，这可能降低了他们的出院准备程度。本研究提供了关于早产儿父母出院准备重要性的基础信息。该研究指导护士提高出院指导质量和父母的出院准备程度。
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