The School of Nursing, Fujian Medical University, Fuzhou, China.
The School of Nursing, Fujian Medical University, Fuzhou, China.
Int J Nurs Stud. 2024 Jan;149:104625. doi: 10.1016/j.ijnurstu.2023.104625. Epub 2023 Oct 24.
Parenting of preterm infants presents unique challenges, particularly during their transition from hospital to home. Early discharge programs can assist parents during this critical period. However, the feasibility of delivering a family-focused online discharge program remains understudied.
This study was conducted to investigate the impact of a family-focused online parenting support intervention on parents' sense of competence, depression, caregiving, social support, family functioning, and the weight and length of preterm infants.
We conducted a single-blind, two-arm randomized controlled trial with a repeated-measures design. Participants were recruited from a specialized tertiary hospital in China between May and December 2022. Forty-five families were randomly assigned to the intervention group and 44 to the control group. The intervention included three components: (1) two one-hour group sessions and three 30-minute individual sessions of online parenting support; (2) two follow-up telephone calls (15-30 min each) post-discharge; and (3) access to online parenting resources. Primary outcomes included parenting sense of competence, parental care ability, and preterm infants' weight and length. Secondary outcomes included depression, social support, and family functioning. Measurements were taken at baseline, preterm infant discharge, one month post-discharge, and three months post-discharge. A generalized estimating equation model was employed based on the intention-to-treat principle for outcome comparison.
Parents in the intervention group showed significant improvements in parenting sense of competence (P < 0.001), parental care ability (P < 0.001), depression (P < 0.001), and social support (P = 0.002). However, no statistically significant differences were observed in preterm infants' weight and length, or in family functioning (P > 0.05).
Although the intervention did not affect preterm infants' outcomes, the positive enhancements in parenting sense of competence, care ability, depression, and social support indicate that online family-focused parenting support can effectively prepare parents for hospital discharge and the early transition period.
早产儿的养育存在独特的挑战，尤其是在从医院过渡到家庭的过程中。早期出院计划可以在这个关键时期为父母提供帮助。然而，提供以家庭为中心的在线育儿支持计划的可行性仍有待研究。
本研究旨在探讨以家庭为中心的在线育儿支持干预对父母能力感、抑郁、照护、社会支持、家庭功能以及早产儿体重和身长的影响。
我们采用单盲、两臂随机对照试验设计进行了这项研究。参与者于 2022 年 5 月至 12 月期间从中国一家专门的三级医院招募。将 45 个家庭随机分配到干预组，44 个家庭分配到对照组。干预措施包括三个部分：（1）两次为时一小时的小组会议和三次为时 30 分钟的在线育儿支持个别会议；（2）两次出院后随访电话（每次 15-30 分钟）；（3）获取在线育儿资源。主要结局包括父母能力感、父母照护能力和早产儿体重及身长。次要结局包括抑郁、社会支持和家庭功能。测量在基线、早产儿出院时、出院后一个月和三个月时进行。基于意向治疗原则，使用广义估计方程模型进行结局比较。
干预组的父母在父母能力感（P<0.001）、父母照护能力（P<0.001）、抑郁（P<0.001）和社会支持（P=0.002）方面均有显著改善。然而，早产儿体重和身长或家庭功能方面未观察到统计学意义上的差异（P>0.05）。
尽管该干预措施并未影响早产儿的结局，但父母能力感、照护能力、抑郁和社会支持的显著提高表明，以家庭为中心的在线育儿支持可以有效地为父母在出院和早期过渡阶段做好准备。
