Zahr L K, Montijo J
Neonatal Netw. 1993 Feb;12(1):33-7.
The care of sick premature infants at home is evaluated in terms of the benefits related to the health outcome of infants. The home care was provided by trained pediatric nurses through a service-oriented community agency. Pediatric nurses delivered home care 24 hours or less to sick very low birth weight infants discharged from the neonatal intensive care unit in lieu of continued hospitalization. Nursing care at home is described along with a sample nursing care plan for an infant with bronchopulmonary dysplasia. The efficacy of home care on medical utilization indicated that there were less hospitalizations, emergency room visits, and visits to the specialty clinics than previously reported in the literature. Home visitation appeared to improve the health of high-risk premature infants, is cost effective, and may be less stressful for parents.
从与婴儿健康结局相关的益处方面对在家照顾患病早产儿进行了评估。家庭护理由经过培训的儿科护士通过一个以服务为导向的社区机构提供。儿科护士为从新生儿重症监护病房出院的极低出生体重患病婴儿提供24小时或更短时间的家庭护理，以替代继续住院治疗。文中描述了家庭护理情况以及一份针对患有支气管肺发育不良婴儿的护理计划示例。家庭护理对医疗利用的效果表明，与文献中先前报道的情况相比，住院、急诊室就诊和专科门诊就诊次数有所减少。家访似乎改善了高危早产儿的健康状况，具有成本效益，而且对父母来说压力可能较小。
