Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units

被引:45
作者
Chen, Yongfeng [1 ,2 ]
Zhang, Jun [2 ]
Bai, Jinbing [3 ]
机构
[1] Peoples Hosp Guangxi Zhuang Autonomous Reg, Nanning, Peoples R China
[2] Wuhan Univ, HOPE Sch Nursing, Wuhan, Peoples R China
[3] Univ N Carolina, Sch Nursing, Chapel Hill, NC 27515 USA
关键词
educational intervention; NICUs; parent; premature infant; readiness for discharge; INDIVIDUALIZED DEVELOPMENTAL CARE; CONTROLLED-TRIAL; PRETERM INFANTS; COPE PROGRAM; BIRTH; PERCEPTIONS; TRANSITIONS; OUTCOMES; MOTHERS; IMPACT;
D O I
10.1111/jan.12817
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim. To examine the effect of an educational intervention on parental readiness for premature infant discharge from neonatal intensive care units. Background. Low readiness for discharge can result in negative healthcare outcomes for infants and their parents. However, few studies have examined the effect of discharge education programmes on parental readiness for premature infant discharge in Chinese critical care settings. Design. A quasi-experimental study. Methods. Between October 2011-March 2012, 154 parents of premature infants were recruited from neonatal intensive care units of two tertiary hospitals in Central China. These parents were assigned to either the intervention or control group based on their entry order. Parents in the intervention group received two sessions of 60-minute discharge education along with hospital routine care; parents in the control group only received hospital routine care. Parental readiness for discharge and quality of discharge education were assessed on the day of infant discharge from neonatal intensive care units. Independent samples t-test and linear regression were used to analyse the data. Results. Parental readiness for premature infant discharge was in the moderate level. Independent samples t-test showed that both mean scores of parental discharge readiness and discharge teaching quality from the intervention group were significantly higher than those in the control group. Linear regression analysis showed that discharge teaching quality explained 39.7% of the variance in parental readiness for premature infant discharge. Conclusion. Discharge education can improve parental readiness for premature infant discharge. Quality of discharge teaching can significantly predict parental readiness for premature infant discharge.
引用
收藏
页码:135 / 146
页数:12
相关论文
共 47 条
[1]   A three-center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: Medical, neurodevelopmental, parenting, and caregiving effects [J].
Als, H ;
Gilkerson, L ;
Duffy, FH ;
McAnulty, GB ;
Buehler, DM ;
Vandenberg, K ;
Sweet, N ;
Sell, E ;
Parad, RB ;
Ringer, SA ;
Butler, SC ;
Blickman, JG ;
Jones, KJ .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 2003, 24 (06) :399-408
[2]  
[Anonymous], 2013, World health statistics 2013: A wealth of information on global public health
[3]  
[Anonymous], 2017, Nursing research: Generating and assessing evidence for nursing practice, DOI DOI 10.1016/0030-5073(76)90030-1
[4]  
Bakewell-Sachs Susan, 2004, MCN Am J Matern Child Nurs, V29, P398, DOI 10.1097/00005721-200411000-00011
[5]   Structured discharge education improves early outcome in orthopedic patients [J].
Ben-Morderchai, Bela ;
Herman, Amir ;
Kerzman, Hana ;
Irony, Angela .
INTERNATIONAL JOURNAL OF ORTHOPAEDIC AND TRAUMA NURSING, 2010, 14 (02) :66-74
[6]  
Bernstein HH, 2002, AMBUL PEDIATR, V2, P388, DOI 10.1367/1539-4409(2002)002<0388:PDDVPO>2.0.CO
[7]  
2
[8]   National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications [J].
Blencowe, Hannah ;
Cousens, Simon ;
Oestergaard, Mikkel Z. ;
Chou, Doris ;
Moller, Ann-Beth ;
Narwal, Rajesh ;
Adler, Alma ;
Garcia, Claudia Vera ;
Rohde, Sarah ;
Say, Lale ;
Lawn, Joy E. .
LANCET, 2012, 379 (9832) :2162-2172
[9]   Implementation and evaluation of an individualized developmental care program in a neonatal intensive care unit [J].
Bredemeyer, Sandie ;
Reid, Shelley ;
Polverino, Jan ;
Wocadlo, Crista .
JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, 2008, 13 (04) :281-291
[10]   Parents Perceptions Regarding Readiness for Their Infant's Discharge from the NICU [J].
Burnham, Natasha ;
Feeley, Nancy ;
Sherrard, Kathyrn .
NEONATAL NETWORK, 2013, 32 (05) :324-334