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dc.contributor.authorZhang, R
dc.contributor.authorHuang, R-W
dc.contributor.authorGao, X-R
dc.contributor.authorPeng, X-M
dc.contributor.authorZhu, L-H
dc.contributor.authorRangasamy, R
dc.contributor.authorLatour, Jos M
dc.date.accessioned2018-04-03T04:14:13Z
dc.date.issued2018-08
dc.identifier.issn1947-3893
dc.identifier.issn1947-3893
dc.identifier.urihttp://hdl.handle.net/10026.1/11222
dc.description.abstract

<jats:sec> <jats:title>Objectives:</jats:title> <jats:p>To evaluate the effectiveness and safety of a family-centered care intervention in a Chinese neonatal ICU.</jats:p> </jats:sec> <jats:sec> <jats:title>Design:</jats:title> <jats:p>Pilot study using a randomized controlled trial design to inform a main randomized controlled trial study.</jats:p> </jats:sec> <jats:sec> <jats:title>Setting:</jats:title> <jats:p>Stand-alone tertiary children’s hospital in China with a 60-bed neonatal ICU serving as a regional neonatal ICU center.</jats:p> </jats:sec> <jats:sec> <jats:title>Patients:</jats:title> <jats:p>Premature infants (<jats:italic toggle="yes">n</jats:italic> = 61) and their parents (<jats:italic toggle="yes">n</jats:italic> = 110).</jats:p> </jats:sec> <jats:sec> <jats:title>Interventions:</jats:title> <jats:p>Parent education program followed by parents’ participation in care as primary caregiver until discharge for a minimum of 4 hours per day.</jats:p> </jats:sec> <jats:sec> <jats:title>Measurements and Main Results:</jats:title> <jats:p>Primary outcomes were infants’ weight gain at discharge, length of stay, and readmission. Parental outcomes were stress, anxiety, satisfaction, and clinical knowledge. Infants in family-centered care group (<jats:italic toggle="yes">n</jats:italic> = 31) had higher weight gain (886<jats:italic toggle="yes">g</jats:italic> vs 542<jats:italic toggle="yes">g</jats:italic>; <jats:italic toggle="yes">p</jats:italic> = 0.013), less neonatal ICU length of stay in days (43 vs 46; <jats:italic toggle="yes">p</jats:italic> = 0.937), and decreased readmission rate at 1 week (41.9 vs 70.0; <jats:italic toggle="yes">p</jats:italic> = 0.045) and at 1 month (6.5% vs 50%; <jats:italic toggle="yes">p</jats:italic> &lt; 0.001) compared with the control group (<jats:italic toggle="yes">n</jats:italic> = 30). Total Mean Parental Stress and Anxiety scores were lower in the family-centered care group (42 vs 59; <jats:italic toggle="yes">p</jats:italic> ≤ 0.007), mean satisfaction rates in family-centered care group were higher compared with control group (96 vs 90; <jats:italic toggle="yes">p</jats:italic> &lt; 0.001), and parents in the family-centered care group had better educational outcomes related to neonatal specialized care skills (<jats:italic toggle="yes">p</jats:italic> &lt; 0.05).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Involving parents in the care of their infant improved clinical outcomes of infants. Family-centered care also contributed to a better understanding of parent’s clinical education, decrease stress levels, and increased parental satisfaction. Our study suggests that involving parents in the daily care of their infants is feasible and should be promoted by neonatal ICU clinicians.</jats:p> </jats:sec>

dc.format.extent741-747
dc.format.mediumPrint
dc.languageen
dc.language.isoen
dc.publisherLippincott, Williams & Wilkins
dc.subjecteducation
dc.subjectfamily-centered care
dc.subjectneonatology
dc.subjectparents
dc.subjectpremature infants
dc.titleInvolvements of parents in the care of preterm infants: A pilot study evaluating a family-centered care intervention in a Chinese Neonatal Intensive Care Unit
dc.typejournal-article
dc.typeJournal Article
dc.typeRandomized Controlled Trial
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000440946300016&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue8
plymouth.volume19
plymouth.publication-statusPublished
plymouth.journalPediatric Critical Care Medicine
dc.identifier.doi10.1097/pcc.0000000000001586
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeUnited States
dcterms.dateAccepted2018-03-30
dc.rights.embargodate2019-8-1
dc.identifier.eissn1947-3893
dc.rights.embargoperiod12 months
rioxxterms.versionofrecord10.1097/pcc.0000000000001586
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved
rioxxterms.licenseref.startdate2018-08
rioxxterms.typeJournal Article/Review


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