Testing a family supportive end of life care intervention in a Chinese neonatal intensive care unit: A quasi- experimental study with a non-randomized controlled trial design
dc.contributor.author | Zhang, R | |
dc.contributor.author | Tang, Q | |
dc.contributor.author | Zhu, L-H | |
dc.contributor.author | Peng, MX | |
dc.contributor.author | Zhang, N | |
dc.contributor.author | Xiong, EY | |
dc.contributor.author | Chen, HM | |
dc.contributor.author | Chen, LK | |
dc.contributor.author | Luo, D | |
dc.contributor.author | Li, X | |
dc.contributor.author | Latour, Jos M | |
dc.date.accessioned | 2022-06-08T14:55:48Z | |
dc.date.issued | 2022-07-22 | |
dc.identifier.issn | 2296-2360 | |
dc.identifier.issn | 2296-2360 | |
dc.identifier.other | ARTN 870382 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/19283 | |
dc.description.abstract |
<jats:sec><jats:title>Background:</jats:title><jats:p>Neonatal death often occurs in tertiary Neonatal Intensive Care Units (NICUs). In China, end-of-life-care (EOLC) does not always involve parents.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>The aim of this study is to evaluate a parent support intervention to integrate parents at the end of life of their infant in the NICU.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A quasi-experimental study using a non-randomized clinical trial design was conducted between May 2020 and September 2021. Participants were infants in an EOLC pathway in the NICU and their parents. Parents were allocated into a family supportive EOLC intervention group or a standard EOLC group based on their wishes. The primary outcomes depression (Edinburgh Postnatal Depression Scale for mothers; Hamilton Depression rating scale for fathers) and Satisfaction with Care were measured 1 week after infants' death. Student <jats:italic>t</jats:italic>-test for continuous variables and the Chi-square test categorical variables were used in the statistical analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>In the study period, 62 infants died and 45 infants and 90 parents were enrolled; intervention group 20 infants, standard EOLC group 25 infants. The most common causes of death in both groups were congenital abnormalities (<jats:italic>n</jats:italic> = 20, 44%). Mean gestational age of infants between the family supportive EOLC group and standard EOLC group was 31.45 vs. 33.8 weeks (<jats:italic>p</jats:italic> = 0.234). Parents between both groups did not differ in terms of age, delivery of infant, and economic status. In the family support group, higher education levels were observed among mother (<jats:italic>p</jats:italic> = 0.026) and fathers (<jats:italic>p</jats:italic> = 0.020). Both mothers and fathers in the family supportive EOLC group had less depression compared to the standard EOLC groups; mothers (mean 6.90 vs. 7.56; <jats:italic>p</jats:italic> = 0.017) and fathers (mean 20.7 vs. 23.1; <jats:italic>p</jats:italic> &lt; 0.001). Parents reported higher satisfaction in the family supportive EOLC group (mean 88.9 vs. 86.6; <jats:italic>p</jats:italic> &lt; 0.001).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Supporting parents in EOLC in Chinese NICUs might decreased their depression and increase satisfaction after the death of their infant. Future research needs to focus on long-term effects and expand on larger populations with different cultural backgrounds.</jats:p></jats:sec><jats:sec><jats:title>Clinical Trial Registration</jats:title><jats:p><jats:ext-link>www.ClinicalTrials.gov</jats:ext-link>, identifier: NCT05270915.</jats:p></jats:sec> | |
dc.format.extent | 870382- | |
dc.format.medium | Electronic-eCollection | |
dc.language | eng | |
dc.language.iso | en | |
dc.publisher | Frontiers Media | |
dc.subject | neonatal death | |
dc.subject | end-of-life care | |
dc.subject | infants | |
dc.subject | parents | |
dc.subject | Neonatal Intensive Care Unit | |
dc.subject | family-centered care | |
dc.title | Testing a family supportive end of life care intervention in a Chinese neonatal intensive care unit: A quasi- experimental study with a non-randomized controlled trial design | |
dc.type | journal-article | |
dc.type | Case Reports | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000837296600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.volume | 10 | |
plymouth.publication-status | Published online | |
plymouth.journal | Frontiers in Pediatrics | |
dc.identifier.doi | 10.3389/fped.2022.870382 | |
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.place | Switzerland | |
dcterms.dateAccepted | 2022-06-07 | |
dc.rights.embargodate | 2022-8-6 | |
dc.identifier.eissn | 2296-2360 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.3389/fped.2022.870382 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.type | Journal Article/Review |