Is family integrated care in neonatal intensive care units feasible and good for preterm infants in China: study protocol for a cluster randomized controlled trial
详细信息    查看全文
  • 作者:Mingyan Hei ; Xiangyu Gao ; Xirong Gao ; Shaohan Nong ; Aimin Zhang ; Qianshen Zhang
  • 关键词:Cost ; effectiveness ; Family integrated care ; Neonatal intensive care ; Newborn ; Preterm ; Randomized controlled trial
  • 刊名:Trials
  • 出版年:2016
  • 出版时间:December 2016
  • 年:2016
  • 卷:17
  • 期:1
  • 全文大小:546 KB
  • 参考文献:1.The Subspecialty Group of Neonatology, Pediatric Society, Chinese Medical Association. Epidemiological survey for hospitalized neonates in China. Zhongguo Dang Dai Er Ke Za Zhi. 2009;11:15–21. Chinese.
    2.Mai JY, Dong L, Lin ZL, Chen SQ. Investigation and analysis of nosocomial infection in neonates. Zhonghua Er Ke Za Zhi. 2011;49:915–20 (Chinese).PubMed
    3.Su BH, Hsieh HY, Chiu HY, Lin HC. Nosocomial infection in a neonatal intensive care unit: a prospective study in Taiwan. Am J Infect Control. 2007;35:190–5.PubMed CrossRef
    4.Orsi GB, d’Ettorre G, Panero GA, Chiarini F, Vullo V, Venditti M. Hospital-acquired infection surveillance in a neonatal intensive care unit. Am J Infect Control. 2009;37:201–3.PubMed CrossRef
    5.Landers S, Moise AA, Fraley JK, Smith EO, Baker CJ. Factors associated with umbilical catheter-related sepsis in neonates. Am J Dis Child. 1991;145:675–80.PubMed
    6.Chien LY, Macnab Y, Aziz K, Andrews W, McMillan DD, Lee SK, et al. Variations in central venous catheter related infection risks among Canadian neonatal intensive care units. Pediatr Infect Dis J. 2002;21:505–11.PubMed CrossRef
    7.Rogers E, Alderdice F, McCall E, Jenkins J, Craig S. Reducing nosocomial infections in neonatal intensive care. J Matern Fetal Neonatal Med. 2010;23:1039–46.PubMed CrossRef
    8.O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L, et al. A pilot cohort analytic study of family integrated care in a Canadian neonatal intensive care unit. BMC Preg Childbirth. 2013;13 Suppl 1:S12.CrossRef
    9.O’Brien K, Campbell C, Brown L, Wenger L, Shah V. Infant flow biphasic nasal continuous positive airway pressure (BP-NCPAP) vs. infant flow NCPAP for the facilitation of extubation in infants ≤ 1,250 grams: a randomized controlled trial. BMC Pediatr. 2012;12:43. doi:10.​1186/​1471-2431-12-43 .PubMed PubMedCentral CrossRef
    10.Lake S, Kammann E, Klar N, Betensky R. Sample size re-estimation in cluster randomization trials. Statist Med. 2002;21:1337–50.CrossRef
    11.Campbell M, Mollison J, Steen N, Crimshaw J, Eccles M. Analysis of cluster randomized trials in primary care: a practical approach. Family Pract. 2000;17:192–6.CrossRef
    12.Reed J. Adjusted Chi-square statistics: application to clustered binary data in primary care. Annal Family Med. 2004;2:201–3.CrossRef
    13.Wu SQ, Zhang LP, Zhou XX. Analysis of maternal psychological status of NICU admitted newborns and the nursing strategies. Fujian Med J. 2011;33:142–4 (Chinese).
    14.Yin ZQ, Wu YH, Li YM. Survey on nursing needs for mothers of NICU infant patients and analysis on influencing factors. Nurs Rehabil. 2010;9:842–4 (Chinese).
    15.Vandenberg KA. Individualized developmental care for high risk newborns in the NICU: a practice guideline. Early Hum Dev. 2007;83:433–42.PubMed CrossRef
    16.Ortenstrand A, Westrup B, Broström EB, Sarman I, Akerström S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: effects on length of stay and infant morbidity. Pediatr. 2010;125:278–85.CrossRef
    17.Bhutta ZA, Khan I, Salat S, Raza F, Ara H. Reducing length of stay in hospital for very low birthweight infants by involving mothers in a stepdown unit: an experience from Karachi (Pakistan). BMJ. 2004;329:1151–5.PubMed PubMedCentral CrossRef
    18.Levin A. The mother–infant unit at Tallinn Children’s Hospital, Estonia: a truly baby-friendly unit. Birth. 1994;21:39–44.PubMed CrossRef
  • 作者单位:Mingyan Hei (1)
    Xiangyu Gao (2)
    Xirong Gao (3)
    Shaohan Nong (4)
    Aimin Zhang (5)
    Qianshen Zhang (6)
    Shoo K. Lee (7)

    1. Department of Pediatrics, the Third Xiangya Hospital of Central South University, Tongzipo Road 138, Changsha, Hunan, 410013, China
    2. Department of Pediatrics, Xuzhou Affiliated Hospital of East South University, Xuzhou, Jiangsu, 220028, China
    3. Department of Neonatology, Hunan Children’s Hospital, Changsha, Hunan, 410008, China
    4. Department of Pediatrics, Guangdong General Hospital, Guangzhou, Guangdong, 510080, China
    5. Department of Neonatology, Hunan Provincial People’s Hospital, Changsha, Hunan, 410007, China
    6. Department of Neonatology, Shenzhen Maternal and Child Healthcare Hospital, Shenzhen, Guangdong, 518028, China
    7. Department of Pediatrics, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, M5G 1X5, Canada
  • 刊物主题:Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
  • 出版者:BioMed Central
  • ISSN:1745-6215
文摘
Background By changing the paradigm of neonatal intensive care and integrating parents into the care team, the ‘family integrated care’ (FICare) model developed in Canada ensures that infants receive more consistent care and parents are better able to care for their infants within the neonatal intensive care unit (NICU) and at home. However, Chinese health policy dictates that parents are not allowed into the NICU during their infant’s stay, which inhibits this type of parent–infant interaction and may affect infant outcomes. This project aims to demonstrate that allowing parents to care for their newborn infants in the NICU improves the medical outcomes of infants.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700