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Abstract PD-033: A PRE-POST INTERVENTION STUDY TO ASSES THE IMPACT OF FAMILY INTEGRATED CARE ON INFANTS’ CLINICAL OUTCOMES IN TWO CHINESE NEONATAL INTENSIVE CARE UNITS

Zhu, L.H.1; Xiong, Y.E.2; He, S.W.2; Lv, B.2; Gao, X.R.2; Xiong, H.1; Shi, H.R.3; Wang, H.3; Latour, J.4

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 40
doi: 10.1097/01.pcc.0000537435.97277.5e
Poster Discussion Abstracts
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1Hunan Childen’s Hospital, Nursing Department, Changsha, China

2Hunan Childen’s Hospital, Neonatal Intensive Care Unit, Changsha, China

3Maternal and Child Health Hospital of Guiyang Province, Neonatal Intensive Care Unit, Guiyang, China

4University of Plymouth, School of Nursing and Midwifery- Faculty of Health and Human Sciences, Plymouth, United Kingdom

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Aims & Objectives:

In China, parents have limited access to Neonatal Intensive Care Units (NICUs) and are not integrated in the care of their preterm infant during hospitalization. Family Integrated Care (FIC) is a model where parents become the primary caretaker to improve quality-of-life and health outcomes of preterm infants. The aim of the study was to evaluate the impact of a FIC intervention on the clinical outcomes of preterm infants with Bronchopulmonary Disease (BPD).

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Methods

A pre-post intervention study at NICUs in two Chines children’s hospitals. The pre-intervention group included infants (n=134) hospitalized from December 2015 to September 2016; FIC group were infants (n=115) admitted between October 2016 to June 2017. NICU nurses were trained, July to September 2016, to deliver the FIC intervention; parent education and support. Parents needed to take care for their infant for minimal three hours a day. Outcome measures were length-of-stay, breastfeeding, weight gain, respiratory and oxygen support.

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Results

Compared with control group (n=134), FIC group (n=115) had significantly higher breastfeeding rate (χ2 = 4.696, p=0.030), breastfeeding time (t = 4.501, p<0.001), enteral nutrition time (t = 7.195, p<0.001), weight gain (t=3.180,p=0.002), and significantly lower respiratory support time (t = -5.388, p<0.001). Oxygen Exposure Time decreased but not significant (39.38 ± 14.918 VS 40.94 ± 13.786; p=0.393) (Table 1).

Table

Table

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Conclusions

Our study suggests that educating and involving parents in the care might improve clinical outcomes of preterm infants with BPD and provides a reference for further implementation of FIC to enhance parental involvement in those NICU with limited parental participation.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies