基于循证实践构建NICU早产儿以家庭为中心的护理模式

doi:10.3969/j.issn.2095-9400.2019.02.011

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Abstract Objective: To construct the family-centered care (FCC) nursing model in neonatal intensive care unit (NICU) based on the best evidence-based practice, and to evaluate the effect of its application in clinical practice. Methods: A total of 119 cases of premature infants hospitalized in the NICU of the First Affiliated Hospital of Wenzhou Medical University from August 2016 to March 2017 were selected as control group. A total of 146 cases of premature infants hospitalized in our department from April to November 2017 were selected as observation group, and FCC nursing mode was adopted. Through searching literature to determine the best evidence, the FCC medical nursing team was set up, and the FCC scheme was constructed based on the best evidence: ①the FCC facilities; ②the training of medical personnel; ③the investigation of family needs and the selection of appropriate time for parents to participate in FCC; ④the training of family members of premature infants; ⑤using the failure mode and effect analysis (FMEA) to prevent nosocomial infection; ⑥an assessment of care ability of family members and the formulation of discharge plan. To compare the two groups in terms of growth rate of body mass, length of stay, breastfeeding rate, the ability of family members to participate in FCC for the first time and nursing before discharge, and the incidence of nosocomial infection before and after FCC. Results: Compared with the control group, the growth rate of body mass in the observation group increased significantly (P<0.01), hospitalization days shortened by 3.12 days (P<0.01), breastfeeding rate increased significantly (P<0.01), parental care ability improved significantly (P<0.01), and there was no significant difference (P>0.05) in the incidence of nosocomial infection before and after FCC. Conclusion: The construction and implementation of FCC can effectively improve the growth and development of premature infants, short hospitalization days, improve breast feeding rate, and improve the care ability of family members, which improved the continuing care quality after discharge.

Key words： infant, premature intensive care units, neonatal family-centered care evidence-based practice

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	FENG Xiaofang
	HUANG Xiaoxia
	QIAN Xiaorong
	ZHANG Liping
	SHAO Xiaowei
	HU Weijie
	SUN Caixia

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2019.02.011 OR https://xb.wmu.edu.cn/EN/Y2019/V49/I2/132

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