Involvement of Parents in the Care of Preterm Infants: A Pilot Study Evaluating a Family-Centered Care Intervention in a Chinese Neonatal ICU

Zhang, Rong; Huang, Renzhi; Gao, Xi-ronga; Peng, Xiao-minga; Zhu, Lihui; Rangasamy, Ramanathan; Latour, Jos M.

doi:10.1097/pcc.0000000000001586

Cited by 38 publications

(55 citation statements)

References 27 publications

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“…The re-admission rate 1 month after discharge decreased significantly in our study. This is consistent in two other similar studies investigating an educational FCC intervention (25, 26).…”

Section: Discussionsupporting

confidence: 92%

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Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

Gao

Sun

et al. 2019

Front. Pediatr.

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Background: Survival of very-low-birth-weight infants is improving in neonatology and family-centered-care might contribute to premature infants' clinical outcomes. Aim: To evaluate a family-centered care intervention on clinical outcomes of very-low-birth-weight infants. Methods: A quasi-experimental study was conducted in a Chinese NICU between June 2016 and June 2017. The intervention included parental education of basic care knowledge and skills followed by active participation in care for at least 4 h a day. A total of 319 very-low-birth-weight infants were recruited by convenience sampling; intervention group n = 156 and control group n = 163. Primary outcome measures were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, re-admission, hospital expenses. Secondary outcome measures were infant complications. Results: Infants' weight at discharge was higher in the interventions group (2,654 g vs. 2,325 g, p < 0.001). Nutritional outcomes improved significantly: breastfeeding rate 139 vs. 91, p < 0.001; days of total parental nutrition 25 d vs. 32 d, p < 0.001; gastric feeding days 23 d vs. 35 d, p < 0.001. Length-of-stay and hospital expenses did not differ between both groups. Improved infants' complications were bronchopulmonary dysplasia (32 vs. 51, p = 0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p = 0.003), necrotizing enterocolitis (6 vs. 18, p = 0.019), and re-admission rate (21 vs. 38, p = 0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections. Conclusion: Very-low-birth-weight premature infants might experience improved clinical health outcomes when parents are present and caring from them. Family-centered care is as a beneficial care model for premature infants and should be recognized and implemented by NICUs where parents have currently limited access.

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“…The re-admission rate 1 month after discharge decreased significantly in our study. This is consistent in two other similar studies investigating an educational FCC intervention (25, 26).…”

Section: Discussionsupporting

confidence: 92%

“…In many Chinese NICUs parents are restricted to visit their infant or to participate in caregiving (23). However, recent studies from China reveal a growing trend in FCC practices and report clinical benefits to preterm infant (24–26). To date, there are limited reports presenting evidence of FCC practices in VLBW infants.…”

Section: Introductionmentioning

confidence: 99%

Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

Gao

Sun

et al. 2019

Front. Pediatr.

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“…Family-Centered Care (FCC) interventions have been developed and implemented to minimize stress and anxiety experienced by parents and accelerate the healing process of infants (4,5). An important element in maintaining the FCC approach is effective communication.…”

Section: Introductionmentioning

confidence: 99%

Turkish Adaptation and Validation of the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) Questionnaire to Measure Parent Satisfaction in Neonatal Intensive Care Units

et al. 2020

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The aim of this study was to translate and validate the shortened version of the "EMpowerment of PArents in THe Intensive Care" (EMPATHIC-30) questionnaire into Turkish to measure parent satisfaction in the Neonatal Intensive Care Units (NICU). Method: The study used a cross-sectional design. The data of the study were collected from parents with infants staying in the NICU of a training and research hospital in Sakarya, Turkey, between July 2018-2019 after obtaining ethical approval. Totally, 238 parents (234 mothers, four fathers) agreed to participate in the study and completed the questionnaire. Of these, 35 mothers were recruited 1 month later for the test-retest reliability analysis. The questionnaire was translated using back and forward translation. Reliability and validity test were performed to measure the psychometric properties of the Turkish EMPATHIC-30. Results: The mean age of the parents was 28.27 (SD 5.93), and 48.3% of them were primary school graduates. The infants: 55.9% were male, the mean gestational age was 36.89 (SD 3.25) weeks, and mean length of hospital stay was 9.36 (SD 10.17) days. The mean scores of each item with a six-point scale of the EMPATHIC-30 questionnaire ranged between 4.01 and 4.87. The Cronbach's alpha of the total questionnaire was 0.95. Cronbach's alpha of the five domains (Information, Care and Treatment, Organization, Parent Participation, and Professional Attitude) ranged between 0.80 and 0.92. Pearson correlation coefficient between the domains and total questionnaire was r = 0.988. The Intraclass correlation coefficient was ICC = 0.998 in the test-retest evaluation. Confirmatory factor analysis was performed for construct validity and was moderate; Comparative Fit Index = 0.792, Tucker-Lewis Index = 0.770, Standardized Root Mean Square Residual = 0.0811, and Root Mean Square Error of Approximation = 0.107. Tiryaki et al. Validation Turkish EMPATHIC-30 Questionnaire Conclusion: The Turkish version of EMPHATIC-30 has adequate psychometric properties. The EMPATHIC-30-Turkish questionnaire is an easy and appropriate instrument which can be used to measure satisfaction of Turkish parents with infants staying in the NICU.

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“…Details of quality assessment are shown in Table 2 and Online supplemental 4. 23,25,26,30,35 ) Of the four cohort studies, Jensen et al 23 Regenbogen et al 25 , Schell et al 26 and Tseng et al 30 lacked clarity relating to the measurement of exposures. In studies that used health system or insurance databases 23,25,30 details of how data were extracted, coded and extent of validation were not provided.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Further lack of clarity over the identi cation, selection and, inclusion of confounders was present in Jensen et al 23 , Regenbogen et al 25 and Tseng et al 30 . Zhang et al's randomised control trial 35 also had an increased risk of bias as it recruited from a single Chinese neonatal intensive care, had a small sample and could not blind clinicians to the intervention.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Rehospitalisation Risk Factors and Rates in Preterm Babies: A Systematic Review and Meta-Analysis

Reed

Morgan

Zeitlin

et al. 2021

Preprint

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Objective: To systematically review evidence of risk factors and rates for rehospitalisations within one month of discharge for babies born at <37 weeks gestation.Design: Systematic review and meta-analysisData Sources: PubMed (including MEDLINE and life science journals), Web of Science and reference lists of included articles. Study Selection: Inclusion criteria were studies published in English or French between 01 January 2000 to 31 March 2019, recruiting from the year 2000 onwards evaluating risk factors for rehospitalisation within one month of discharge in preterm babies. Two reviewers independently selected relevant studies, extracted study details, baseline characteristics and results of risk factor analyses. Results: Across 14 included studies, five studied babies of <37 weeks gestation, seven studied late preterm babies (34-36 weeks gestation), and two studied very to moderate preterm babies (<34 weeks gestation). Important risk factors were low birth weight, respiratory morbidity, male sex and lower socioeconomic status in <37 week babies, and shorter length of stay among late preterm babies. Pooled rehospitalisation rates were 4.3% (95% CI 1.9-9.7) in <37 week babies and 6.6% (95% CI 3.2-13.4) in late preterm babies. There was high heterogeneity in risk factors included in analyses and studies often lacked clarity on variable measurement and confounder adjustment.Conclusion: We found evidence for clinical and socioeconomic risk factors, high heterogeneity and important limitations. Limitations included a lack of breadth in both the gestational age ranges and risk factors studied, as well as lack of clarity around variable measurement and confounder adjustment

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Involvement of Parents in the Care of Preterm Infants: A Pilot Study Evaluating a Family-Centered Care Intervention in a Chinese Neonatal ICU

Cited by 38 publications

References 27 publications

Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study

Turkish Adaptation and Validation of the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) Questionnaire to Measure Parent Satisfaction in Neonatal Intensive Care Units

Rehospitalisation Risk Factors and Rates in Preterm Babies: A Systematic Review and Meta-Analysis

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