Abstract:

Objective To develop and evaluate a resources and environment configuration program of family-integrated care wards for preterm infants，aiming to provide evidence-based references for implementing family integrated care in NICU. Methods Based on the concept of affective design，the resource environment configuration program for preterm infants’ family wards was formed through literature analysis and 2 rounds of expert correspondence. Using convenience sampling method，63 cases of preterm infants and their parents who were hospitalized in the family ward of the neonatology department of a tertiary-level hospital in Wuhan Province from September to November，2024 were selected as the study subjects，and the program was applied initially to compare the satisfaction，anxiety，parent-infant bonding，and incidence of preterm adverse events of preterm infants’ parents in the family ward before and after the application of the program. After the application of the program，healthcare personnel’s satisfaction with the resource environment configuration of the family ward was compared to the program. Results The finalized program included 3 primary indicators，10 secondary indicators，and 38 tertiary indicators. After the application of the program，a total of 60 premature infants and their parents completed this study，parents of preterm infants’ satisfaction and parent-infant bonding to the family ward increased and anxiety decreased compared with the pre-application period，and the differences were statistically significant（all P<0.05）. There were no adverse events during the implementation of the program. Conclusion The resource environment configuration program of the preterm infant family ward has high scientificness and practicality，and parents of preterm infants have high satisfaction with the program，and the application of the program reduces the anxiety level of parents of preterm infants and promotes their parent-infant bonding.

Key words: Preterm Infant, Family Integrated Care, Neonatal Intensive Care Unit, Resources and Environment, Emotional Design, Pediatric Nursing

摘要：

目的 构建早产儿家庭病房资源环境配置方案并评价其应用效果，旨在为新生儿重症监护病房开展家庭参与式护理提供参考和借鉴。方法 基于情感化设计理念，通过文献分析及2轮专家函询形成早产儿家庭病房资源环境配置方案。采用便利抽样法，选取2024年9—11月在武汉市某三级甲等医院新生儿科家庭病房的63例早产儿及其家长作为研究对象，初步应用该方案，比较方案应用前后早产儿家长对家庭病房资源环境配置的满意度、焦虑程度、情感亲密度及早产儿不良事件发生率。结果 最终形成的方案包括一级条目3项、二级条目10项、三级条目38项。方案应用后，共60例早产儿及其家长完成该研究，早产儿家长对家庭病房资源环境配置的满意度、情感亲密度较应用前提升，焦虑程度下降，差异具有统计学意义（均P<0.001）；方案实施期间早产儿无不良事件发生。结论 早产儿家庭病房资源环境配置方案具有较高的科学性和实用性，早产儿家长对方案的满意度较高，应用方案可降低早产儿家长的焦虑程度，并加强其与早产儿的情感亲密度。

关键词: 早产儿, 家庭参与式护理, 新生儿重症监护病房, 资源环境, 情感化设计, 儿科护理学