Abstract:

Objective To establish the pre-discharge ward for premature infants based on family integrated care（FIC） model and evaluate its effects of application.Methods Families with premature infants admitted to a PICU in a tertiary hospital from January,2016 to January,2018 were recruited. Based on FIC model,48 families were transferred to pre-discharge ward and provided with comprehensive interventions （establishing multi-disciplinary team,providing supports of equipment and environment,professional training of caregivers,and providing discharge plan and support）. As the control group,48 families with premature infants matched with the experimental group were enrolled and provided with routine care. Care ability,anxiety,and infection rate were compared between two groups.Results Care ability of caregivers in pre-discharge ward was better than that in the control group,and anxiety was lower as well with significant differences（P<0.05）. No infant developed infection during hospitalization in the experimental group.Conclusion Pre-discharge ward based on FIC model can improve care ability and decrease anxiety of the caregivers,which can be promoted considering the present situation in China and health care system.

Key words: Infant, Premature, Family Integrated Care, Pre-discharge Ward, Caring Ability, Anxiety, Nursing Administration Research, Pediatric Nursing

摘要：

【目的】建立家庭参与式早产儿预出院病房并评价其应用效果。【方法】选取2016年1月-2018年1月在某三级甲等医院新生儿重症监护室住院的早产儿家庭作为研究对象,实验组在家庭参与理念指导下,护理人员对进入预出院病房的48个早产儿家庭给予综合干预措施,包括多学科团队的组建,提供硬件设施及环境保障,照顾者培训,制订出院计划。选取新生儿重症监护室与预出院病房早产儿病情严重程度等特征相匹配的48个早产儿家庭作为对照组,给予常规护理措施。比较两组早产儿出院时照顾者的照顾能力、焦虑情绪及早产儿的院内感染发生率。【结果】实验组早产儿出院时照顾者的照顾能力优于对照组,焦虑水平显著低于对照组,差异均具有统计学意义（P<0.05）。实验组早产儿未发生院内感染。【结论】家庭参与式早产儿预出院病房的建立可以提高照顾者的照护能力,减少焦虑情绪,是基于目前国情和医疗体制下可推行的照顾策略。

关键词: 婴儿, 早产, 家庭参与照护, 预出院病房, 照护能力, 焦虑, 护理管理研究, 儿科护理学