Family Integrated Care Shortens the Duration of Home Oxygen Therapy in Infants With Bronchopulmonary Dysplasia.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-19 DOI:10.1097/ANC.0000000000001119

Fei Shen, Xiao Wu, Xiu-Li Chen, Hui Rong, Yang Yang

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引用次数: 0

Abstract

Background: There have been few reports on whether family integrated care (FIC) can help premature infants with moderate to severe bronchopulmonary dysplasia (BPD) to shorten the duration of home oxygen therapy (HOT).

Purpose: To investigate the effect of FIC on the duration of HOT in premature infants with moderate to severe BPD.

Methods: The subjects were retrospectively selected from premature infants with moderate to severe BPD in our center between June 2019 and December 2021. Patients were divided into the FIC group (n = 47) and the non-FIC group (n = 34). For univariate analysis, t test, Mann-Whitney U test, Pearson χ 2 test, or Fisher exact test was performed to explore the differences between the 2 groups. For multivariate analysis, simple and multiple linear regression was conducted to explore the effect of FIC on the duration of HOT.

Results: (1) The duration of HOT and length of stay after grouping were significantly shorter in the FIC group than in the non-FIC group ( P < .05). (2) The results of linear regression further revealed that FIC could significantly shorten the duration of HOT (simple linear regression, FIC [A] B : -12.709, 95% confidence interval (CI): -21.665 to -3.753; multiple linear regression, FIC [B] B : -11.419, 95% CI: -18.055 to -4.783).

Implications for practice and research: FIC improved the optimal target oxygen saturation ratio before discharge and shortened the duration of HOT in premature infants with moderate and severe BPD. FIC should be promoted in China's neonatal intensive care units, though it puts forward new requirements for nursing education and training.

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家庭综合护理缩短了支气管肺发育不良婴儿的家庭氧气治疗时间。

背景：关于家庭综合护理（FIC）能否帮助中重度支气管肺发育不良（BPD）早产儿缩短家庭氧疗（HOT）持续时间的报道很少：方法：回顾性选取2019年6月至2021年12月期间本中心患有中重度BPD的早产儿作为研究对象。患者分为FIC组（47人）和非FIC组（34人）。单变量分析采用t检验、Mann-Whitney U检验、Pearson χ2检验或Fisher精确检验来探讨两组之间的差异。结果：（1）FIC 组的 HOT 持续时间和分组后的住院时间明显短于非 FIC 组（P < .05）。(2）线性回归结果进一步显示，FIC 可显著缩短 HOT 持续时间（简单线性回归，FIC [A] B：-12.709，95% 置信区间（CI）：-21.665 至 -3.753；多元线性回归，FIC [B] B：-11.419，95% CI：-18.055 至 -4.783）：FIC提高了中度和重度BPD早产儿出院前的最佳目标血氧饱和度，缩短了HOT持续时间。FIC对护理教育和培训提出了新的要求，应在我国新生儿重症监护病房推广。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.