Effect of Intelligent Intervention Strategies on Self-efficacy and Hospital Readiness of Parents of Preterm Infants: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 84
- 主要终点
- Parental readiness for discharge
研究概览
简要总结
- Construct intelligent management intervention plan for parents of preterm infants from hospital to family based on the medical and health system suitable for China's national conditions.
- Clinical randomized controlled trials were conducted to verify and evaluate the feasibility and application effect of the intervention program.
详细描述
Based on the previous literature analysis, this study builds an intelligent intervention scheme based on evidence-based methods and theories. Finally, we selected the parents of preterm infants in the neonatology department of a third class hospital in Shantou to carry out a similar experiment to verify the scheme. With data collected at five critical time points and different interventions provided according to baseline data, the study will reveal significant differences in personalized interventions, self-efficacy at different time points, and hospital discharge readiness among parents of preterm infants in the context of intelligent intervention, showing the relationship between self-efficacy and hospital discharge readiness. This study will fill in the single, traditional model of education and provide new perspectives and methods for future research and clinical practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion criteria for premature infants ① gestational age < 37 weeks；② Premature infants admitted to NICU；③ The duration of hospitalization is more than 5 days.
- •Inclusion and
排除标准
- •of primary caregivers of preterm infants ① Preterm infants admitted to neonatology and family caregivers of preterm infants with gestational age < 37 weeks. ② Family members who volunteer to undertake primary care tasks. ③ No mental disorders and can carry out normal language communication； ④ ≥18 years old, proficient in WeChat use；⑤ Informed consent has been signed.
- •Exclusion Criteria:
- •Exclusion criteria for preterm infants ① intrauterine developmental retardation of preterm infants. ② Preterm infants with a history of major surgery. ③ Unplanned discharge, transfer, transfer or death of premature infants.
- •Exclusion criteria for primary caregivers of preterm infants ① There are recent major mental trauma injuries caused by non-hospitalization factors. ② the caregiver suffers from serious diseases of the heart, brain, lung, kidney and other organs.
- •Shedding criteria: Caregivers who voluntarily asked to withdraw for various reasons during the study.
研究组 & 干预措施
control group
Routine nursing, discharge education
intervention group
Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.
干预措施: Information support (Behavioral)
intervention group
Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.
干预措施: Stress and coping (Behavioral)
intervention group
Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.
干预措施: Specialist guidance (Behavioral)
intervention group
Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.
干预措施: Social support and interaction (Other)
intervention group
Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.
干预措施: Parentage development (Behavioral)
结局指标
主要结局
Parental readiness for discharge
时间窗: Upon admission and 24 hours before discharge
The Discharge Readiness Scale - Parent Edition This scale was developed by Weiss Equals in 2006 to assess the discharge readiness of parents of hospitalized children aged 0-18 years. The scale consists of 5 dimensions and 29 items. The scale was scored on a Likert 10-level scale, with scores ranging from 0 to 10 for each item (" complete "to" incomplete ") and an overall score ranging from 0 to 290. The higher the score, the higher the parents' readiness to leave the hospital. Cronbach's α coefficient of the total volume table was 0.85, and Cronbach's α coefficient of each dimension (personal status of parents, personal status of children, knowledge, coping ability and expected support) was 0.71, 0.70, 0.85, 0.86 and 0.84, respectively, indicating good reliability. Chinese scholar Chen et al. Sinicized the scale and verified its good reliability and validity.
Parents' self-efficacy
时间窗: The day of admission, 24 hours before discharge, and 1 month after discharge
First developed by German clinical and health psychologist Ralf Schwarzer in 1981, the General self-efficacy Scale has been translated into at least 25 languages and is widely used internationally. In this study, the Chinese version of GSEA was adopted, which was jointly revised by Zhang Jianxin and Schwarzer, and has been proved to have good reliability and validity. The scale has one dimension, a total of 10 items, grades 1 to 4, the test subjects according to their actual situation, "completely correct" counts for 4 points, "mostly correct" counts for 3 points, "somewhat correct" counts for 2 points, "completely incorrect" counts for 1 point, all items are positive, the lowest theoretical score is 10 points. The highest score was 40, and the higher the score, the better the general sense of self-efficacy.
次要结局
- Anxiety(The day of admission, 24 hours before discharge, and 1 month after discharge)
- Growth and development indicators of premature infants(1 week, 1 month, 3 months after discharge)
- Readmission rate of preterm infants(One month after discharge)
- Parental care ability(The day of admission, 24 hours before discharge, and 1 month after discharge)
- Breastfeeding situation(1 week, 1 month, 3 months after discharge)
研究者
Lin Kang
Clinical Professor
Shantou University Medical College