The Effect of Family-Integrated Care Based on Swanson's Theory of Caring on Premature Infants
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- head circumference
研究概览
简要总结
Previous studies have demonstrated that the implementation of FICare in single-family neonatal units is associated with a reduced risk of late-onset sepsis among preterm infants, a shorter hospital length of stay, a lower risk of rehospitalization, and improved breastfeeding rates.However, the impact of FICare, guided by Swanson's caring theory, on the growth and development of newborns, as well as on parental anxiety and their sense of parenting competence, remains unclear. To address this gap, the investigators conducted a cohort study to investigate these outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 28 Weeks 至 36 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •gestational age ranging from 28 to 36 weeks
- •stable vital signs for at least 24 hours
- •parental accompaniment of preterm infants during hospitalization
排除标准
- •preterm infants with severe congenital or genetic disorders
- •preterm infants with dysfunction of vital organs
- •preterm infants requiring mechanical life support
- •preterm infants requiring surgical intervention
- •preterm infants with a birth weight below 500 grams
研究组 & 干预措施
control
traditional model of hospital care
FICare nursing method guided by Swanson's caring theory
encompasses the following five dimensions: Understanding: A neonatologist provided a comprehensive explanation regarding the developmental progress of premature infants, potential complications, and essential aspects of nursing care to ensure the family gained a thorough understanding of the care requirements for premature infants.
Accompaniment: Two nursing guides provided essential support to parents of newborns in the NICU, helping to alleviate the anxiety and sense of helplessness among family members and fostering a relationship of trust between the medical staff and the families.
Help: A neonatal nurse played a guiding role in facilitating parental involvement in the daily care of premature infants, which encompassed feeding guidance, introduction of complementary foods, skin care, and related aspects.
Empowerment: A psychological counselor was assigned to provide psychological counseling and guidance to new parents, offering appropriate emotional support and assisting them in a
干预措施: FICare nursing method guided by Swanson's caring theory (Behavioral)
结局指标
主要结局
head circumference
时间窗: 6 months
To measure a preterm infant's head circumference: use a soft tape, wrap snugly over supraorbital ridges and occipital protuberance, read to 0.1cm, repeat twice, record.
body weight
时间窗: 6 months
To measure a preterm infant's weight: place on a calibrated, zeroed electronic scale (nappy only), ensure stillness, read to 0.1g, repeat twice, record with date/time.
body length
时间窗: 6 months
To measure a preterm infant's length: extend body, align head/heel, use a length board, read to 0.1cm, repeat, record.
STAI scores
时间窗: 6 months
STAI (State-Trait Anxiety Inventory) scores assess anxiety levels via two scales: State Anxiety (S-AI) measures temporary anxiety, Trait Anxiety (T-AI) assesses general anxiety proneness. Each has 20 items, rated 1-4. Scores range 20-80; higher scores indicate greater anxiety. S-AI ≥40 suggests significant state anxiety; T-AI ≥40 may indicate trait anxiety.
PSOC scores
时间窗: 6 months
PSOC (Parenting Sense of Competence Scale) scores assess parental self-efficacy and satisfaction. It has 17 items, rated 1-6, covering efficacy (confidence) and satisfaction (emotional engagement). Scores range 17-102; higher scores mean stronger. parenting competence.
次要结局
未报告次要终点
研究者
huijie zhu
chief nurse
Yongkang Maternal and Child Health Hospital