Research On The Application Of Discharge Preparation Service In Premature Infants Of NICU

Objective1.By carrying out discharge preparation services,family members can master the knowledge and skills of daily care,understand the growth and development rules of premature infants,help family members adapt to the role change,and carry out more standardized home care of premature infants.2.By analyzing the discharge readiness of premature infants and their families,it can provide a reference for the subsequent formulation of individualized discharge plans,and explore the application of discharge preparation services in the rehabilitation process of premature infants,and their physical development,rehospitalization rate,breastfeeding rate,and The comprehensive intervention effect of parents’ parenting competence and medical staff satisfaction.MethodsA total of 74 preterm infants who were admitted to the NICU of a tertiary care hospital in Inner Mongolia from January to June 2021 and met the criteria for nadir were selected.In this study,randomization was applied based on the order upon admission,and the control group was cared for according to the routine model for preterm infants,while the discharge preparation service was carried out on the basis of the routine model in the intervention group.Specific interventions include: preparing a discharge preparation service instruction manual for preterm infants before implementing the discharge preparation process,forming a discharge preparation service team and conducting training,conducting an admission assessment of preterm infants and caregivers during the implementation process to provide reference for the development of individualized care plans for preterm infants,and at the same time,according to the different needs of caregivers of preterm infants,providing guidance on relevant care knowledge and skills during the hospitalization of preterm infants,basing the discharge readiness of caregivers of preterm infants at the time of discharge,and intervening from the admission of preterm infants to 6 months of corrected gestational age,and conducting follow-up visits by telephone in conjunction with We Chat and outpatient clinics.The breastfeeding rate,unplanned readmission rate within 30 days,and growth and development at corrected gestational age at 1,3,and 6 months were used to evaluate the prognosis of preterm infants.The hospital discharge readiness of the family members of preterm infants was assessed before and after the intervention by using the Neonatal Parental Discharge Care Ability Questionnaire and C-PSOC.The Chinese version of the Customer Satisfaction Scale was used to evaluate the family members’ satisfaction with medical services when the premature infant was discharged.Results1.87.8% of the 74 families of preterm infants indicated the need for relevant educational knowledge during the hospitalization of preterm infants,and 80.1% indicated the need for continuity of care even after the discharge of preterm infants.Health education through online platforms(85.1%)ranked first in terms of the demand for continuing care,and the overall content of continuing care showed that the demand level was between "very much in demand" and "in demand",accounting for more than 50% of the total.2.Discharge readiness of caregivers of preterm infants on the day of discharge: the total score of discharge care competency was(131.78 ± 13.88)in the intervention group and(94.17 ±7.17)in the control group,and the scores on the three dimensions of caregiving knowledge,skills and attitude were higher than those of the control group,and all differences were found to be statistically meaningful(P < 0.05).3.The breastfeeding rate of premature infants in the intervention group on discharge day was higher than that in the control group,and the difference was statistically significant(P <0.05).4.The readmission rate of premature infants within 30 days(unplanned)in the intervention group was lower than that in the control group,and the difference was statistically significant(P < 0.05).5.The parental parenting competency scores of the family members of premature infants in the intervention group were higher than those in the control group on the day of discharge and when the gestational age was corrected for 3 months,and the difference was statistically significant(P<0.001).6.The length and weight of preterm infants in the two groups corrected for gestational age of1,3,and 6 months in the intervention group were significantly better than those in the control group(P<0.001),but there was no statistical difference in head circumference(P>0.05).7.The family members of the intervention group had higher satisfaction with medical services than the control group when they were discharged from the hospital,and the difference was statistically significant(P<0.001).Conclusion1.By implementing discharge readiness services among preterm infants,we are improving the discharge readiness of preterm caregivers and enhancing their ability to care for preterm infants at home,thereby helping preterm infants transition safely from hospital care to home care.2.Implementation of discharge preparation services can increase breastfeeding rates and reduce readmission rates within 30 days for preterm infants,which is important for promoting physical development of preterm infants.3.The carrying out of discharge preparation service can improve the family members’ sense of competence in childcare and satisfaction with medical services.At the same time,this study provides theoretical basis and practical guidance for the development of continuous care for premature infants.