■欧洲新生儿护理基金会(EFCNI)提倡父母参与照顾儿童的重要性。
■该研究旨在研究在实施培训计划期间如何改变父母在照顾极低出生体重新生儿方面实现自主所需的时间。
■这是一项关于质量改进倡议的观察性前瞻性研究。Cuídame(英语中的意思是“照顾我”)计划旨在实现父母的自主权。分2个时期实施:第1个时期,从2020年9月1日至2021年6月15日;第2个时期,从2021年7月15日至2022年5月31日。父母在几个护理领域实现自主权所需的天数是从电子健康系统中收集的。
■在第1期和第2期分别招募了54个和43个有新生儿的家庭。在第2阶段获得自主参与临床查房所需的时间较少(中位数10.5,IQR5-20vs7,IQR4-10.5d;P<.001),喂养(中位数53.5,IQR34-68vs44.5,IQR37-62d;P=0.049),和神经行为观察(中位数18,IQR9-33vs11,IQR7-16d;P=0.049)。需要更多的时间来实现袋鼠母亲护理的自主性(中位数14,IQR7-23vs21,IQR10-31d;P=.02),换尿布(中位数9.5,IQR4-20vs14.5,IQR9-32d;P=.04),和感染预防(中位数1,IQR1-2vs6,IQR3-12;P<.001)。
■父母需要更少的时间来实现参与临床查房的自主权,喂养,并在实施培训计划期间观察神经行为。然而,他们需要更多的时间来实现袋鼠母亲照顾的自主权,换尿布,和感染预防。
UNASSIGNED: The European Foundation for the Care of Newborn Infants (EFCNI) has promoted the importance of parental involvement in the care of children.
UNASSIGNED: The study aimed to examine how the time required by parents to achieve autonomy in the care of their very low-birth weight newborn infants was modified during the implementation of a training program.
UNASSIGNED: This was an observational prospective study in the context of a quality improvement initiative. The Cuídame (meaning \"Take Care of Me\" in English) program was aimed at achieving parental autonomy. It was implemented over 2 periods: period 1, from September 1, 2020, to June 15, 2021; and period 2, from July 15, 2021, to May 31, 2022. The days required by parents to achieve autonomy in several areas of care were collected from the electronic health system.
UNASSIGNED: A total of 54 and 43 families with newborn infants were recruited in periods 1 and 2, respectively. Less time was required to acheive autonomy in period 2 for participation in clinical rounds (median 10.5, IQR 5-20 vs 7, IQR 4-10.5 d; P<.001), feeding (median 53.5, IQR 34-68 vs 44.5, IQR 37-62 d; P=.049), and observation of neurobehavior (median 18, IQR 9-33 vs 11, IQR 7-16 d; P=.049). More time was required to achieve autonomy for kangaroo mother care (median 14, IQR 7-23 vs 21, IQR 10-31 d; P=.02), diaper change (median 9.5, IQR 4-20 vs 14.5, IQR 9-32 d; P=.04), and infection prevention (median 1, IQR 1-2 vs 6, IQR 3-12; P<.001).
UNASSIGNED: Parents required less time to achieve autonomy for participation in clinical rounds, feeding, and observation of neurobehavior during the implementation of the training program. Nevertheless, they required more time to achieve autonomy for kangaroo mother care, diaper change, and infection prevention.