Maternal participation on preterm infants care reduces the cost of delivery of preterm neonatal healthcare services

Namprom, Nethong; Woragidpoonpol, Patcharee; Altimier, Leslie; Jintrawet, Usanee; Chotibang, Jutamas; Klunklin, Pimpaporn

doi:10.1016/j.jnn.2020.03.005

Cited by 3 publications

(14 citation statements)

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“…Eight (44.4%) were randomized controlled trials ( 11 – 19 ), two (11.1%) were quasi-experimental studies ( 20 , 21 ), one (5.6%) was a retrospective cohort study ( 22 ), five (27.8%) were pre-post intervention studies ( 23 – 27 ), and two 11.1%) were non-randomized controlled trials ( 28 , 29 ) ( Supplementary Table 1 ). Studies were conducted in upper-middle income countries ( 12 – 17 , 19 – 22 , 24 , 25 , 28 ) or lower-middle income countries ( 11 , 23 , 26 , 27 , 29 ) with no representation from low-income countries.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies evaluated length of stay ( 14 , 15 , 17 – 24 , 26 , 28 , 29 ). The overall duration of hospitalization across studies varied widely with averages for both the intervention and control groups ranging from less than 10 days in two studies ( 26 , 29 ) to more than 40 days in four trials ( 17 , 19 , 21 , 24 ). Ten studies provided data that was conducive for a meta-analysis ( 14 , 15 , 17 , 19 , 21 – 24 , 28 , 29 ).…”

Section: Resultsmentioning

confidence: 99%

“…The overall duration of hospitalization across studies varied widely with averages for both the intervention and control groups ranging from less than 10 days in two studies ( 26 , 29 ) to more than 40 days in four trials ( 17 , 19 , 21 , 24 ). Ten studies provided data that was conducive for a meta-analysis ( 14 , 15 , 17 , 19 , 21 – 24 , 28 , 29 ). Parental participation did not affect length of stay when compared to standard nursing care (MD −2.35, 95% CI −6.78–2.07, I 2 = 92%; Figure 2 ), and the result remained similar when restricted to randomized controlled trials (MD 1.16, 95% CI −14.6–16.93).…”

Section: Resultsmentioning

confidence: 99%

“…Weight gain during hospitalization was measured in ten studies ( 11 , 13 , 14 , 16 , 17 , 19 , 21 – 25 ), and weight gain at follow-up post-discharge was reported in two studies ( 14 , 29 ). The data was not amenable to meta-analysis due to differences in outcome reporting.…”

Section: Resultsmentioning

confidence: 99%

“…Parental participation had a positive effect on weight gain in eight of the studies (80%; 11 , 13 , 14 , 19 , 21 , 22 , 24 , 25 ). One study (10%) reported reduced weight gain in the intervention group compared to the control group ( 23 ), and one study (10%) found no difference between the groups ( 16 , 17 ).…”

Section: Resultsmentioning

confidence: 99%

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Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis

et al. 2022

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IntroductionTo determine the effect of parental participation in hospital care on neonatal and parental outcomes in low- and middle-income countries (LMICs) and to identify the range of parental duties in the care of hospitalized neonates in LMICs.MethodsWe searched CINAHL, CENTRAL, LILACs, MEDLINE, EMBASE and Web of Science from inception to February 2022. Randomized and non-randomized studies from LMICs were eligible if parents performed one or more roles traditionally undertaken by healthcare staff. The primary outcome was hospital length-of-stay. Secondary outcomes included mortality, readmission, breastfeeding, growth, development and parental well-being. Data was extracted in duplicate by two independent reviewers using a piloted extraction form.ResultsEighteen studies (eight randomized and ten non-randomized) were included from seven middle-income countries. The types of parental participation included hygiene and infection prevention, feeding, monitoring and documentation, respiratory care, developmental care, medication administration and decision making. Meta-analyses showed that parental participation was not associated with hospital length-of-stay (MD −2.35, 95% CI −6.78–2.07). However, parental involvement was associated with decreased mortality (OR 0.46, 95% CI 0.22–0.95), increased breastfeeding (OR 2.97 95% CI 1.65–5.35) and decreased hospital readmission (OR 0.36, 95% CI 0.16–0.81). Narrative synthesis demonstrated additional benefits for growth, short-term neurodevelopment and parental well-being. Ten of the eighteen studies had a high risk of bias.ConclusionParental participation in neonatal hospital care is associated with improvement in several key neonatal outcomes in middle-income countries. The lack of data from low-income countries suggests that there remains barriers to parental participation in resource-poor settings.Systematic review registration[https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=187562], identifier [CRD42020187562].

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis

et al. 2022

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Çocuk Hastalarda Kullanılan Bakım Uygulamalarının Etkileri

Turgut,

Canbulat Şahiner

2024

Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi

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Bakım uygulamaları tüm pediatrik yaş gurupları için etkilidir. Bakım uygulamaları ile çocuğun hastane yatışı ile ortaya çıkan olumsuz duyguların önlenmesi ve giderilmesi amacıyla ailenin bakımda etkin rol oynaması sağlanmaktadır. Çocuğun yaş dönemine uygun bakım uygulamasının kullanımı ile bakımın etkinliği artacak, çocuğun ve ailesinin stresi azaltılabilecektir. Ailenin bakıma dahil edilmesinin, hastaneye uyum, beslenmeye geçişin hızlanması açısından vazgeçilmez bir yeri bulunmaktadır. Ailenin bakımdaki yerinin kabul edilmesi ile ebeveyn anksiyete ve stres düzeyi azaltılmakta, memnuniyet düzeyi artmaktadır. Gerekli bilgilendirici ve destekleyici eğitimler ile çocuğun bakım kalitesi maksimum düzeye çıkmaktadır. Bu çalışmada literatür doğrultusunda incelenen aile merkezli bakım, aile entegre bakım, bireyselleştirilmiş gelişimsel bakım, atravmatik bakım, terapötik oyun, integratif bakım, web destekli ve telesağlık uygulamaları ve çocuk merkezli bakım uygulamalarının iyileşme hızı/taburculuk süresi, büyüme ve gelişme, hastalık ve hastaneye uyum, ebeveyn ve çocuk memnuniyeti ve stres/kaygı, ağrı ve korku üzerine etkileri incelenmiştir.

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Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial

Kongsaenkaew,

Rungamornarat,

Payakkaraung

2023

PRIJNR

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Telehealth is increasingly important in nursing, encouraging mothers of preterm infants with ventilators to have confidence in their infant care. This study investigated the impact of a telehealth program on maternal self-efficacy in caring for preterm infants with ventilators in the early postpartum period. We employed a randomized controlled trial using the block allocation method, enrolled 42 mothers of preterm infants receiving ventilators and randomly assigned 21 in the experiment group and 21 in the control group. The experimental group received asynchronous and synchronous telehealth programs for six days to enhance their self-efficacy. Data were obtained using the demographic data questionnaire and the maternal self-efficacy questionnaire. Data were analyzed using the Chi-square test, Fisher’s Exact test, Mann–Whitney U test, independent t-test, and paired t-test. After completing the program, the experimental group had a significantly higher mean score of maternal perceived self-efficacy than the control group, and this was significantly higher than before the trial. A telehealth program is effective for mothers with preterm infants with ventilators. Nurses should allow the mothers to practice care activities with infants at least once before discharge and when they arrive home and provide health information via telehealth. These can enhance maternal self-efficacy in caring for premature infants with ventilators in the first week of life. However, further testing of the program in other settings is needed before widespread implementation.

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Maternal participation on preterm infants care reduces the cost of delivery of preterm neonatal healthcare services

Cited by 3 publications

References 7 publications

Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis

Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis

Çocuk Hastalarda Kullanılan Bakım Uygulamalarının Etkileri

Enhancing Maternal Self-efficacy in Caring for Preterm Infants with Ventilator through a Telehealth Program: A Randomized Controlled Trial

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