Objective: To systematically review the effect of Transitional Care model (TCM) on the growth and development of premature infants. Methods: Randomized controlled trials (RCTs) or quasi-RTCs regarding the effect of TC...Objective: To systematically review the effect of Transitional Care model (TCM) on the growth and development of premature infants. Methods: Randomized controlled trials (RCTs) or quasi-RTCs regarding the effect of TCM in low birth weight premature infants were retrieved in electronic databases such as the Cochrane Library, PubMed, EMbase, Web of Science, CBM (Chinese Biomedicine Database), CNKI (China National Knowledge Infrastructure), VIP (Chinese Scientific Journals Database) and Wanfang Database. Then, we adopted RevMan 5.3 software to perform a meta-analysis. Results: A total of 11 articles were included, including 1282 preterm infants. The result showed that compared with the routine care model, TCM can effectively increase the weight when premature infants discharged one week [MD=225.57, 95%CI (171.78, 279.37), P<0.001], increase the weight after discharged one month [MD=0.89, 95%CI (0.72, 1.06), P<0.001], increase the weight after discharged three months [MD=670.44, 95%CI (527.65, 813.23), P<0.001], promote the height of newborns [MD=4.54, 95%CI (2.42, 6.65), P<0.001], reduce readmission rate [RR=0.38, 95%CI (0.25, 0.58), P<0.001], alleviate adverse skin reactions [RR=0.33, 95%CI (0.22, 0.50), P<0.001], increase nursing satisfaction of the families [RR=1.21, 95%CI (1.13, 1.31), P<0.001]. Conclusion: TCM can effectively promote the growth and development of the low birth weight premature infants, reduce the hospital readmission rate, alleviate adverse skin reactions of premature infants and improve the nursing satisfaction of the families. However, due to the limitation of the region and quality of the included studies, which the accuracy of the result still be treated with more caution. Further high-quality studies are needed to verify the conclusion.展开更多
目的对早产儿实施由NICU至家庭过渡期护理的干预效果进行Meta分析,以期为临床实践提供指导与借鉴。方法计算机检索中国知网、万方数据、中国生物医学文献、PubMed、Cochrane Library、EBSCO、Web of science等中英文数据库对早产儿实施N...目的对早产儿实施由NICU至家庭过渡期护理的干预效果进行Meta分析,以期为临床实践提供指导与借鉴。方法计算机检索中国知网、万方数据、中国生物医学文献、PubMed、Cochrane Library、EBSCO、Web of science等中英文数据库对早产儿实施NICU至家庭过渡期护理的随机对照试验。采用Cochrane手册(5.1.0)进行文献质量评价,采用RevMan 5.3软件进行Meta分析。结果共纳入13篇文献。结果显示,过渡期护理可增加早产儿母乳喂养率、体质量及1、3和6个月时身长,缩短住院天数,不会增加医院感染,提高其主要照顾者育儿技能、缓解焦虑情绪(P<0.01或P<0.05)。结论NICU作为早产儿过渡期护理阶段的干预场所,实施后有助于提高早产儿的母乳喂养率、促进其生长发育,提升其主要照顾者育儿技能、缓解焦虑情绪,缩短早产儿住院天数且不会增加医院内感染的风险。展开更多
文摘Objective: To systematically review the effect of Transitional Care model (TCM) on the growth and development of premature infants. Methods: Randomized controlled trials (RCTs) or quasi-RTCs regarding the effect of TCM in low birth weight premature infants were retrieved in electronic databases such as the Cochrane Library, PubMed, EMbase, Web of Science, CBM (Chinese Biomedicine Database), CNKI (China National Knowledge Infrastructure), VIP (Chinese Scientific Journals Database) and Wanfang Database. Then, we adopted RevMan 5.3 software to perform a meta-analysis. Results: A total of 11 articles were included, including 1282 preterm infants. The result showed that compared with the routine care model, TCM can effectively increase the weight when premature infants discharged one week [MD=225.57, 95%CI (171.78, 279.37), P<0.001], increase the weight after discharged one month [MD=0.89, 95%CI (0.72, 1.06), P<0.001], increase the weight after discharged three months [MD=670.44, 95%CI (527.65, 813.23), P<0.001], promote the height of newborns [MD=4.54, 95%CI (2.42, 6.65), P<0.001], reduce readmission rate [RR=0.38, 95%CI (0.25, 0.58), P<0.001], alleviate adverse skin reactions [RR=0.33, 95%CI (0.22, 0.50), P<0.001], increase nursing satisfaction of the families [RR=1.21, 95%CI (1.13, 1.31), P<0.001]. Conclusion: TCM can effectively promote the growth and development of the low birth weight premature infants, reduce the hospital readmission rate, alleviate adverse skin reactions of premature infants and improve the nursing satisfaction of the families. However, due to the limitation of the region and quality of the included studies, which the accuracy of the result still be treated with more caution. Further high-quality studies are needed to verify the conclusion.
文摘目的对早产儿实施由NICU至家庭过渡期护理的干预效果进行Meta分析,以期为临床实践提供指导与借鉴。方法计算机检索中国知网、万方数据、中国生物医学文献、PubMed、Cochrane Library、EBSCO、Web of science等中英文数据库对早产儿实施NICU至家庭过渡期护理的随机对照试验。采用Cochrane手册(5.1.0)进行文献质量评价,采用RevMan 5.3软件进行Meta分析。结果共纳入13篇文献。结果显示,过渡期护理可增加早产儿母乳喂养率、体质量及1、3和6个月时身长,缩短住院天数,不会增加医院感染,提高其主要照顾者育儿技能、缓解焦虑情绪(P<0.01或P<0.05)。结论NICU作为早产儿过渡期护理阶段的干预场所,实施后有助于提高早产儿的母乳喂养率、促进其生长发育,提升其主要照顾者育儿技能、缓解焦虑情绪,缩短早产儿住院天数且不会增加医院内感染的风险。
