Growth and Development in Preterm Infants and Maternal Parenting Stress after WeChat-Based Extended Care
1Department of Neonatology, Dongxihu People's Hospital of Wuhan, Wuhan, China.
Insights
WeChat extended care significantly improves preterm infant growth and development, including IQ and physical functions. It also enhances maternal psychological well-being and nursing satisfaction, making it valuable for clinical use.
Area of Science:
- Pediatrics
- Neonatology
- Digital Health
Background:
- Extended care models are crucial for preterm infant (PI) development.
- WeChat-based extended care is increasingly adopted in clinical settings.
- Its impact on PI growth and maternal satisfaction requires further investigation.
Purpose of the Study:
- To evaluate the effects of WeChat-based extended care on the growth and development of preterm infants (PIs).
- To assess the impact on maternal psychological states and nursing satisfaction.
- To determine the clinical applicability of this digital health intervention.
Main Methods:
- A comparative study involving 85 preterm infants and their mothers from June 2019 to August 2021.
- Intervention group received WeChat-based extended care (n=46); control group received routine care (n=39).
- Outcomes assessed included PI physical development, IQ, neurological and gastrointestinal functions, maternal anxiety/depression (SAS/SDS), and nursing satisfaction after 6 months.
Main Results:
- WeChat group showed significantly improved PI physical development and IQ (P < 0.05).
- Reduced neuron-specific enolase (NSE) and s100β levels, and increased serum gastrin (GAS) and motilin (MTL) were observed in the WeChat group (P < 0.05).
- Mothers in the WeChat group reported lower anxiety/depression scores (SAS/SDS) and higher nursing satisfaction (P < 0.05).
Conclusions:
- WeChat-based extended care effectively enhances preterm infant growth, development, and physical functions.
- This digital intervention positively impacts maternal mental health and satisfaction with care.
- WeChat-based extended care demonstrates significant clinical value and warrants wider application.
Objective:
WeChat-based extended care has been widely applied in clinical practice such as preoperative assistance in children with congenital heart disease and children with ventricular septal defect. In this study, we aimed to explore the impacts of WeChat-based extended care on the growth and development of preterm infants (PIs) and the nursing satisfaction of their family members.
Methods:
From June 2019 to August 2021, 85 PIs and their mothers were selected as the research participants. Among them, 46 pairs receiving WeChat-based extended care were served as the WeChat group, and 39 pairs receiving routine extended care were taken as the control group. After 6 months of intervention, the two groups of PIs were compared in terms of physical development, IQ, and neurological and gastrointestinal functions. For mothers, their psychological states were assessed after intervention using the self-rating anxiety/depression scale (SAS/SDS), and the nursing satisfaction was counted.
Results:
After nursing intervention, better physical and IQ development of PIs were observed in the WeChat group compared with the control group (P < 0.05). The WeChat group also had notably reduced level of neuron-specific enolase (NSE) and s100β protein related to nerve function than that in the control group and exhibited significant higher levels of serum gastrin (GAS) and motilin (MTL) associated with gastrointestinal function (P < 0.05). Besides, the WeChat group presented lower SAS and SDS scores and higher nursing satisfaction than the control group in delivery women (P < 0.05).
Conclusion:
WeChat-based extended care can effectively improve the growth and development and various physical functions of PIs. At the same time, it is helpful to improve maternal psychological states and nursing satisfaction of delivery women, which is worth of clinical application.
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