婴儿重症监护室虚拟家庭中心轮:一个集群随机对照试验
Jennifer L Rosenthal1,2, Kristin R Hoffman1, Daniel J Tancredi1
1Department of Pediatrics, University of California Davis, Sacramento, California.
Pediatrics
|January 22, 2026
概括
新生儿重症监护室 (NICU) 的虚拟以家庭为中心的轮次 (FCR) 显著提高了家长的出席率. 这种远程医疗方法也减少了NICU婴儿的急诊室再访.
科学领域:
- 新生儿重症监护室 (NICU) 的护理.
- 在儿科领域的远程医疗应用.
- 家庭为中心的护理模式
背景情况:
- 以家庭为中心的回合 (FCR) 对于让家庭参与新生儿护理至关重要.
- 在NICU中,家庭对床边FCR的有限访问是一个重要的障碍.
- 远程医疗为增强家庭参与提供了一个潜在的解决方案.
研究的目的:
- 评估在NICU提供虚拟FCR的影响.
- 评估对父母和新生儿结局的影响.
- 为了确定远程医疗是否改善了家庭的访问和参与.
主要方法:
- 一个集群随机对照试验,将虚拟FCR (干预) 与常规护理 (控制) 进行比较.
- 在研究期间包括所有有住院婴儿的符合条件的家庭.
- 测量结果包括FRC出席率,家长经验和新生儿健康指标.
主要成果:
- 虚拟FCR显著提高了家长出勤率 (4.81倍).
- 干预组显示30天急诊室再访的几率降低了 (0.37倍).
- 对于其他次要结果,没有发现显著的影响.
结论:
- 提供虚拟的FCR可以提高家长在新生儿护理中的参与度.
- 虚拟FCR与NICU婴儿急诊室重访的减少有关.
- 远程医疗是一种可行的策略,可以改善家庭在NICU环境中的参与.
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