The effects of continuing nursing mode on mental state and the impact of care capacity in mothers of NICU children with very low birth weight / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of continuing nursing mode on mental state and the impact of care capacity in mothers of NICU children with very low birth weight.Methods:Based on the theory of continuous care, a continuation nursing program for children with very low birth weight from the day of discharge from the hospital to one month after discharge was used. A randomized controlled trial was conducted on 80 cases of very low birth weight infants admitted to our hospital. The order of discharge was randomly divided into 40 cases in the intervention group and 40 cases in the control group. The control group received routine care and the intervention group used a continuing nursing intervention model. On the day of discharge from the hospital, 1 week after discharge, and 1 month after discharge, the scores of the mothers' psychological status and home care ability were collected.Results:On the day of discharge, there was no significant difference in mental state and home care ability between the two groups ( P>0.05). The anxiety, depression and negative coping scores of the intervention group were lower than the control group at 1 week and 1 month after discharge (1 week t value was 2.138, 2.068, 2.532, 1 mouth t value was 2.273, 3.564, 4.417, P<0.05) , and the scores and home care ability were actively coped. Higher than the control group (1week t value was -1.680, -2.970, P<0.05.1 month t value was -3.937, -7.156, P < 0.01). There was an interaction between intervention mode and intervention time 1 ( F value was 8.46-64.38, P<0.01). There were significant differences between the two groups at different time and different groups (different time F value was 166.46-269.55, P<0.01; different groups F value was 5.26-13.55, P<0.05). Conclusion:Through continuing nursing intervention for very low birth weight infants after discharge, it can effectively reduce the negative emotions of mothers and improve the positive coping style of mothers, then improve the confidence of caregivers and increase satisfaction so that we can provide a safe and harmonious family environment with premature babies after discharge.