Abstract PD-033: A PRE-POST INTERVENTION STUDY TO ASSES THE IMPACT OF FAMILY INTEGRATED CARE ON INFANTS’ CLINICAL OUTCOMES IN TWO CHINESE NEONATAL INTENSIVE CARE UNITS

Abstract

Aims & Objectives: In China, parents have limited access to Neonatal Intensive Care Units (NICUs) and are not integrated in the care of their preterm infant during hospitalization. Family Integrated Care (FIC) is a model where parents become the primary caretaker to improve quality-of-life and health outcomes of preterm infants. The aim of the study was to evaluate the impact of a FIC intervention on the clinical outcomes of preterm infants with Bronchopulmonary Disease (BPD). Methods A pre-post intervention study at NICUs in two Chines children’s hospitals. The pre-intervention group included infants (n=134) hospitalized from December 2015 to September 2016; FIC group were infants (n=115) admitted between October 2016 to June 2017. NICU nurses were trained, July to September 2016, to deliver the FIC intervention; parent education and support. Parents needed to take care for their infant for minimal three hours a day. Outcome measures were length-of-stay, breastfeeding, weight gain, respiratory and oxygen support. Results Compared with control group (n=134), FIC group (n=115) had significantly higher breastfeeding rate (χ2 = 4.696, p=0.030), breastfeeding time (t = 4.501, p<0.001), enteral nutrition time (t = 7.195, p<0.001), weight gain (t=3.180,p=0.002), and significantly lower respiratory support time (t = -5.388, p<0.001). Oxygen Exposure Time decreased but not significant (39.38 ± 14.918 VS 40.94 ± 13.786; p=0.393) (Table 1).Conclusions Our study suggests that educating and involving parents in the care might improve clinical outcomes of preterm infants with BPD and provides a reference for further implementation of FIC to enhance parental involvement in those NICU with limited parental participation.