Preterm Infant
Conditions
Brief summary
The objective of the study is to establish a continuous nurse-led integrated support program and to exam its impact on preterm infant neurodevelopment. Research hypotheses include:1. The continuous nurse-led integrated support will have significant impact on preterm infant neurodevelopment; 2.The support program will also have positive effect on parent psychological well-being.
Detailed description
The objective of the study is to establish the continuous nurse-led integrated support program as well as exam its impact on neurodevelopmental health of preterm infants. Research hypotheses: 1. Compared to control group, the preterm infants in the interventional group will experience significantly better performance on neuromotor, cognitive and social-emotional function at corrected age of 3 month; 2. In comparison with those receiving routine support, parents receiving nurse-led continuous support will have significantly higher parental self-efficacy and exhibited better psychological well-being; 3. Maternal parenting self-efficacy will mediate the relationship between nurse-led support and preterm infant neurodevelopment.
Interventions
BEHAVIORALNurse-led Continuous Support
The Nurse-Led Continuous Support was provided by a integrative care team. In-hospital support included(1) Promoting early parental-infant interaction;(2) Instruct the mother and/or father to use sensory stimulation activities to promote infant neuro-development in the NICU;(3) Parental educational support. The integrative care team will teach infant care skills, prepare them for successful transition from hospital to home setting. After infant discharge support will consist of regular home visits by the nurses. Home visits will be offered every other week until children reaching 3 Months of corrected age.
PROCEDUREroutine follow-up care
after infant discharge, parents were usually called upon to remind the date and time of follow-up care with physicians in outpatient department. A contact number was also given to parents in case they have questions about follow-up care.
Sponsors
Wuhan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
28 Weeks to 36 Weeks
Healthy volunteers
No
Inclusion criteria
* Preterm infants born between 28-36 weeks of gestation; * Parents residing in the same region for at least 5 years; .Parents agree to participate in the study.
Exclusion criteria
* infants with severe perinatal brain injury; * infant with congenital anomalies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Infant neuro-development assessed by the Ages and Stages Questionnaire (ASQ) | infant neuro-development will be measured at 3 months of corrected age. | preterm infant will be assessed by the Ages and Stages Questionnaire (ASQ). The scale is used to help parent evaluate the development outcome of infants and young children by themselves. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal psychological well-being | assess when infants reach 1 month of corrected age. | Edinburgh postnatal depression scale (EPDS) will be used to assess psychological well-being of preterm mothers. |
| Parental self-efficacy assessed by the Parenting Ladder Scale | assess when infants reach 3 month of corrected age | The Parenting Ladder Scale will be used to determine the mothers/fathers' parental self-efficacy. |
Contacts
Primary ContactJun Zhang, PhD
Backup ContactChuan-Hua Yu, PhD
Outcome results
None listed