Sitalsing, A.A.M. (2022) The effect of Family Integrated Care in level- 2 neonatal wards on neurodevelopment among preterm infants at the corrected age of 24 months. thesis, Medicine.
Full text available on request.Abstract
INTRODUCTION: Worldwide around one in ten births are preterm. Preterm infants carry a greater risk of short- and long-term medical and developmental complications in comparison to full-term infants. Family Integrated Care (FICare) is a concept that aims to increase parent confidence and involve parents in all facets of the care for their child. Based on prior research, it is expected that the neurodevelopmental outcome at the age of 24 months will be superior in infants admitted to Single-Family Rooms (SFRs) receiving FICare, compared with infants in Open Bay Units (OBUs) receiving Standard Neonatal Care (SNC). METHODS: This substudy is a prospective observational cohort study as part of the AMICA study. The goal was to analyse the effect of FICare in SFRs on neurodevelopmental outcome at the corrected age of 24 months among children hospitalized in a level-2 neonatal ward. The neurodevelopment was assessed using the ASQ-III and the BSID-III. Results were analysed using multiple regression analysis and adjusted for effect modifiers and confounders. RESULTS: 94 patients were included in the FICare group, and 90 patients were included in the SNC group. Compared to the SNC group, the infants in the FICare group were significantly younger, had a lower birthweight and a higher percentage of NICU visits. The difference in ASQ-III and BSID-III between both groups was not statistically significant. CONCLUSION: The results of this study suggest that our hypothesis should be rejected, as there was no evidence found, regarding neurodevelopmental outcome, in this study to implement FICare as the standard care in level-2 neonatal wards. Despite this study its limitations, further research should be conducted to investigate the effect of FICare on neurodevelopment using a stepped wedge design.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Alferink, M. and Kaspers, A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 08 May 2023 14:17 |
| Last Modified: | 08 May 2023 14:17 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3516 |
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