Efficacy of the mode of "parent-child caregiver" in department of neonatology

Objective To explore the new thought of developing the open management of "parent-child caregiving" in department of neonatology to provide a reference for perfecting the nursing management. Methods The "parent-child caregiving" was carried out in the closed neonatal ward without caregivers in a class III grade A children's hospital. A total of 274 pediatric patients were admitted in the non-caregiving area of department of neonatology from December 2015 to February 2016. At the time, a total of 66 pediatric patients was admitted to the "parent-child caregiving" area. The hospital day, hospital expense, nosocomial infection incidence, and satisfaction of the parent or guardian of pediatric patients were compared between two groups. Results The median of the hospital day of pediatric patients with pneumonia in the area of "parent-child caregiver" was 6.5 d which was statistically lower than that in the area without caregivers (Z=-4.672, P<0.01) . The hospital expense (18 902.68 yuan) in the area of "parent-child caregiving" was higher than that in the area without caregivers (Z=-6.985, P<0.01) . There was one case with nosocomial infection in the area without caregivers. The satisfaction with the medical staff of the parent or guardian of pediatric patients was 95.98% and 97.29% before and after carrying out "parent-child caregiving". Conclusions The development of the open "parent-child caregiving" which is based on the family centered care mode can help to meet requirements of pediatric patients and their parents or guardians under different circumstances and has immeasurable effects on pediatric patients and their families. The method is worth spreading. Key words: Infant, newborn; Parent-child caregiving; Family centered care mode