Journal of Babol University of Medical Sciences

fa تاثیر برنامه توانمندسازی مادر برطول مدت بستری و بستری مجدد نوزادان نارس Effects of Maternal Empowerment Program on the Length of ‎Hospitalization and Readmission Rate of Premature Infants پرستاری Nursing مداخله ای Interventional <span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">سابقه و هدف<span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: نوزاد نارس به دلیل نیازهای ویژه ای که دارند، برای رسیدن به شرایط عادی روزها و حتی ماهها در بخش مراقبت ویژه نوزادان بستری می شوند. با وجود پیشرفت تجهیزات پزشکی، همچنان بستری مجدد نوزادان نارس بالا است و مشکلات اقتصادی و روانی زیادی به خانواده‌ها تحمیل <a name="OLE_LINK16" style="cursor: auto">می‌نماید، این مطالعه به منظور</a> تاثیر برنامه توانمندسازی مادر بر طول مدت بستری و بستری مجدد نوزادان نارس انجام شده است. <span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مواد و روشها<span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: این مطالعه کارآزمایی بالینی که بر روی 70 مادر دارای نوزاد نارس در دو گروه مداخله و کنترل انجام شد. برنامه توانمندسازی که آموزشی رفتاری می باشد در چهار مرحله: مرحله اول 2-4روز پس از بستری نوزاد و مرحله دوم 2-4 روز پس از مرحله اول و مرحله سوم 1تا 3 روز قبل از ترخیص نوزاد و مرحله چهارم یک هفته پس از ترخیص، اجرا گردید در هر مرحله مادر به فایل صوتی مربوط به آن مرحله گوش داده و مادران گروه کنترل طبق سیاست بیمارستان اطلاع رسانی و از مراقبت ها ی معمول برخوردار بودند. طی دو مرحله (به فاصله 10تا 15 روز) پس از ترخیص نوزاد طی تماس تلفنی در مورد بستری مجدد نوزاد و دفعات آن سوال می شد و طول مدت بستری نیز از طریق پرونده نوزاد به ثبت رسید. IRCT:201410151954N <span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">یافته<span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ها<span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">: <a name="OLE_LINK14" style="cursor: auto">میانگین طول مدت بستری در گروه</a> مداخله 5/93±10/85 و در گروه کنترل 7/65±13/85 روز بوده (0/03 <span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p=). میزان بستری مجدد یک ماه پس از ترخیص نوزاد در دو گروه تفاوت آماری معنی داری را نشان نداد. <span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتیجه گیری<span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:<span style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتایج مطالعه نشان داد که<span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">اجرای برنامه <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">توانمندسازی، <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">طول مدت بستری <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">را <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">کاهش<span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">می دهد اما بر<span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">روی میزان بستری مجدد اثر گذار نمی باشد. BACKGROUND AND OBJECTIVE: Premature infants because special needs might be admitted at the neonatal intensive care unit for days to recover. Despite medical advances, rate of readmission among preterm infants is relatively high, causing economic and psychological problems for families. This study aimed to evaluate the effects of empowerment Mother Program on length of stay and readmission rate of preterm infants. METHODS: This randomized clinical trial was conducted on 70 mothers with premature infants, divided into two groups of intervention and control. Educational-behavioral empowerment program was performed in four stages: 2-4 days after admission (stage one), 2-4 days after completing the first stage (stage two), 1-3 days before discharge (stage three), and one week after discharge (stage four). During each stage, mothers in the intervention group listened to selected audio files, and subjects in the control group received usual care based on hospital policies. In two stages, mothers were regularly enquired about the readmission rate of neonates via phone calls within 10-15 days after discharge. In addition, length of hospitalization was extracted from the medical records of the infants. IRCT:N201410151954. FINDINGS: In this study, mean of hospitalization in the intervention and control groups was 10.85±5.93 and 13.85±7.65 days, respectively (p=0.03). Moreover, no statistically significant difference was observed in the readmission rate of infants one month after discharge. CONCLUSION: According to the results of this study, the empowerment program caused a significant reduction in the length of hospital stay. However, it had no significant effects on the rate of readmission in the studied neonates برنامه توانمندسازی, طول مدت بستری, میزان بستری مجدد, نوزاد نارس Empowerment Program, Length of Hospital Stay, Readmission Rate, Premature Infants‎ 28 33 http://jbums.org/browse.php?a_code=A-10-1855-1&slc_lang=fa&sid=1 S Karbandi سهیلا کربندی 100319475328460012282 100319475328460012282 No A Momenizade اعظم مومنی زاده 100319475328460012283 100319475328460012283 Yes M Heydarzade محمد حیدرزاده 100319475328460012284 100319475328460012284 No SR Mazlom سید رضا مظلوم 100319475328460012285 100319475328460012285 No M Hassanzade محمد حسن زاده 100319475328460012286 100319475328460012286 No