Impact of a nursing intervention based on Meleis transformation theory on discharge readiness of preterm infants: an intervention study

Baoyu Li(1), Mengnan Li(2), Liyuan Tian(3), Hongjuan Pang(4), Songyan Zhao(5),


(1) Department of Nursing, Chifeng Municipal Hospital, Chifeng, Inner Mongolia 024000, China
(2) Department of Neonatology, Chifeng Municipal Hospital, Chifeng, Inner Mongolia 024000, China
(3) Department of Neonatology, Chifeng Municipal Hospital, Chifeng, Inner Mongolia 024000, China
(4) Department of Nursing, Chifeng Municipal Hospital, Chifeng, Inner Mongolia 024000, China
(5) Department of Nursing, Chifeng Municipal Hospital, Chifeng, Inner Mongolia 024000, China
Corresponding Author

Abstract


This study aimed to explore the effect of the discharge readiness linkage intervention programme based on the Meleis transformation theory in the home ward of preterm infants. The study population consisted of 74 preterm infants and their caregivers who were admitted to the NICU of Chifeng Municipal Hospital between January and June 2023. The intervention group received the routine care combined with the intervention model of discharge preparation based on the Meleis transition theory, while the control group received routine care. The results indicated that the discharge readiness linkage intervention programme based on the Meleis transformation theory significantly improved the caregiving capacity of preterm caregivers, increased the readiness of the babies for discharge, and reduced the readmission rate of preterm infants within 1 year of discharge. In addition, the discharge readiness linkage intervention programme based on the Meleis transformation theory helped to improve the physical development of preterm babies and the negative emotions of caregivers. We conclude that the discharge readiness linkage intervention programme based on the Meleis transformation theory effectively improves the survival of preterm infants.

References


Ashorn P, Ashorn U, Muthiani Y, Aboubaker S, Askari S,

Bahl R, Black RE, Dalmiya N, Duggan CP, Hofmeyr

GJ, Kennedy SH, Klein N, Lawn JE, Shiffman J,

Simon J and Temmerman M. Small vulnerable

newborns-big potential for impact. Lancet. 2023;

(10389): 1692-1706.

Cao G, Liu J and Liu M. Global, Regional, and National

Incidence and Mortality of Neonatal Preterm Birth,

-2019. JAMA Pediatr. 2022; 176(8): 787-796.

Hua W, Zhou J, Wang L, Li C, Zheng Q, Yuwen W and Jiang

L. 'It turned my life upside down': Parents' emotional

experience of the transition with their preterm infant

from birth to discharge Home-A qualitative study.

Aust Crit Care. 2023; 36(5): 679-686.

Hua W, Wang L, Li C, Simoni JM, Yuwen W and Jiang L.

Understanding preparation for preterm infant

discharge from parents' and healthcare providers'

perspectives: Challenges and opportunities. J Adv

Nurs. 2021; 77(3): 1379-1390.

Evidence-Based Medicine G, Neonatologist S and Chinese

Medical Doctor A. [Guidelines for neonatal skin

management in the neonatal intensive care unit

(2021)]. Zhongguo Dang Dai Er Ke Za Zhi. 2021;

(7): 659-670.

Lopez GL, Anderson KH and Feutchinger J. Transition of

premature infants from hospital to home life. Neonatal

Netw. 2012; 31(4): 207-214.

Orr E, Ballantyne M, Gonzalez A and Jack SM. The

Complexity of the NICU-to-Home Experience for

Adolescent Mothers: Meleis' Transitions Theory

Applied. ANS Adv Nurs Sci. 2020; 43(4): 349-359.

Mabire C, Bachnick S, Ausserhofer D and Simon M. Patient

readiness for hospital discharge and its relationship to

discharge preparation and structural factors: A cross

sectional study. Int J Nurs Stud. 2019; 9013-20.

Smith VC. Discharge planning considerations for the neonatal

intensive care unit. Arch Dis Child Fetal Neonatal Ed.

; 106(4): 442-445.

McGowan EC, Du N, Hawes K, Tucker R, O'Donnell M

and Vohr B. Maternal Mental Health and Neonatal

Intensive Care Unit Discharge Readiness in Mothers

of Preterm Infants. J Pediatr. 2017; 18468-74.

Zhang SH, Wang YL, Zhang CX, Zhang CP, Xiao P, Li

QF, Liang WR, Pan XH and Zhou MC. Effect of

Interactive Dynamic Scalp Acupuncture on Post

Stroke Cognitive Function, Depression, and Anxiety:

A Multicenter, Randomized, Controlled Trial. Chin J

Integr Med. 2022; 28(2): 106-115.

Chen H, Lin Y, Zhao Z, Lin T, Lin Q, Chen X, Wu W, Zeng

G, Wu S, Liu N, Chen H, Chen R and Xiao Y. Efficacy

and safety of venlafaxine hydrochloride combined

with tandospirone citrate for patients with vascular

depression accompanied by somatic symptoms: An

open-labeled randomized control trial. CNS Neurosci

Ther. 2024; 30(3): e14650.

Wild D, Grove A, Martin M, Eremenco S, McElroy S,

Verjee-Lorenz A and Erikson P. Principles of Good

Practice for the Translation and Cultural Adaptation

Process for Patient-Reported Outcomes (PRO)

Measures: report of the ISPOR Task Force for

Translation and Cultural Adaptation. Value Health.

; 8(2): 94-104.

Wang XL, Wang J, Yuan L, Shi WJ, Cao Y and Chen C.

Trend and causes of neonatal mortality in a level III

children's

hospital

in

Shanghai: a 15-year

retrospective study. World J Pediatr. 2018; 14(1): 44

Msall ME, Sobotka SA, Dmowska A, Hogan D and

Sullivan M. Life Course Health Development

Outcomes After Prematurity: Developing a

Community, Clinical, and Translational Research

Agenda to Optimize Health, Behavior, and

Functioning. In: Halfon N, Forrest CB, Lerner RM

and Faustman EM (eds) Handbook of Life Course

Health Development. Cham (CH): Springer

Copyright 2018, The Author(s). 2018, pp.321-348.

Bonnar K and Fraser D. Extrauterine Growth Restriction in

Low Birth Weight Infants. Neonatal Netw. 2019;

(1): 27-33.

Cerasani J, Ceroni F, De Cosmi V, Mazzocchi A, Morniroli

D, Roggero P, Mosca F, Agostoni C and Giannì ML.

Human Milk Feeding and Preterm Infants' Growth and

Body Composition: A Literature Review. Nutrients.

; 12(4):

Mól N, Zasada M and Kwinta P. Does type of feeding affect

body composition in very low birth weight infants? -

A prospective cohort study. Pediatr Neonatol. 2019;

(2): 135-140.

Pereira-da-Silva L, Virella D and Fusch C. Nutritional

Assessment in Preterm Infants: A Practical Approach

in the NICU. Nutrients. 2019; 11(9):

Moradi S, Arshdi-Bostanabad M, Seyedrasooli A, Tapak L

and Valizadeh S. The Effect of Empowerment

Program on Maternal Discharge Preparation and

Neonatal Length of Hospital Stay: A Randomized

Controlled Trial. Iran J Nurs Midwifery Res. 2018;

(3): 172-177.

Weiss ME and Lokken L. Predictors and outcomes of

postpartum mothers' perceptions of readiness for

discharge after birth. J Obstet Gynecol Neonatal Nurs.

; 38(4): 406-417.

Chen Y, Zhang J and Bai J. Effect of an educational

intervention on parental readiness for premature infant

discharge from the neonatal intensive care units. J Adv

Nurs. 2016; 72(1): 135-146.

Field T. Postnatal anxiety prevalence, predictors and

effects on development: A narrative review. Infant

Behav Dev. 2018; 5124-32.

Bolak Boratav H, Toker Ö and Küey L. Postpartum

depression and its psychosocial correlates: A

longitudinal study among a group of women in

Turkey. Women Health. 2016; 56(5): 502-521.

Cheong JLY, Burnett AC, Treyvaud K and Spittle AJ.

Early environment and long-term outcomes of

preterm infants. J Neural Transm (Vienna). 2020;

(1): 1-8.


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