Association between neonatal discharge preparedness and adverse health events

CAO Wen-Pei; LI Gui-Rong; GUO Yu; WANG Jian-Jiao; ZHENG Xin; LIU Xiao-Ning

doi:10.7499/j.issn.1008-8830.2203185

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Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (9) : 1001-1007. DOI: 10.7499/j.issn.1008-8830.2203185

CLINICAL RESEARCH

Association between neonatal discharge preparedness and adverse health events

CAO Wen-Pei, LI Gui-Rong, GUO Yu, WANG Jian-Jiao, ZHENG Xin, LIU Xiao-Ning

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Abstract

Objective To study the association between neonatal discharge preparedness and adverse health events. Methods The neonates who were born in hospitals from different regions of Gansu Province in China and their parents were enrolled as subjects, and an investigation was performed for the discharge preparedness. According to the level of discharge preparedness, the subjects were divided into low-, middle-, and high-level groups. The neonates were followed up to observe the incidence rate of adverse health events within one month after discharge. The association between neonatal discharge preparedness and adverse health events was analyzed. Results The neonates with adverse health events had a significantly lower level of discharge preparedness than those without adverse events (P<0.05). The multivariate logistic regression analysis showed that the incidence rate of adverse health events was reduced by 34.8% in the middle-level group and 78.7% in the high-level group compared with the low-level group (P<0.05). The readmission rate of neonates was 8.1% (35/430), and the neonates readmitted had a significantly lower level of discharge preparedness than those not readmitted (P<0.05). The multivariate logistic regression analysis showed that the readmission rate of neonates was reduced by 67.4% in the middle-level group and 84.2% in the high-level group compared with the low-level group (P<0.05). Conclusions Discharge preparedness may affect the incidence of adverse health events and the rate of readmission within one month after discharge. Medical staff should adopt effective intervention measures to improve discharge preparedness, so as to reduce the incidence of adverse health events and the rate of readmission. Citation:Chinese Journal of Contemporary Pediatrics, 2022, 24(9): 1001-1007

Key words

Discharge preparedness / Readmission / Adverse effect / Neonate

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CAO Wen-Pei, LI Gui-Rong, GUO Yu, WANG Jian-Jiao, ZHENG Xin, LIU Xiao-Ning. Association between neonatal discharge preparedness and adverse health events[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(9): 1001-1007 https://doi.org/10.7499/j.issn.1008-8830.2203185

References

1 吕璐洋, 王华芬, 卢芳燕, 等. 住院患儿家庭出院准备度评估工具的研究进展[J]. 中华护理杂志, 2022, 57(4): 507-512. DOI: 10.3761/j.issn.0254-1769.2022.04.019.
2 Jefferies AL, Canadian Paediatric Society, Fetus and Newborn Committee. Going home: facilitating discharge of the preterm infant[J]. Paediatr Child Health, 2014, 19(1): 31-42. PMID: 24627654. PMCID: PMC3938219.
3 付静侠, 周艳辉, 陈明珠, 等. 早产儿出院家庭准备度的研究进展[J]. 中国护理管理, 2019, 19(7): 1074-1078. DOI: 10.3969/j.issn.1672-1756.2019.07.024.
4 孙箐爽. 父母情绪、睡眠与婴儿早期睡眠的相关性研究[D]. 兰州: 兰州大学, 2015.
5 张洪莉, 李佳宁, 张素萍, 等. 早期安全教育对预防婴儿意外伤害的影响[J]. 中国妇幼保健, 2014, 29(29): 4720-4722. DOI: 10.7620/zgfybj.j.issn.1001-4411.2014.29.09.
6 张跃娟, 林玉萍, 沈红丽. 新生儿家长婴幼儿意外伤害知信行的调查分析[J]. 护理与康复, 2015, 14(3): 214-216. DOI: 10.3969/j.issn.1671-9875.2015.03.004.
7 申悦. 新生儿再入院临床分析[D]. 重庆: 重庆医科大学, 2018.
8 陈涛蓉, 胡艳玲, 万兴丽. 三级甲等医院新生儿科高危新生儿再入院原因分析及对策[J]. 中国实用护理杂志, 2017, 33(z1): 6-9. DOI: 10.3760/cma.j.issn.1672-7088.2017.z1.002.
9 Bernstein HH, Spino C, Lalama CM, et al. Unreadiness for postpartum discharge following healthy term pregnancy: impact on health care use and outcomes[J]. Acad Pediatr, 2013, 13(1): 27-39. PMID: 23098743. DOI: 10.1016/j.acap.2012.08.005.
10 景正月. 农村空巢老年家庭健康贫困测度及动态变化研究——以山东省为例[D]. 济南: 山东大学, 2021.
11 陆久凤. 健康教育在新生儿安全护理中的应用及效果[J]. 世界最新医学信息文摘, 2015, 15(28): 188-189. DOI: 10.3969/j.issn.1671-3141.2015.28.153.
12 曹丽丽. 进行规范化产后访视流程对产后母婴健康的影响研究[J]. 中国医药指南, 2020, 18(13): 19-21. DOI: 10.15912/j.cnki.gocm.2020.13.008.
13 Weiss M, Johnson NL, Malin S, et al. Readiness for discharge in parents of hospitalized children[J]. J Pediatr Nurs, 2008, 23(4): 282-295. PMID: 18638672. DOI: 10.1016/j.pedn.2007.10.005.
14 陈红霞. 新生儿出院后定期回访的护理指导及效果评估[J]. 山西医药杂志(下半月刊), 2013, 42(9): 977-979.
15 郑华蓉. 延续护理服务对出院早产儿生长发育的影响[J]. 护理学杂志, 2011, 26(23): 29-30. DOI: 10.3870/hlxzz.2011.23.029.
16 王冰花, 汪晖, 杨纯子, 等. 冠心病患者出院准备度现状及其影响因素的研究[J]. 中华护理杂志, 2017, 52(2): 138-143. DOI: 10.3761/j.issn.0254-1769.2017.02.002.
17 Liu Y, McGowan E, Tucker R, et al. Transition home plus program reduces medicaid spending and health care use for high-risk infants admitted to the neonatal intensive care unit for 5 or more days[J]. J Pediatr, 2018, 200: 91-97.e3. PMID: 29793871. DOI: 10.1016/j.jpeds.2018.04.038.
18 Synhorst DC, Hall M, Harris M, et al. Hospital observation status and readmission rates[J]. Pediatrics, 2020, 146(5): e2020003954. PMID: 33067343. DOI: 10.1542/peds.2020-003954.
19 Weiss ME, Sawin KJ, Gralton K, et al. Discharge teaching, readiness for discharge, and post-discharge outcomes in parents of hospitalized children[J]. J Pediatr Nurs, 2017, 34: 58-64. PMID: 28087088. DOI: 10.1016/j.pedn.2016.12.021.
20 肖万祥, 杨婷, 张炼. 新生儿高胆红素血症再入院的现状和危险因素分析[J]. 中国当代儿科杂志, 2020, 22(9): 948-952. PMID: 32933624. PMCID: PMC7499455. DOI: 10.7499/j.issn.1008-8830.2005003.
21 郑乔木, 花文哲, 周菁鑫, 等. 新生儿重症监护室患儿出院31 d内非计划再入院现状及影响因素分析[J]. 中国当代儿科杂志, 2022, 24(3): 314-318. PMID: 35351264. PMCID: PMC8974648. DOI: 10.7499/j.issn.1008-8830.2109037.