The Development of Nursing System for Premature Infant with Respiratory Distress Syndrome, Yasothon Hospital.

Abstract

Abstract 

The objectives of this research and development were to develop a nursing system and study the results of the developed nursing care system of premature infant with respiratory distress syndrome. The sample of this study consisted of 15 registered nurses and 15 mothers and their premature infant with respiratory distress syndrome. The research instrument was the developed nursing care system of premature infant with respiratory distress syndrome. Data collection tools included: 1) knowledge and skill on critical infant nursing care assessment, 2) the nurse satisfaction questionnaire, 3) medical-nursing quality indicators log, 4) maternal stress assessment, 5) postpartum depression assessment, 6) maternal satisfaction questionnaire, 7) maternal knowledge and competency assessment. Data were analyzed using descriptive statistics, pair t-test and Chi square.

The results revealed that the developed nursing care system of premature infant with respiratory distress syndrome consisted of 2 aspects: (1) the nurse capacity building on critical infant nursing care, human relations and communication, (2) nursing standards for prevention of hypothermia, prevention of complications, and preparation for discharge. The overall satisfaction score of the nurses were at a high level (Mean 4.73, SD.15). Knowledge and skills of the nurses at post-development were significantly better than pre-development (p <.01). Knowledge and competency of the mothers post-development were significantly higher than pre-development (p <.01).  Stress and postpartum depression of the mothers were decreased. The satisfaction score of the mothers were at a high level (Mean 4.65, SD.15).  The premature babies complication i.e. hypothermia, ventilation tube slipped, BPD, ROP, and pneumonia were decreased. The incident of infant mortality, number of days hospitalized and the cost of medical expense were reduced.