Continuous Home Care: Development of a Documentation Format for Premature Infant Referral and Follow-Up
Keywords:
Documentation, Referral, Follow-Up, Premature Infant, Continuous Home CareAbstract
This research on continuous home care aimed to develop and determine the effectiveness of a documentation format for premature infant follow-up and referral. Study was divided into four steps. First step consisted in an analysis of needs assessment. Focus group discussion were conducted among 35 informants including nurses, village health volunteers, and mothers of preterm infants. Research instrument was a semi-structured interview form. Content analysis was used for data analysis. Second step was the development of a documentation format, which was then validated by experts. Third step included the implementation of documentation format, and testing its level of effectiveness. Sample was 30 mothers and their preterm infants. Purposive sampling was used to recruit the participants. They were randomly assigned into an experimental and control group (15 mothers and their infants/group). Research instruments consisted of: 1) demographic questionnaire, 2) the record form for infant’s body weight, and 3) the infant’s developmental assessment form. Data were analyzed by using frequency, percentage, chi-square, Fisher’s exact test and Mann-Whitney U test. Fourth step was evaluation and revision of the format. Focus group discussions were conducted among 12 mothers in the experimental group. Research instruments were a semi-structured interview form, and a satisfaction assessment form. Content analysis method was used for data analysis. Findings were as follows.
1. The new documentation format for continuous care and follow-up for premature infant at home was divided in 2 periods: the first period was when premature infants were receiving care at the Neonatal Intensive Care Unit (NICU), and the second period was from the discharge from hospitals until the infants reached the age of 12 months.
2. The premature infants’ body weight at the age of 6 and 12 months in the experimental group was significantly higher than in the control group (Z=-4.57, p<0.00, and Z=-4.63, P<0.00, respectively). However, the premature infants’ development at age of 1-2 months, 3-4 months, 7-8 months, and 10-12 months in the experimental and control group were not significantly different (p>0.05).
This research suggests that nurses and caregivers of preterm infants should use the developed documentation format for continuous care and follow-up for preterm infants.
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