Family Integrated Care Shortens the Duration of Home Oxygen Therapy in Infants With Bronchopulmonary Dysplasia

Abstract

Background: There have been few reports on whether family integrated care (FIC) can help premature infants with moderate to severe bronchopulmonary dysplasia (BPD) to shorten the duration of home oxygen therapy (HOT). Purpose: To investigate the effect of FIC on the duration of HOT in premature infants with moderate to severe BPD. Methods: The subjects were retrospectively selected from premature infants with moderate to severe BPD in our center between June 2019 and December 2021. Patients were divided into the FIC group (n = 47) and the non-FIC group (n = 34). For univariate analysis, t test, Mann–Whitney U test, Pearson χ2 test, or Fisher exact test was performed to explore the differences between the 2 groups. For multivariate analysis, simple and multiple linear regression was conducted to explore the effect of FIC on the duration of HOT. Results: (1) The duration of HOT and length of stay after grouping were significantly shorter in the FIC group than in the non-FIC group (P < .05). (2) The results of linear regression further revealed that FIC could significantly shorten the duration of HOT (simple linear regression, FIC [A] B: −12.709, 95% confidence interval (CI): −21.665 to −3.753; multiple linear regression, FIC [B] B: −11.419, 95% CI: −18.055 to −4.783). Implications for Practice and Research: FIC improved the optimal target oxygen saturation ratio before discharge and shortened the duration of HOT in premature infants with moderate and severe BPD. FIC should be promoted in China's neonatal intensive care units, though it puts forward new requirements for nursing education and training.