Observational Study - The impact of interventions based on continuing nursing care under the Internet Plus Health Education model

Q: What problems after discharge do preterm infants and families face in this study?

Preterm infants face challenges in growth, neurodevelopment, nutrition support, and emotional wellbeing. Families often lack childcare and nursing knowledge, increasing risks and reducing care quality after discharge.

Q: What intervention does the Internet Plus Health Education model provide?

It delivers continuous remote health education and real-time personalized nursing guidance for parents, such as via WeChat, to help them meet home-care challenges.

Q: How were participants assigned and what outcomes were measured?

Two hundred discharged preterm infants were randomized into a control group (n=100) or observation group (n=100). Outcomes included caregiver self-efficacy, discharge readiness, satisfaction, infant weight and height, and caregiver acceptance of the model.

Sep 30, 2026

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Premature infants face major post-discharge challenges in growth, neurodevelopment, and home care, with limited caregiver skills and closed NICU management increasing infection and readmission risks. The Internet Plus Health Education model offers continuous, convenient, personalized guidance, and this study assessed its effect on family discharge readiness, home nurture environment, caregiver self-efficacy, satisfaction, infant growth, and caregiver acceptance. Two hundred preterm infants were randomized to control (n=100) or observation (n=100), with significantly better outcomes in the observation group.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages7

Reading Time18 min

AccessFree to download

Abstract

Abbreviations

Keywords

1. Introduction

® Observational Study The impact of interventions based on “continuing nursing care under the Internet Plus Health Education model” on the readiness of families with premature infants for discharge and the home nurture environment Liying Zhang, MBa ,* , Guiling Yao, MBa , Wuchan Zheng, MBa , Weijie Wang, MBa , Min Zhu, MBa , Mengmeng Wang, MBa | Abstract
Premature infants face major post-discharge challenges in growth, neurodevelopment, and home care. Limited caregiver skills and closed neonatal intensive care unit management increase risks of infection and readmission. The Internet Plus Health Education model provides continuous, convenient, and personalized guidance (e.g. , via WeChat) . This study evaluated its effect on family readiness for discharge, the home nurture environment, caregiver self-efficacy, satisfaction, infant growth, and caregiver acceptance. Two hundred preterm infants discharged from our hospital between March 2023 and April 2024 were randomly assigned to a control group (n = 100) or observation group (n = 100) . Outcomes included caregiver self-efficacy, readiness for discharge, satisfaction, infant weight and height, and caregiver acceptance of the model. The observation group showed higher self-efficacy (32 .76 ± 4.12 vs 26.89 ± 3.98), discharge readiness (24 .76 ± 2.89 vs 18.12 ± 2.03), and satisfaction scores (overall 4.56 ± 0.42 vs 3.30 ± 0.60, all P < .05) . Infant growth was greater in the observation group (weight 3.80 ± 0.40 kg vs 3.80 ± 0.40 kg baseline-adjusted; height 54.10 ± 2.60 cm vs 54.10 ± 2.60 cm, P < .05) . Acceptance of the Internet Plus Nursing model was also higher (97.0% vs 85.0%, χ2 = 8.791, P = .003) . Continuing nursing care under the Internet Plus Health Education model significantly improved discharge readiness, home care environment, caregiver self-efficacy and satisfaction, and infant growth. The model is well accepted and offers valuable implications for preterm infant care. | | --- | | Abbreviations: GSES = general self-efficacy scale, WJX = Wenjuanxing. | | Keywords: continuing nursing care, home nurture environment, Internet Plus Health Education, premature infants, readiness of families for discharge | 1. Introduction With advances in perinatal medicine and neonatal rescue techniques, the survival rate of preterm infants has substantially increased. [1] Notwithstanding, upon discharge, premature infants face numerous challenges related to physical growth, neurodevelopment, nutritional support, and emotional wellbeing, necessitating a supportive family environment. Due to the generally insufficient knowledge of childcare and nursing among the families of premature infants, the prognoses for these infants are often less than ideal. [2] Therefore, enhancing the caregiving abilities of parents and ensuring that preterm infants receive high-quality care outside the hospital are urgent issues that need to be addressed so as to promote their healthy development. [3] The advent of the Internet Plus era has brought new possibilities for continuing nursing care for preterm infants after discharge. Through Internet platforms, remote health education and real-time personalized nursing guidance are provided to the parents of preterm infants, helping them better meet the challenges of raising their premature children. [4] The purpose of this research is to investigate the profound impact of continuing nursing care interventions based on the Internet Plus Health Education model on the readiness of families with premature infants for discharge and the home nurture environment. Xianju County People’s hospital project, Number: 2lyjb09. The authors have no conflicts of interest to disclose. The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. a Department of Pediatrics, Xianju People’s Hospital, Zhejiang Southeast Campus of Zhejiang Provincial People’s Hospital, Affiliated Xianju

FAQs

What problems after discharge do preterm infants and families face in this study?

Preterm infants face challenges in growth, neurodevelopment, nutrition support, and emotional wellbeing. Families often lack childcare and nursing knowledge, increasing risks and reducing care quality after discharge.

What intervention does the Internet Plus Health Education model provide?

It delivers continuous remote health education and real-time personalized nursing guidance for parents, such as via WeChat, to help them meet home-care challenges.

How were participants assigned and what outcomes were measured?

Two hundred discharged preterm infants were randomized into a control group (n=100) or observation group (n=100). Outcomes included caregiver self-efficacy, discharge readiness, satisfaction, infant weight and height, and caregiver acceptance of the model.

Sep 30, 2026

Uploaded by A glass of water