Application of the Best Evidence of Neonatal Individualized Developmental Care Assessment Program (NIDCAP) in Very Low Birth Weight Infant (VLBWI)

Study Overview
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Brief Summary
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In order to help THE GROWTH and development of VLBWI in Neonatal Intensive Care Unit (NICU) and reduce the interference of external environment to them, we summarized the best evidence of NIDCAP care, and applied the evidence to the intervention group, and observed the compliance of nurses in the intervention group to the application of evidence, and the short-term outcomes of VLBWI.

Official Title
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Clinical Application of the Best Evidence of NIDCAP in Very Low Birth Weight Infants

Conditions
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NIDCAP

Intervention / Treatment
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* Behavioral: NIDCAP care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Birth weight <1500g; admit within 24 hours of birth; The guardian signs the informed consent; OI (oxygenation index >300) Exclusion Criteria: Newborn with severe congenital malformations or various chromosomal diseases, genetic metabolic diseases, severe neurological diseases; Newborn who did not achieved discharge or death at the end of the study period

Ages Eligible for Study
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Maximum Age: 1 Day

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: NIDCAP care<br>The training core group was formed by the project team. After a one-month clinical unified training on the best evidence of NIDCAP for the VLBW nursing professional group, the best evidence of NIDCAP was applied to the intervention group. | Behavioral: NIDCAP care<br>* NIDCAP care was performed according to the best evidence of NIDCAP<br>|
| No Intervention: routine nursing care<br>routine nursingPerform routine care for NICU infants according to the nursing routine of each hospital | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean length of stay of VLBWI | The average length of stay of VLBWI in the intervention group minus the average length of stay of VLBWI in the control group | From the day the VLBWI admitted to the day VLBWI discharged, about two months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nurse compliance with NIDCAP evidence content | Members of the study core team will regularly check the NICU nurse's performance by using the checklist. The number of times the NICU nurse performed specified operations divided by the total number of inspections. The checklist includes: Whether bed units and equipments are placed in accordance with the requirements? Whether sound is controlled in the NICU? Whether the skin of VLBWI is taking good care of, etc. Points are awarded if the requirements are met. Higher scores indicate better nurse compliance. | From the beginning of the NIDCAP intervention to the end of the NIDCAP intervention, about three months. |