Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU

RONG Jing; LYU Lizhi; GENG Xiaoxiao; XING Xinxin; HUANG Jing; LI Xuemei

doi:10.16766/j.cnki.issn.1674-4152.004533

Volume 24 Issue 6

Jun. 2026

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Article Navigation > Chinese Journal of General Practice > 2026 > 24(6): 972-976

RONG Jing, LYU Lizhi, GENG Xiaoxiao, XING Xinxin, HUANG Jing, LI Xuemei. Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU[J]. Chinese Journal of General Practice, 2026, 24(6): 972-976. doi: 10.16766/j.cnki.issn.1674-4152.004533

Citation:

RONG Jing, LYU Lizhi, GENG Xiaoxiao, XING Xinxin, HUANG Jing, LI Xuemei. Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU[J]. Chinese Journal of General Practice, 2026, 24(6): 972-976. doi: 10.16766/j.cnki.issn.1674-4152.004533

Citation:

RONG Jing, LYU Lizhi, GENG Xiaoxiao, XING Xinxin, HUANG Jing, LI Xuemei. Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU[J]. Chinese Journal of General Practice, 2026, 24(6): 972-976. doi: 10.16766/j.cnki.issn.1674-4152.004533

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Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU

doi: 10.16766/j.cnki.issn.1674-4152.004533

1.
Pediatric Cardiology Center, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing 100029, China

Funds:

2023ZD0514400

Received Date: 2025-12-24
Available Online: 2026-11-10

Abstract

Abstract

Objective To construct a family-medical staff collaborative integrated care model for medical intervention of PICU congenital heart disease newborns' discharge readiness, and study its clinical application value. Methods PICU congenital heart disease newborns admitted to Capital Medical University Affiliated Beijing Anzhen Hospital from October 2024 to October 2025 were selected as the research subjects, the experimental group and the control group were 60 cases each. The experimental group adopted a family-medical staff collaborative integrated care model, while the control group adopted a conventional medical plan. The preparation for discharge of newborns and the medical ability of caregivers before and after the intervention were compared. Results After intervention, the total score of discharge readiness in the experimental group was higher than that in the control group [(183.19±10.73) points vs. (160.55±9.11) points, P < 0.001]. The total score of caregivers' medical abilities was higher than that of the control group [(137.86±4.22) points vs. (126.89±4.68) points, P < 0.001]. After controlling for confounding factors such as disease severity, grouping remained an independent influencing factor for discharge readiness (B=18.230, 95% CI: 14.670-21.790, P < 0.001) and caregiver medical ability (B=10.560, 95% CI: 8.120-13.000, P < 0.001). The readmission rate of the experimental group [6.67% (4/60) vs. 20.00% (12/60), P=0.032] and the total incidence of complications [13.33% (8/60) vs. 31.67% (19/60), P=0.016] were significantly lower than those of the control group. Conclusion The family-medical staff collaborative integrated care model effectively enhances discharge readiness in neonates with CHD in the PICU and improves caregiver competency.
- Family-medical staff collaboration,
- Integrated care,
- PICU,
- Congenital heart disease,
- Neonates,
- Discharge readiness

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Construction and clinical application of a family-medical staff collaborative integrated care model for improving discharge readiness in neonates with congenital heart disease in PICU

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