Perception and practice of Kangaroo Mother Care after discharge from hospital in Kumasi, Ghana: A longitudinal study
Perception and practice of Kangaroo Mother Care after discharge from hospital in Kumasi, Ghana: A longitudinal study
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DOI：
10.1186/1471-2393-11-99
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发表时间：
2011-12-01
影响因子：
3.1
通讯作者：
Plange-Rhule, Gyikua
中科院分区：
文献类型：
--
作者：
Nguah, Samuel B.;Wobil, Priscilla N. L.;Plange-Rhule, Gyikua
背景：袋鼠母亲护理(KMC)的做法是拯救体重低于2000克的婴儿的生命。关于母亲出院后继续无人监督的做法，人们知之甚少。本研究的目的是在加纳库马西两家医院出院的低出生体重儿的母亲中评估其在医院内和在社区中的持续实践。方法：从2009年11月至2010年5月对202名母亲及其住院的低出生体重儿进行纵向研究。母亲们在招聘时接受了采访，以确定她们对KMC的了解，然后针对其实践情况进行了介绍。出院后，母亲们每周报告一次，进行四次随访，记录她们对KMC的看法、态度和做法的数据。结果：招募时，有23名母亲(11.4%，95%CI：7.4%~16.6%)知道KMC。出院时95.5%愿意在家中继续进行KMC，93.1%愿意夜间练习。95.5%的人认为KMC对他们有益，96.0%的人认为KMC对婴儿有益。98.0%的人愿意将KMC推荐给其他母亲，71.8%的母亲愿意在户外实践KMC。首次随访时，99.5%(181人)的母亲仍在间歇性或持续性地练习KMC。这一比例在四周内没有显著变化(OR：1.4，95%CI：0.6至3.3，p值：0.333)。在这4周中，越来越多的母亲在夜间(OR：1.795%CI：1.2to2.6，p=0.005)、外出(OR：2.495%CI：1.7p<；0.001)并接受配偶帮助(OR：1.695%CI：1.1to2.4，p=0.007)。家务活和社区对KMC的潜在负面看法不会影响其实践，优势分别为0.8%(95%CI：0.5to1.2，p=0.282)和1.0%(95%CI：0.6to1.7，p=0.934)。在随访期内，新生儿每天增加23.7sg(95%可信区间：22.6g~24.7g)。一旦开始，母亲们继续在医院和家里练习KMC，让她们的婴儿获得最佳体重。持续的KMC实践不受感知的社区态度的影响。
Background: The practice of Kangaroo Mother Care (KMC) is life saving in babies weighing less than 2000 g. Little is known about mothers' continued unsupervised practice after discharge from hospitals. This study aimed to evaluate its in-hospital and continued practice in the community among mothers of low birth weight (LBW) infants discharged from two hospitals in Kumasi, Ghana.Methods: A longitudinal study of 202 mothers and their inpatient LBW neonates was conducted from November 2009 to May 2010. Mothers were interviewed at recruitment to ascertain their knowledge of KMC, and then oriented on its practice. After discharge, the mothers reported at weekly intervals for four follow up visits where data about their perceptions, attitudes and practices of KMC were recorded. A repeated measure logistic regression analysis was done to assess variability in the binary responses at the various reviews visits.Results: At recruitment 23 (11.4%, 95% CI: 7.4 to 16.6%) mothers knew about KMC. At discharge 95.5% were willing to continue KMC at home with 93.1% willing to practice at night. 95.5% thought KMC was beneficial to them and 96.0% beneficial to their babies. 98.0% would recommend KMC to other mothers with 71.8% willing to practice KMC outdoors.At first follow up visit 99.5% (181) were still practicing either intermittent or continuous KMC. This proportion did not change significantly over the four weeks (OR: 1.4, 95% CI: 0.6 to 3.3, p-value: 0.333). Over the four weeks, increasingly more mothers practiced KMC at night (OR: 1.7, 95% CI: 1.2 to 2.6, p = 0.005), outside their homes (OR: 2.4, 95% CI: 1.7 to 3.3, p < 0.001) and received spousal help (OR: 1.6, 95% CI: 1.1 to 2.4, p = 0.007). Household chores and potentially negative community perceptions of KMC did not affect its practice with odds of 0.8 (95% CI: 0.5 to 1.2, p = 0.282) and 1.0 (95% CI: 0.6 to 1.7, p = 0.934) respectively. During the follow-up period the neonates gained 23.7 sg (95% CI: 22.6 g to 24.7 g) per day.Conclusion: Maternal knowledge of KMC was low at outset. Once initiated mothers continued practicing KMC in hospital and at home with their infants gaining optimal weight. Continued KMC practice was not affected by perceived community attitudes.