Feasibility of kangaroo mother care in Mumbai
Feasibility of kangaroo mother care in Mumbai
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DOI：
10.1007/bf02760578
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发表时间：
2005-01-01
影响因子：
4.3
通讯作者：
Fernandez, Armida
中科院分区：
文献类型：
--
作者：
Kadam, Sandeep;Binoy, S.;Fernandez, Armida
目的：本研究的目的是确定袋鼠护理在印度三级医院的可行性和可接受性。研究方法：采用随机对照试验方法，将89例新生儿随机分为袋鼠妈妈护理（KMC）组和常规护理（CMC）组。结果：KMC组44例，CMC组45例。与CMC组相比，KMC组的体温降低（10/ 44 vs 21/45，p值0.01）、氧饱和度升高（95.7 vs 94.8%，p值0.01）和呼吸频率降低（36.2 vs 40.7，p值0.01）显著降低。两组患者高热、败血症、呼吸暂停、母乳喂养开始和住院时间的发生率无统计学差异。79%的母亲在KMC期间感到舒适，73%的母亲认为她们能够在家里进行KMC。KMC是可行的，因为母亲已经被医院收治，并参与新生儿的护理。结论：KMC是一种简单可行的干预措施，大多数住院母亲都能接受。在降低低体温症的发生率方面可能有益处，研究中证明KMC没有不良反应。本研究对发展中国家的低出生体重婴儿的护理具有重要意义，因为这些国家可能根本没有昂贵的常规护理设施。
Objective: The purpose of this study was to determine the feasibility and acceptability of kangaroo care in a tertiary care hospital in India. Methods: A randomized controlled trial was performed over one year period in which 89 neonates were randomized into two groups kangaroo mother care (KMC) and conventional method of care (CMC). Results: Forty-four babies were randomized into KMC group and 45 to CMC. There was significant reduction in KMC vs CMC group of hypothermia (10/ 44 vs 21/45, p-value 0.01), higher oxygen saturations (95.7 vs 94.8%, p-value 0.01) and decrease in respiratory rates (36.2 vs 40.7, p-value 0.01). There were no statistically significant differences in the incidence of hyperthermia, sepsis, apnea, onset of breastfeeding and hospital stay in two groups. 79% of mothers felt comfortable during the KMC and 73% felt they would be able to give KMC at home. KMC is feasible, as mothers are already admitted in hospitals and are involved in the care of newborn. Conclusion: KMC is a simple and feasible intervention; acceptable to most mothers admitted in hospitals. There may be benefits in terms of reducing the incidence of hypothermia with no adverse effects of KMC demonstrated in the study. The present study has important implications in the care of LBW infants in the developing countries, where expensive facilities for conventional care may not be available at all place.