Factors Impacting Practice of Home Kangaroo Mother Care with Low Birth Weight Infants Following Hospital Discharge
Factors Impacting Practice of Home Kangaroo Mother Care with Low Birth Weight Infants Following Hospital Discharge
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DOI：
10.1093/tropej/fmz007
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发表时间：
2019-12-01
影响因子：
2
通讯作者：
Khanna, Rajesh
中科院分区：
文献类型：
--
作者：
Dawar, Rebecca;Nangia, Sushma;Khanna, Rajesh
目的：为了确定有利因素和障碍有关的家庭袋鼠妈妈护理（KMC）通过后hospital discharge.Study design：一项探索性研究，采用混合方法评价，遵循60个母婴二对从医院病房到4周后hospital discharge.Results：五十三位母亲（88.3%）完成了所有的研究访问。大多数母亲在出院后4周进行母乳喂养和皮肤接触。7名母亲（13.2%）在4周时停止了皮肤接触。KMC平均每天练习3.3小时，每周练习5.1天。报告的前两个促成因素与皮肤接触的时间量显著相关，其中对家庭责任的支持最为显著（U = 195，p = 0.008）。缺乏隐私（p = 0.002）和缺乏动机（p = 0.034）呈负相关的皮肤到皮肤的接触持续时间。结论：未来的计划可能会增加家庭KMC的传播和通过专门解决使能和障碍相关的皮肤到皮肤的接触持续时间。
Objective: To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge.Study design: An exploratory study, using a mixed methods evaluation, followed 60 mother-infant dyads from the hospital ward to 4 weeks post-hospital discharge.Results: Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge. Seven mothers (13.2%) discontinued skin-to-skin contact at 4 weeks. KMC was practiced on average 3.3 h/day and 5.1 days/week. The top two enablers reported were significantly related to the amount of time skin-to-skin was practiced, with support for household responsibilities being most significant (U = 195, p = 0.008). Lack of privacy (p = 0.002) and lack of motivation (p = 0.034) were negatively correlated to duration of skin-to-skin contact.Conclusion: Future programs may increase dissemination and adoption of home KMC by specifically addressing enablers and barriers correlated to duration of skin-to-skin contact.