Peer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW Infants
Peer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW Infants
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DOI：
10.1080/24694193.2019.1594457
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发表时间：
2019-01-01
影响因子：
2.1
通讯作者：
Budiati, Tri
中科院分区：
文献类型：
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作者：
Kurniawati;Rustina, Yeni;Budiati, Tri
低出生体重儿的体重增加可以通过袋鼠妈妈护理（KMC）得到改善。通过提高产妇的信心，可以提高KMC实施的可持续性。因此，需要一个适当的方法在KMC教育，使母亲的信心，KMC的执行，并在低出生体重儿体重增加，可以增加。本研究的目的是确定产妇的自信，KMC的实施，和婴儿的体重增加在四家医院：一家医院在雅加达，博戈尔，丹格朗，和贝卡西的同伴支持的效果。研究设计是一项随机对照试验，根据选定的标准，干预组和对照组分别有24名受试者参加前后测试等效组。提供的干预措施是三次基于同伴提供的个人方法的KMC教育。连续5天观察KMC实施情况及婴儿体重增加情况。本研究采用母亲自信心问卷、KMC观察及体重增加量表。结果显示，对照组和干预组之间的母亲的信心，KMC的执行，和婴儿的体重增加（p = 0.001; 0.001; 0.032; 0.030）的显着差异。新生儿出生体重、母亲自信心与新生儿体重增加之间以及合并症与新生儿体重增加之间存在显著相关性。因此，同侪支持有效地提高了母亲的自信心，KMC的执行，并在医院的婴儿体重增加。因此，可以将执行工作扩大到整个家访过程。
Weight gain in low birth weight infants can be improved by Kangaroo Mother Care (KMC). The sustainability of KMC implementation can be improved by increasing maternal confidence. Therefore, an appropriate method is needed in KMC education so that maternal confidence, KMC implementation, and weight gain in low birth weight infants can be increased. This study aimed to determine the effect of peer support on maternal self-confidence, KMC implementation, and infant's weight gain in four hospitals: one hospital in Jakarta, Bogor, Tangerang, and Bekasi. The study design was a randomized controlled trial with pre-post test equivalent group which involved 24 participants in both intervention and control group, respectively, based on selected criteria. The intervention provided was three sessions of education on KMC based on individual approach provided by peers. The KMC implementation and infant's weight gain were observed for five days. This study employed a maternal self-confidence questionnaire and KMC observation and weight gain form. The result showed significant differences in mother's confidence, KMC implementation, and infant's weight gain between the control group and intervention group (p = 0.001; 0.001; 0.032; 0.030). There was a significant correlation between infant's birth weight, maternal self-confidence and infant's weight gain, as well as between comorbidities and weight gain in infants. So, peer support effectively improved maternal self-confidence, KMC implementation, and weight gain in infants in hospital. Therefore, the implementation may be extended throughout home visits.