KANGAROO MOTHER CARE FOR ADOLESCENTS WITH PRETERM INFANT

拟议的研究是一项大规模随机研究的定性组成部分 青少年母亲及其早产儿的对照试验(RCT) 怀孕32至35周，小于或等于2500的1500人 克，出生时健康。这些早产儿有可能 稳定生理状态，避免进入新生儿重症监护室 照看单位，发育正常，只要他们和母亲在一起 产后和接受全面模式的护士支持，早期， 和持续自我调节(ESCR)护理。这一全面的 干预措施包括实施皮肤对皮肤(袋鼠 母亲关怀，KMC)关怀。因为母亲和她刚出生的婴儿 母亲被视为共同的照顾者，有望从KMC中受益 也是。这项现象学研究的目的有两个： 描述KMC的经验和标准医院护理在 早产儿的青少年，并比较 这些经历。 在出生后10分钟，每个母婴二元体将随机 分配给对照组，他们将接受标准医院 CARE或将接受KMC干预的KMC组。一旦 婴儿病情稳定，KMC二联体将转至普通临床 根据需要提供护理服务的研究中心。 将使用定性数据分析来解释数据，这将 产后第6天通过半结构化的正式面试收集 接近。每组的母亲将被要求描述她们的 早产儿出生后护理的体会 直到产后第6天。从他们的回复中提取的提示是 用于额外的澄清和提问。

The proposed research is a qualitative component of a large randomized controlled trial (RCT) with adolescent mothers and their preterm infants who are 32 through 35 weeks gestation, 1500 less than or equal to 2500 grams, and healthy at birth. These preterm infants have the potential to stabilize physiologically, avoid admission to the neonatal intensive care unit, and develop normally, provide they stay with their mothers postbirth and receive a comprehensive model of nurse-supported, early, and continuous self-regulatory (ESCR) care. This comprehensive intervention includes the implementation of skin-to-skin (kangaroo mother care, KMC) care. Because the mother and her newborn infant are viewed as mutual caregivers, the mother is expected to benefit from KMC as well. The purpose of this phenomenological study is twofold: to describe the experiences of KMC and standard hospital care in adolescents who have given birth to preterm infants, and to compare these experiences. At ten minutes postbirth each mother-infant dyad will be randomly assigned either to the control group who will receive standard hospital care or the KMC group who will receive the KMC intervention. Once the infant is stable, KMC dyads will be transferred to the General Clinical Research Center where nursing care will be provided as needed. Qualitative data analysis will be used to interpret the data which will be collected postpartum Day 6 using a semi-structured formal interview approach. Mothers in each group will be asked to describe their experience of providing care for their preterm infants from birth through postpartum Day 6. Prompts taken from their responses will be used for additional clarification and questioning.