Colameo Ana Júlia, Rea Marina Ferreira
Núcleo de Investigação em Saúde da Mulher e da Criança, Instituto de Saúde, São Paulo, Brazil.
Cad Saude Publica. 2006 Mar;22(3):597-607. doi: 10.1590/s0102-311x2006000300015. Epub 2006 Mar 27.
This study analyzed the implementation of the Kangaroo Mother method in 28 different São Paulo State public hospitals. Teaching hospitals, Baby-Friendly Hospitals, hospitals with human milk banks, and those with more than 12 trained health professionals showed higher implementation scores. Because of staff resistance to family participation in neonatal care, the Kangaroo Mother method is basically applied in-hospital. Changes in the initial training, including manager awareness-raising and proper financial resource allocation, are necessary for implementation, follow-up, assessment, and feedback.
本研究分析了袋鼠式护理法在圣保罗州28家不同公立医院的实施情况。教学医院、爱婴医院、设有母乳库的医院以及拥有12名以上经过培训的医护人员的医院,实施得分更高。由于工作人员抵制家庭参与新生儿护理,袋鼠式护理法基本在医院内应用。实施、随访、评估和反馈需要对初始培训进行变革,包括提高管理人员的认识和合理分配财政资源。