Mallet I, Bomy H, Govaert N, Goudal I, Brasme C, Dubois A, Boudringhien S, Pierrat V
Service de médecine néonatale, hôpital Jeanne-de-Flandre, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
Arch Pediatr. 2007 Jul;14(7):881-6. doi: 10.1016/j.arcped.2007.01.017. Epub 2007 May 8.
Skin to skin contact is a method derived from kangaroo care whose implementation in industrialized countries has rarely been assessed.
To evaluate the barriers, knowledge and expectations of health professionals regarding this care in 2 level III neonatal care units in the Nord-Pas-de-Calais.
Investigation was conducted by means of 2 questionnaires, one intended to physicians, the other to the nursing staff sharing some common questions. The 2 neonatal units differed by the level of implementation of skin to skin contact. Results were compared according to occupation and site of work.
80% of the physicians and 71.4% of the paramedical staff answered to the questionnaires. The difficulties were linked to technical or architectural constraints. Responses were not very different between the 2 teams. The majority (90%) considered this practice as a fully-fledged care. The positive effects on attachment (96% of the answers) were well-known but those on sleep (2,9%), breast-feeding (5%) and pain (0%) were only rarely mentioned. Barriers to implementation were centred on infant's safety. The majority of the team wished to benefit from an educational intervention.
Although the perception of skin to skin contact was positive in these 2 teams, increased knowledge of the evidence supporting its practice could enable babies and parents to benefit from all its positive effects. The need for educational program was clearly mentioned to improve parents' information.
This work emphasises the complexity of introducing new procedures in neonatal care particularly in the field of developmental care.
肌肤接触是一种源自袋鼠式护理的方法，在工业化国家中其实施情况鲜有评估。
评估法国北部加来海峡地区两家三级新生儿护理单位的医护人员在这种护理方面的障碍、知识和期望。
通过两份问卷进行调查，一份针对医生，另一份针对护理人员，两份问卷有一些共同问题。这两家新生儿护理单位在肌肤接触的实施程度上有所不同。根据职业和工作地点对结果进行比较。
80%的医生和71.4%的医护辅助人员回答了问卷。困难与技术或建筑限制有关。两个团队的回答差异不大。大多数人（90%）认为这种做法是一种成熟的护理方式。对亲子依恋的积极影响（96%的回答）广为人知，但对睡眠（2.9%）、母乳喂养（5%）和疼痛（0%）的积极影响很少被提及。实施的障碍集中在婴儿安全方面。大多数团队希望能受益于教育干预。
尽管这两个团队对肌肤接触的看法是积极的，但增加对支持其实施的证据的了解可以使婴儿和父母从其所有积极影响中受益。明确提到需要开展教育项目以改善对父母的宣传。
这项工作强调了在新生儿护理中引入新程序的复杂性，尤其是在发育护理领域。
