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袋鼠式护理——传统护理的替代方案。

Kangaroo mother care--an alternative to conventional care.

作者信息

Thukral Anu, Chawla Deepak, Agarwal Ramesh, Deorari Ashok K, Paul Vinod K

机构信息

Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

出版信息

Indian J Pediatr. 2008 May;75(5):497-503. doi: 10.1007/s12098-008-0077-7. Epub 2008 Jun 8.

DOI:10.1007/s12098-008-0077-7
PMID:18537012
Abstract

The term kangaroo mother care (KMC) is derived from practical similarities to marsupial care-giving, i.e., the premature infant is kept warm in the maternal pouch and close to the breasts for unlimited feeding. It is a gentle and effective method that avoids agitation routinely experienced in a busy ward with preterm infants. An important main stay of kangaroo mother care is breastfeeding encouragement. Observational studies have shown reduction in mortality after institution of KMC. Preterm babies exposed to skin to skin contact showed a better mental development and better results in motor tests. It also improves thermal care. All stable LBW babies are candidate for KMC. Often this is desirable, until the baby's gestation reaches term or the weight is around 2500 g. The mother and family members are encouraged to take care of the baby in KMC and should be counseled to come for follow-up visits regularly.

摘要

袋鼠式护理(KMC)这一术语源于与有袋动物育儿方式在实际操作上的相似之处,即早产儿在母亲育儿袋中保持温暖,并靠近乳房进行不限时喂养。这是一种温和且有效的方法,可避免在忙碌的早产儿病房中经常出现的躁动。袋鼠式护理的一个重要主要支撑点是鼓励母乳喂养。观察性研究表明,实施袋鼠式护理后死亡率有所降低。接触皮肤接触护理的早产儿在智力发育方面表现更好,在运动测试中也有更好的结果。它还改善了体温护理。所有病情稳定的低体重儿都是袋鼠式护理的适用对象。通常在婴儿孕周达到足月或体重约为2500克之前,这种护理方式都是可取的。鼓励母亲和家庭成员采用袋鼠式护理照顾婴儿,并应建议他们定期前来进行随访。

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Improving the Duration and Rate of Home-Based Kangaroo Mother Care: A Before-and-After Intervention Study.提高家庭式袋鼠式护理的时长和实施率:一项前后对照干预研究。
Cureus. 2023 Apr 20;15(4):e37861. doi: 10.7759/cureus.37861. eCollection 2023 Apr.
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Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn.袋鼠式护理对低出生体重新生儿重要生理参数的影响。
Indian J Community Med. 2014 Oct;39(4):245-9. doi: 10.4103/0970-0218.143030.
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Effect of intermittent kangaroo mother care on weight gain of low birth weight neonates with delayed weight gain.

本文引用的文献

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Kangaroo mother care for low birth weight infants: a randomized controlled trial.袋鼠式护理对低出生体重婴儿的影响:一项随机对照试验。
Indian Pediatr. 2008 Jan;45(1):17-23.
2
Feasibility of kangaroo mother care in Mumbai.孟买袋鼠妈妈护理法的可行性
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Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200- to 2199-gram newborns.出生后即进行皮肤接触与使用传统暖箱对1200至2199克新生儿进行生理稳定处理的随机对照试验。
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