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产妇和新生儿护士对袋鼠式护理和新生儿重症监护病房母婴护理伙伴关系的感知价值。

Maternal and neonatal nurse perceived value of kangaroo mother care and maternal care partnership in the neonatal intensive care unit.

机构信息

Division of Neonatal Medicine, Department of Pediatrics, Virginia Commonwealth University Medical College of Virginia, Richmond, Virginia.

出版信息

Am J Perinatol. 2013 Nov;30(10):875-80. doi: 10.1055/s-0033-1333675. Epub 2013 Jan 28.

Abstract

BACKGROUND

Kangaroo Mother Care (KMC) enhances infant and maternal well-being and requires maternal-care partnerships (MCP) for implementation.

OBJECTIVE

To examine maternal and neonatal nurse provider perspectives on the value of KMC and MCP.

STUDY DESIGN

Prospective cohort design of neonatal nurses and mothers of preterm infants self-report anonymous questionnaire. Analyses of categorical independent variables and continuous variables were calculated.

RESULTS

In all, 82.3% of nurses (42) and 100% (143) of mothers participated in the survey. compared with 18% of nurses, 63% of mothers believed "KMC should be provided daily" and 90% of mothers compared with 40% of nurses strongly believed "mothers should be partners in care." In addition, 61% of nonwhite mothers identified that "KMC was not something they were told they could do for their infant" compared with 39% of white mothers. Nonwhite and foreign-born nurses were 2.8 and 3.1 times more likely to encourage MCP and KMC.

CONCLUSION

Mothers held strong positive perceptions of KMC and MCP value compared with nurses. Nonwhite mothers perceived they received less education and access to KMC. Barriers to KMC and MCP exist among nurses, though less in nonwhite, foreign-born, and/or nurses with their own children, identifying important provider educational opportunities to improve maternal KMC access in the NICU.

摘要

背景

袋鼠式护理(KMC)可增强母婴健康,并需要母婴护理伙伴关系(MCP)来实施。

目的

研究新生儿护士和早产儿母亲对 KMC 和 MCP 价值的看法。

研究设计

对新生儿护士和早产儿母亲进行前瞻性队列设计,自我报告匿名问卷。对分类自变量和连续变量进行分析。

结果

共有 82.3%的护士(42 名)和 100%(143 名)的母亲参与了调查。与 18%的护士相比,63%的母亲认为“应每天提供 KMC”,90%的母亲与 40%的护士相比强烈认为“母亲应成为护理伙伴”。此外,61%的非白人母亲认为“他们没有被告知可以为婴儿提供 KMC”,而白人母亲只有 39%。非白人护士和外国出生的护士鼓励 MCP 和 KMC 的可能性分别是非白人护士的 2.8 倍和 3.1 倍。

结论

与护士相比,母亲对 KMC 和 MCP 的价值持有强烈的积极看法。非白人母亲认为自己接受的教育和获得 KMC 的机会较少。护士中存在 KMC 和 MCP 的障碍,但在非白人、外国出生的和/或有自己孩子的护士中较少,这为改善 NICU 中产妇获得 KMC 的机会提供了重要的提供者教育机会。

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