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袋鼠式护理益处的知识和意识。

Knowledge and awareness about benefits of Kangaroo Mother Care.

机构信息

Department of Pediatrics, MGMH/Kakatiya Medical College, Warangal, Andhra Pradesh, India,

出版信息

Indian J Pediatr. 2013 Oct;80(10):799-803. doi: 10.1007/s12098-013-1073-0. Epub 2013 Jun 8.

Abstract

OBJECTIVE

To determine mothers' prior knowledge of Kangaroo Mother Care (KMC) and awareness about benefits of KMC for preterm babies.

METHODS

Mothers of a consecutive sample of 46 preterm babies, eligible for KMC admitted to a teaching hospital, from June through August 2009, were studied to determine the attitude and knowledge about KMC. A structured questionnaire was prepared. Mothers were asked questions to determine their baseline knowledge about KMC. Then each mother was explained about KMC and instructed to do KMC. After one hour of KMC, mothers were asked questions again to know their feelings and difficulties regarding KMC and feasibility of breast feeding during KMC.

RESULTS

Most of the mothers could understand what was explained to them (97.8 %; 95 % CI 88.5-99.9 %) in a single session. Positive feelings like closeness to baby (93.5 %) and sense of goodness (97.8 %) were noted amongst mothers. Though statistically not significant, the proportion of mothers who felt it impracticable to give breast feeding while doing KMC was considerable (39.1 %; 95 % CI 25.1-54.6 %) compared to those who felt no difficulty in breast feeding (60.9 %; 95 % CI 45.4-74.9 %). Practicable duration of KMC is 1, 2 and 12 h as felt by 52 %, 19.6 % and 6.5 % of mothers respectively. All the mothers expressed their willingness to continue KMC at home.

CONCLUSIONS

Mothers can understand and implement KMC with simple and clear oral instructions in local language. Positive feelings arise in mothers even with 1 h of KMC. KMC of 24 h is not practicable to almost all of the mothers. There is a need for special emphasis on breast feeding the child while doing the KMC.

摘要

目的

了解产妇对袋鼠式护理(KMC)的认知及对早产儿 KMC 益处的知晓情况。

方法

2009 年 6 月至 8 月,连续纳入我院收治的 46 例符合 KMC 条件的早产儿的母亲,调查其对 KMC 的态度和认知。采用自行设计的问卷,在实施 KMC 前调查母亲的 KMC 认知情况,然后由经过培训的调查员向母亲讲解 KMC 并指导其操作,操作 1 h 后再次调查母亲对 KMC 的感受、困难以及 KMC 期间母乳喂养的可行性。

结果

97.8%(95%CI 88.5%99.9%)的母亲在一次讲解中可以理解 KMC 相关内容。大多数母亲表示喜欢 KMC(93.5%)和感觉良好(97.8%)。虽然差异无统计学意义,但仍有 39.1%(95%CI 25.1%54.6%)的母亲认为 KMC 期间进行母乳喂养不可行,而 60.9%(95%CI 45.4%~74.9%)的母亲认为母乳喂养无困难。52%、19.6%和 6.5%的母亲分别认为可行的 KMC 时间为 1、2 和 12 h。所有母亲均表示愿意在家继续 KMC。

结论

母亲可以通过简单明了的口头指导理解并实施 KMC,即使仅进行 1 h 的 KMC,母亲也会产生积极的感受。几乎所有母亲都认为 24 h KMC 不可行。在进行 KMC 时需要特别强调母乳喂养。

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