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拉丁美洲临床流行病学网络系列 - 论文9:袋鼠式护理法:从哥伦比亚产生的科学证据到全球实践。

Latin American Clinical Epidemiology Network Series - Paper 9: The Kangaroo Mother Care Method: from scientific evidence generated in Colombia to worldwide practice.

作者信息

Charpak Nathalie, Ruiz Juan Gabriel

机构信息

Fundación Canguro/Kangaroo Foundation, Calle 44 b, #53-50, La Esmeralda, Bogotá, Colombia.

Fundación Canguro/Kangaroo Foundation, Calle 44 b, #53-50, La Esmeralda, Bogotá, Colombia; Department of Epidemiology, Pontificia Universidad Javeriana, Carrera 7, #40-62, Bogotá, Colombia; Department of Biostatistics, Hospital Universitario San Ignacio, Carrera 7, #40-62, Bogotá, Colombia.

出版信息

J Clin Epidemiol. 2017 Jun;86:125-128. doi: 10.1016/j.jclinepi.2016.05.019. Epub 2016 Oct 17.

Abstract

Kangaroo Mother Care (KMC) is a human-based care intervention devised to complement neonatal care for low birth weight and premature infants. Kangaroo position (skin-to-skin contact on the mother's chest) offers thermal regulation, physiological stability, appropriate stimulation, and enhances bonding and breastfeeding. Kangaroo nutrition is based on breastfeeding, and kangaroo discharge policy relies on family empowerment and early discharge in kangaroo position with close ambulatory follow-up. We describe how the evidence has been developed and how it has been put into practice by means of direct preterm infants care and dissemination of the method, including training of KMC excellence centers in many countries not only in Latin America but worldwide.

摘要

袋鼠式护理(KMC)是一种基于人文关怀的护理干预措施,旨在辅助对低出生体重儿和早产儿的新生儿护理。袋鼠式体位(母婴肌肤相亲,婴儿趴在母亲胸前)可实现温度调节、生理稳定、适度刺激,并增强母婴联结及母乳喂养。袋鼠式营养以母乳喂养为基础,袋鼠式出院政策则依赖于家庭赋权以及在袋鼠式体位下尽早出院并进行密切的门诊随访。我们阐述了相关证据是如何形成的,以及如何通过直接护理早产儿和推广该方法将其付诸实践,包括在许多国家(不仅是拉丁美洲,而是全球范围内)培训袋鼠式护理卓越中心。

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