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母亲因素对低体重儿袋鼠式护理成功结局的影响:一项随机对照试验。

Influence of maternal factors on the successful outcome of kangaroo mother care in low birth-weight infants: A randomized controlled trial.

作者信息

Lumbanraja S N

出版信息

J Neonatal Perinatal Med. 2016;9(4):385-392. doi: 10.3233/NPM-161628.

DOI:10.3233/NPM-161628
PMID:28009335
Abstract

BACKGROUND

Kangaroo mother care (KMC) is associated with positive neonatal outcomes. Studies demonstrated significant influence of maternal factors on the success of applying KMC.

AIM

To determine maternal factors that influence on anthropometric parameters in low birth weight babies that received kangaroo mother care.

METHODS

This is a randomized controlled study that involved low birth weight newborns. We randomly assigned newborns into two groups; a group who received KMC and a group who received conventional care. Maternal factors were recorded. We followed weight, length, and head circumferences of newborns for thirty days.

RESULTS

A total of 40 newborns were included. Weight parameters were significantly higher in the KMC group than the conventional group. From maternal characteristics, only gestational age was found to influence increased head circumference in KMC group (p = 0.035); however, it did not affect the increase in weight or length. Maternal age, parity, education, mode of delivery, fetal sex, and initial Apgar score did not influence growth parameters in either groups.

CONCLUSION

KMC was associated with increased weight gain in LBW infants. Gestational age influences head growth in infants who received KMC.

摘要

背景

袋鼠式护理(KMC)与新生儿良好结局相关。研究表明,母亲因素对实施袋鼠式护理的成功率有显著影响。

目的

确定影响接受袋鼠式护理的低体重婴儿人体测量参数的母亲因素。

方法

这是一项涉及低体重新生儿的随机对照研究。我们将新生儿随机分为两组;一组接受袋鼠式护理,另一组接受传统护理。记录母亲因素。我们对新生儿的体重、身长和头围进行了30天的跟踪。

结果

共纳入40名新生儿。袋鼠式护理组的体重参数显著高于传统护理组。从母亲特征来看,仅发现胎龄会影响袋鼠式护理组头围的增加(p = 0.035);然而,它并不影响体重或身长的增加。母亲年龄、产次、教育程度、分娩方式、胎儿性别和初始阿氏评分在两组中均不影响生长参数。

结论

袋鼠式护理与低体重婴儿体重增加有关。胎龄会影响接受袋鼠式护理婴儿的头部生长。

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