Evereklian Melvina, Posmontier Bobbie
Shady Grove Medical Center, Rockville, MD, United States; Drexel University, Philadelphia, PA, United States.
Drexel University, Philadelphia, PA, United States.
J Pediatr Nurs. 2017 May-Jun;34:e10-e16. doi: 10.1016/j.pedn.2017.02.006. Epub 2017 Mar 11.
Preterm births occur among 11.4% of all live infant births. Without steady weight gain, premature infants may experience lengthy hospitalizations, neurodevelopmental deficits and hospital readmissions, which can increase the financial burden on the health care system and their families. The total U.S. health-related costs linked to preterm infant deliveries are estimated at $4.33 billion. Kangaroo care is a feasible practice that can improve preterm infant weight gain. However, this intervention is utilized less often throughout the U.S. due to numerous barriers including a lack of consistent protocols, inadequate knowledge, and decreased level of confidence in demonstrating the proper kangarooing technique. An integrative review was conducted to evaluate the impact of kangaroo care on premature infant weight gain in order to educate nurses about its efficacy among preterm infants.
A literature search was conducted using CINAHL, PubMed, Cochrane Reviews, ClinicalKey and Google Scholar. Large volume searches were restricted using appropriate filters and limiters.
Most of the evaluated studies determined that weight gain was greater among the kangarooing premature infants. Kangaroo care is a low-tech low-cost modality that can facilitate improved preterm infant weight gain even in low-resource settings. Despite its current efficacy, kangaroo care is not widely utilized due to several barriers including an absence of standardized protocols and a lack of knowledge about its benefits. Kangaroo care can become a widespread formalized practice after nurses and parents learn about the technique and its numerous benefits for premature infants, including its association with improved weight gain.
在所有活产婴儿中，早产发生率为11.4%。如果体重不能稳定增加，早产儿可能会经历长时间住院、神经发育缺陷和再次入院，这会增加医疗保健系统及其家庭的经济负担。据估计，美国与早产婴儿分娩相关的医疗保健费用总计43.3亿美元。袋鼠式护理是一种可行的做法，可促进早产婴儿体重增加。然而，由于包括缺乏统一方案、知识不足以及展示正确袋鼠式护理技术的信心下降等众多障碍，这种干预措施在美国的使用频率较低。进行了一项综合综述，以评估袋鼠式护理对早产婴儿体重增加的影响，以便让护士了解其在早产儿中的疗效。
使用CINAHL、PubMed、Cochrane综述、ClinicalKey和谷歌学术进行文献检索。使用适当的筛选器和限制器进行大量检索。
大多数评估研究确定，接受袋鼠式护理的早产儿体重增加更多。袋鼠式护理是一种低成本、低技术的方式，即使在资源匮乏的环境中也能促进早产婴儿体重增加。尽管目前已证实其疗效，但由于包括缺乏标准化方案以及对其益处缺乏了解等几个障碍，袋鼠式护理并未得到广泛应用。在护士和家长了解了该技术及其对早产儿的诸多益处（包括与体重增加改善的关联）后，袋鼠式护理可以成为一种广泛应用的正规做法。
