Shah Rakesh Kumar, Sainju Nayan Kamal, Joshi Sunil Kumar
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Jan 1;15(3):275-281. doi: 10.3126/jnhrc.v15i3.18855.
Kangaroo mother care is an effective and low cost technique which prevents neonate from hypothermia, a leading cause of preventable neonatal mortality. Knowledge and practice of Kangaroo mother care is of utmost importance in developing countries such as Nepal. Purpose of this study was to find out knowledge, attitude and practice of kangaroo mother care among health workers in tertiary health centres in Nepal.
This cross sectional study was carried out in three teaching hospitals in Nepal during the period from January 2016 to April 2016. Doctors and nurses working in Paediatrics/Neonatal and Obstetrics/Gynaecology wards were surveyed using pretested questionnaire. Responses from the doctors and the nurses were compared.
Response rate of the survey was 65%. All of the doctors and 95.3% of the nurses who participated in the survey had knowledge about kangaroo mother care.37.7%of the doctors and 48.8% of the nurses thought that this method is only used for neonates with low birth weight (<2500grams) (p= 0.013).Three fourth of the doctors and half of the nurses agreed that KMC is practiced regularly in their ward (p = 0.016). 22.2% participants informed that main reasons for not practicing kangaroo care regularly could be lack of skill and knowledge.
We found that general knowledge and attitude of majority of doctors and nurses towards kangaroo mother care was good, however, its practise was not uniform.
袋鼠式护理是一种有效且低成本的技术，可预防新生儿体温过低，而体温过低是可预防的新生儿死亡的主要原因。在尼泊尔等发展中国家，袋鼠式护理的知识和实践至关重要。本研究的目的是了解尼泊尔三级医疗中心医护人员对袋鼠式护理的知识、态度和实践情况。
本横断面研究于2016年1月至2016年4月在尼泊尔的三家教学医院开展。使用经过预测试的问卷对儿科/新生儿科和妇产科病房的医生和护士进行调查。对医生和护士的回答进行比较。
调查的回复率为65%。所有参与调查的医生和95.3%的护士都了解袋鼠式护理。37.7%的医生和48.8%的护士认为这种方法仅用于低出生体重（<2500克）的新生儿（p = 0.013）。四分之三的医生和一半的护士同意在他们的病房中经常实施袋鼠式护理（p = 0.016）。22.2%的参与者表示不经常实施袋鼠式护理的主要原因可能是缺乏技能和知识。
我们发现大多数医生和护士对袋鼠式护理的一般知识和态度良好，然而，其实践并不统一。
