Adeli Mohadse, Aradmehr Maryam
MSc of Midwifery, Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat-e Heydariyeh, Iran.
MSc of Midwifery, Department of Midwifery, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
J Educ Health Promot. 2018 Mar 1;7:42. doi: 10.4103/jehp.jehp_46_16. eCollection 2018.
Early skin-to-skin maternal-neonate contact during the 1 h following birth prepares both mother and baby to establish a two-way, interactive pattern of interaction. There are few studies on the use of kangaroo care method in term infants and maternal postpartum behavior.
The present study aimed to compare abdominal and kangaroo skin contact on maternal attachment behaviors.
This single-blind randomized clinical trial was performed on 68 eligible pregnant women in Torbat Heydariyeh in 2015.
Individuals were randomly divided into experimental groups (kangaroo skin contact) and control group (abdominal skin contact). Maternal attachment behaviors were observed for 15 min during 1 h postpartum. Each minute was divided into two 30 s, during the first and second 30 s of which the maternal behavior was observed and recorded using a checklist of behavior. Attachment behaviors were assessed using an attachment behavior checklist (including three types of emotional, proximity-seeking, and caring behaviors).
After data coding, the analysis was performed using Kruskal-Wallis test, Chi-square test, -test, and Mann-Whitney test in SPSS ver. 14. < 0.05 was considered the significant level.
Among emotional, proximity-seeking, and caring behaviors 1 h and 2 months' postpartum in the two groups, only proximity-seeking behaviors were significantly different 2 months' postpartum ( = 0.033). The attachment behavior of 1 h (0.134) and 2 months' postpartum (0.051) did not differ significantly between the two groups.
Kangaroo skin contact has an effect, similar to the abdominal skin contact, on the maternal attachment behaviors and has a positive effect on proximity-seeking behaviors and some components of emotional behaviors compared to abdominal skin contact.
出生后1小时内早期母婴皮肤接触有助于母亲和婴儿建立双向互动模式。关于足月婴儿袋鼠式护理方法的使用及母亲产后行为的研究较少。
本研究旨在比较腹部皮肤接触和袋鼠式皮肤接触对母亲依恋行为的影响。
2015年在托尔巴特海达里耶对68名符合条件的孕妇进行了这项单盲随机临床试验。
将个体随机分为实验组（袋鼠式皮肤接触）和对照组（腹部皮肤接触）。产后1小时内观察母亲的依恋行为15分钟。每分钟分为两个30秒，在第一个和第二个30秒内，使用行为清单观察并记录母亲的行为。使用依恋行为清单（包括情感、亲近寻求和关爱行为三种类型）评估依恋行为。
数据编码后，在SPSS 14版中使用Kruskal-Wallis检验、卡方检验、t检验和Mann-Whitney检验进行分析。P<0.05被视为显著水平。
两组产后1小时和2个月时的情感、亲近寻求和关爱行为中，仅产后2个月时的亲近寻求行为有显著差异（P=0.033）。两组产后1小时（P=0.134）和2个月（P=0.051）的依恋行为无显著差异。
袋鼠式皮肤接触与腹部皮肤接触对母亲依恋行为的影响相似，与腹部皮肤接触相比，对亲近寻求行为和情感行为的某些成分有积极影响。
