Department of Preventive Medicine, Rush University Medical Center, Chicago, IL, USA.
Department of Neonatology, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India.
J Trop Pediatr. 2019 Dec 1;65(6):561-568. doi: 10.1093/tropej/fmz007.
To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge.
An exploratory study, using a mixed methods evaluation, followed 60 mother-infant dyads from the hospital ward to 4 weeks post-hospital discharge.
Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge. Seven mothers (13.2%) discontinued skin-to-skin contact at 4 weeks. KMC was practiced on average 3.3 h/day and 5.1 days/week. The top two enablers reported were significantly related to the amount of time skin-to-skin was practiced, with support for household responsibilities being most significant (U = 195, p = 0.008). Lack of privacy (p = 0.002) and lack of motivation (p = 0.034) were negatively correlated to duration of skin-to-skin contact.
Future programs may increase dissemination and adoption of home KMC by specifically addressing enablers and barriers correlated to duration of skin-to-skin contact.
确定与出院后家庭袋鼠式护理（KMC）采用相关的促进因素和障碍。
一项探索性研究，采用混合方法评估，对 60 对母婴从医院病房随访至出院后 4 周。
53 位母亲（88.3%）完成了所有研究访视。大多数母亲在出院后 4 周时仍在进行母乳喂养和皮肤接触。7 位母亲（13.2%）在 4 周时停止了皮肤接触。平均每天进行 3.3 小时的 KMC，每周进行 5.1 天。报告的前两个促进因素与皮肤接触时间明显相关，家庭责任支持最为显著（U=195，p=0.008）。缺乏隐私（p=0.002）和缺乏动力（p=0.034）与皮肤接触时间呈负相关。
未来的项目可以通过专门针对与皮肤接触时间相关的促进因素和障碍来增加家庭 KMC 的传播和采用。
