Neonatal Intensive Care Unit, Department of Pediatrics, Peking University First Hospital, Beijing, MM, China.
Department of Neonatology, Northwest Women's and Children's Hospital, Shanxi, MD, China.
BMC Pediatr. 2020 May 29;20(1):260. doi: 10.1186/s12887-020-02153-2.
Kangaroo mother care (KMC) is an evidence-based and cost-effective intervention that could prevent severe complications for preterm babies, however it has not been widely adopted in China. In this study, we aim to investigate the feasibility and parental experience of adopting KMC in a Chinese context by studying the implementation of a KMC program in eight self-selected neonatal intensive care units (NICUs).
A cross-sectional study of 135 preterm infants discharged from eight NICUs in April 2018. For infants information was collected on postnatal day and corrected gestational age (GA) at KMC initiation, frequency and duration of KMC provision and whether the infant was receiving respiratory support. A nurse-administered questionnaire on parents' knowledge and experience of KMC provision was administered to parents providing KMC.
One hundred thirty-five preterm infants received KMC, 21.2% of all preterm infants discharged. 65.2% of those who received KMC were below 32 weeks GA, 60.7% had a birth weight below 1500 g, and 20.7% needed respiratory support at KMC initiation. Average KMC exposure was greater in infants born at GA < 28 weeks that babies born at greater GA. 94.8% of parents that participated in the parental survey indicated that KMC was positively accepted by their family members; 60.4% of the parents claimed that KMC could relieve anxiety, 57.3% claimed it prompted more interactions with medical staff and 69.8% suggested it increased parental confidence in care for their infants.
After advocacy, training and promotion, intermittent KMC was initiated on more immature and high-risk infants, and well-accepted by parents. We suggest continuing to promote KMC education to parents and enhancing preterm infant health.
袋鼠式护理（KMC）是一种基于证据且具有成本效益的干预措施，可预防早产儿发生严重并发症，但在中国尚未广泛采用。本研究旨在通过研究 8 家自选新生儿重症监护病房（NICU）中 KMC 计划的实施，探讨在中国采用 KMC 的可行性和父母体验。
对 2018 年 4 月从 8 家 NICU 出院的 135 例早产儿进行横断面研究。对于接受 KMC 的婴儿，收集 KMC 开始时的产后日和校正胎龄（GA）、KMC 提供的频率和持续时间以及婴儿是否接受呼吸支持的信息。对提供 KMC 的父母进行了一项关于 KMC 提供知识和经验的护士管理问卷调查。
135 例早产儿接受了 KMC，占出院早产儿的 21.2%。接受 KMC 的婴儿中，65.2%的 GA ＜32 周，60.7%的出生体重＜1500g，20.7%在 KMC 开始时需要呼吸支持。GA＜28 周出生的婴儿接受 KMC 的平均暴露时间长于 GA 较大的婴儿。94.8%的参与父母调查的父母表示，KMC 得到了家庭成员的积极认可；60.4%的父母表示 KMC 可以缓解焦虑，57.3%的父母表示 KMC 促进了与医务人员更多的互动，69.8%的父母表示 KMC 增加了父母对照顾婴儿的信心。
在宣传、培训和推广之后，间歇性 KMC 开始应用于更不成熟和高危的婴儿，并且得到了父母的认可。我们建议继续向父母推广 KMC 教育，加强早产儿的健康。
