Department of Pediatrics, PGIMS, Rohtak, 124001, Haryana, India.
Department of Neonatology, PGIMS, Rohtak, Haryana, India.
Indian J Pediatr. 2021 Jun;88(6):544-549. doi: 10.1007/s12098-020-03537-z. Epub 2020 Oct 20.
Kangaroo mother care (KMC) uptake is low despite KMC being an evidence based tool to decrease neonatal mortality. It is important that local strategies be developed to enhance KMC usage. This study aimed to assess the effect of implementing an education protocol on the usage of KMC in the NICU and at home after discharge.
Preterm mother-infant dyads admitted to the NICU were enrolled prospectively. In initial 3 mo, baseline data on KMC usage in the unit and at home after discharge was collected. In the next three months, a KMC education protocol consisting of one-to-one counseling, education and sensitization of the mother and family members regarding benefits and procedure of KMC and focussed group discussions was implemented such that it became a unit work protocol. In the next 3 mo, data on KMC usage in the unit and at home after discharge was again collected and compared with the baseline data.
Implementation of the education protocol resulted in earlier initiation of KMC (2.49 ± 0.67 vs. 4.65 ± 0.99 d, p < 0.05); increased duration of KMC (8 h/d vs. 3 h/d, p < 0.05); a higher proportion of eligible preterms receiving KMC during hospital stay (100% vs. 75%, p < 0.05) and at home (87% vs. 28%, p < 0.05) and KMC being provided more often by other family members (27.1% vs. 5.7%, p < 0.05).
Implementation of a KMC education protocol resulted in improved KMC usage in the unit and at home 4 wk after discharge.
尽管袋鼠式护理（KMC）是降低新生儿死亡率的循证工具，但它的使用率仍然很低。因此，制定当地策略来增强 KMC 的使用非常重要。本研究旨在评估实施教育方案对新生儿重症监护病房（NICU）和出院后家庭中 KMC 使用的影响。
前瞻性纳入入住 NICU 的早产儿母婴二人组。在最初的 3 个月中，收集了单位内和出院后家庭中 KMC 使用的基线数据。在接下来的 3 个月中，实施了 KMC 教育方案，包括对母亲和家庭成员进行一对一咨询、教育和关于 KMC 的益处和程序的宣传，以及焦点小组讨论，使其成为一项单位工作方案。在接下来的 3 个月中，再次收集单位内和出院后家庭中 KMC 使用的数据，并与基线数据进行比较。
实施教育方案导致 KMC 的更早开始（2.49±0.67 天与 4.65±0.99 天，p<0.05）；KMC 持续时间更长（8 小时/天与 3 小时/天，p<0.05）；在住院期间（100%与 75%，p<0.05）和出院后（87%与 28%，p<0.05）接受 KMC 的合格早产儿比例更高；并且 KMC 更多地由其他家庭成员提供（27.1%与 5.7%，p<0.05）。
实施 KMC 教育方案可提高单位内和出院后 4 周 KMC 的使用率。
