Artese Claudia, Paterlini Giuseppe, Mascheroni Eleonora, Montirosso Rosario
SOD Neonatology and Neonatal Intensive Care Unit, Careggi Hospital-University, Italy.
Department of Mother's and Child's Health, Neonatology and Neonatal Intensive Care Unit, Poliambulanza Foundation Hospital Institute, Italy.
J Pediatr Nurs. 2021 Mar-Apr;57:e68-e73. doi: 10.1016/j.pedn.2020.10.028. Epub 2020 Nov 12.
This work aimed to investigate obstacles and facilitators for carrying out Kangaroo Mother Care (KMC) across Italian NICUs.
A survey that investigated Unit's characteristics, policies toward parents and KMC practice and policies was carried out. Data from 86 NICUs (80.4%) was collected. Descriptive statistics and Multiple Regression Models were computed.
Eighty-one NICUs provided KMC. These NICUs had a less restricted parental access policies (chi = 7.373, p = .007). More than the 70% of the units did not have adequate facilities for parents. KMC daily length was positively predicted (R = 0.18, F = 7.91, p = .001) by repeated sessions and documentation of KMC.
The implementation of KMC is characterized by different barriers and facilitators that determine the parent's possibility to provide KMC. Structural factors (e.g., adequate space and facilities) can support families in providing KMC. A unique result of this survey is that KMC documentation on medical records appears critical for improving its practice.
Although most of the Italian units provide KMC as a routine practice, improving its practical support would be beneficial to its implementation. A more formalized approach to KMC may strengthen staff habits to consider KMC like a standard care treatment.
本研究旨在调查意大利各新生儿重症监护病房（NICU）开展袋鼠式护理（KMC）的障碍和促进因素。
开展了一项调查，内容涉及科室特征、对家长的政策以及KMC实践与政策。收集了来自86个NICU（80.4%）的数据。计算了描述性统计数据和多元回归模型。
81个NICU提供KMC。这些NICU对家长探视的限制政策较少（卡方=7.373，p=0.007）。超过70%的科室没有为家长提供足够的设施。KMC的每日时长通过KMC的重复疗程和记录得到了正向预测（R=0.18，F=7.91，p=0.001）。
KMC的实施存在不同的障碍和促进因素，这些因素决定了家长实施KMC的可能性。结构因素（如充足的空间和设施）可以支持家庭实施KMC。本次调查的一个独特结果是，病历上的KMC记录对于改善其实践似乎至关重要。
尽管大多数意大利科室将KMC作为常规做法，但改善其实践支持将有利于其实施。对KMC采用更正式的方法可能会强化工作人员将KMC视为标准护理治疗的习惯。
