Department of Clinical Sciences, Pediatrics, Umeå University, Umea, Sweden.
Department of Clinical Sciences, Lund University, Lund, Sweden.
Scand J Caring Sci. 2022 Dec;36(4):997-1005. doi: 10.1111/scs.13000. Epub 2021 May 18.
The positive effects of Kangaroo mother care in NICU's are well documented but, to a lesser extent, explored during inter-hospital neonatal transport. Inter-hospital transport, with the infant placed in a transport incubator, increases the risk of separation while infants in Kangaroo mother care position implies that the parents accompany the transport. There exists limited knowledge if physiological stability differs when transported in Kangaroo mother care position compared to transport in a transport incubator.
The aim of this study was to compare physiological stability of infants transported via ground ambulance in either Kangaroo mother care position or positioned in a transport incubator.
In total, 24 infants were recruited to be transported between hospitals in either a Kangaroo mother care position (n = 16) or in a transport incubator (n = 8). Inclusion criteria were; current weight >1500 g; current gestational age above 31 weeks; no central catheter; no respiratory support and no planed painful or distressing interventions during the 48-h follow-up period post-transport. Exclusion criteria were; infants whose parents did not speak or understand Swedish or English and infants with a current weight above 4500 g for the KMC group. Physiological stability was obtained during transport and for a 48-h follow-up period by measuring body temperature, respiratory and heart rate, oxygen saturation, pain score, transport risk assessment and number of interventions during transport and 48-h post-transport. Cost-effectiveness and adverse events were also evaluated.
Both groups had comparable background characteristics and physiological stability during transport and for the 48-h follow-up period after transport. Transporting in Kangaroo mother care position was more cost-effective.
A small sample size in both groups.
Transporting an infant in Kangaroo mother care position can be regarded as a choice of transport mode when the infant fulfils the set criteria.
袋鼠式护理在新生儿重症监护病房中的积极影响已得到充分证实，但在医院间新生儿转运中，其影响的研究程度较低。使用转运保温箱运送婴儿会增加分离的风险，而袋鼠式护理会让父母陪同转运。目前尚不清楚在袋鼠式护理体位与使用转运保温箱进行转运时，婴儿的生理稳定性是否存在差异。
本研究旨在比较地面救护车转运中婴儿在袋鼠式护理体位与使用转运保温箱时的生理稳定性。
共有 24 名婴儿被招募在两家医院间转运，分别采用袋鼠式护理体位（n=16）或使用转运保温箱（n=8）。纳入标准为：当前体重＞1500g；当前胎龄＞31 周；无中心静脉导管；无呼吸支持；转运后 48 小时内无计划进行疼痛或痛苦的干预。排除标准为：父母不会讲或听不懂瑞典语或英语的婴儿；当前体重＞4500g 的婴儿（KMC 组）。通过测量体温、呼吸和心率、氧饱和度、疼痛评分、转运风险评估以及转运期间和转运后 48 小时内的干预次数来获得转运过程中和转运后 48 小时内的生理稳定性。还评估了成本效益和不良事件。
两组的背景特征和转运期间及转运后 48 小时的生理稳定性均具有可比性。采用袋鼠式护理体位转运更具成本效益。
两组的样本量均较小。
当婴儿符合设定标准时，可将婴儿采用袋鼠式护理体位作为转运模式的选择。
