印度尼西亚一家区级医院针对低体重新生儿的袋鼠式护理实践。
Kangaroo mother care practices for low birthweight newborns in a district hospital in Indonesia.
作者信息
Choirunisa Septyana, Adisasmita Asri, Izati Yulia Nur, Pratomo Hadi, Iriani Dewi
机构信息
Graduate Student, Faculty of Public Health, Universitas Indonesia, Depok · Researcher, Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Professor, Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok · Co-Principal Investigator, Kangaroo Mother Care Research Project Team, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
出版信息
Child Health Nurs Res. 2021 Oct;27(4):354-364. doi: 10.4094/chnr.2021.27.4.354. Epub 2021 Oct 31.
PURPOSE
Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital.
METHODS
Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted.
RESULTS
This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC.
CONCLUSION
Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.
目的
袋鼠式护理（KMC）30年前被引入印度尼西亚，但使用程度尚未得到充分记录。因此，本研究旨在调查KMC的使用情况，并评估在印度尼西亚雅加达北部科贾区医院接受KMC的婴儿的特征。这项回顾性队列研究记录了上述医院出生体重小于或等于2200克的婴儿的特征。
方法
从婴儿登记册收集的数据包括胎龄、出生体重、阿氏评分、并发症数量、新生儿重症监护病房治疗史和KMC状态。进行了Cox回归分析。
结果
本研究发现57.7%的婴儿接受了KMC。出生体重超过1500克 的婴儿接受KMC的可能性是其他婴儿的2.16倍（95%置信区间：1.20 - 3.89）。
结论
建议努力推广KMC，特别是对于出生体重超过1500克的婴儿。对于其他情况的婴儿，也可根据婴儿的稳定性考虑实施KMC。
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