Chen Wei-Yan, Wu Ying-Ying, Xu Meng-Yan, Tung Tao-Hsin
Nursing Department, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.
Nursing Department, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, China.
Front Pediatr. 2022 Jul 22;10:879956. doi: 10.3389/fped.2022.879956. eCollection 2022.
To investigate the effect of kangaroo mother care on the psychological stress response and sleep quality of mothers with premature infants admitted to the neonatal intensive care unit (NICU).
A randomized controlled design was used to recruit participants. The study recruited 126 mothers of premature infants in the NICU from January 2019 to January 2020. The participants were divided into the experimental and control groups according to the random number table method (63 mothers per group). The control group was managed with conventional premature infant treatment, nursing programme, and discharge education, whereas the experimental group was managed with a 4-week kangaroo mother care intervention. The psychological stress state and sleep status of mothers with preterm infants in both the groups were evaluated using the Symptom Check List 90 (SCL-90) and Assens Insomnia Scale (AIS).
After the intervention, the total SCL-90 score and factor scores such as coercion, interpersonal relationships, depression, anxiety, hostility and additional factors, were lower in the experimental group than those in the control group ( < 0.05). The total AIS score and the items such as night waking, total sleep time, total sleep quality, daytime mood and daytime body function were lower in the experimental group than those in the control group ( < 0.05).
The Kangaroo mother care approach can relieve adverse psychological stress and improve the sleep status of mothers of NICU premature infants after mother-infant separation. It can be promoted and used in mothers of premature infants in the NICU to enhance physical and mental health.
探讨袋鼠式护理对入住新生儿重症监护病房（NICU）的早产儿母亲心理应激反应及睡眠质量的影响。
采用随机对照设计招募参与者。该研究于2019年1月至2020年1月招募了126名NICU的早产儿母亲。参与者根据随机数字表法分为实验组和对照组（每组63名母亲）。对照组采用常规的早产儿治疗、护理方案及出院教育，而实验组采用为期4周的袋鼠式护理干预。两组中早产儿母亲的心理应激状态和睡眠状况均采用症状自评量表90（SCL-90）和阿森斯失眠量表（AIS）进行评估。
干预后，实验组SCL-90总分及强迫、人际关系、抑郁、焦虑、敌对和附加因子等因子分均低于对照组（<0.05）。实验组AIS总分及夜间觉醒、总睡眠时间、总体睡眠质量、日间情绪和日间身体功能等项目均低于对照组（<0.05）。
袋鼠式护理方法可缓解母婴分离后NICU早产儿母亲的不良心理应激，改善其睡眠状况。可在NICU早产儿母亲中推广应用，以增进身心健康。
