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袋鼠式护理法对早产儿体重增加的影响:系统评价

Impact of the Kangaroo mother care method on weight gain in premature newborns: systematic review.

作者信息

Bueno-Pérez Ismael, Martín-Vázquez Cristian, Martínez-Angulo Pablo, Calvo-Ayuso Natalia, García-Fernández Rubén

机构信息

Nurse at the Health Service of the Principality of Asturias (SESPA), Asturias, Spain.

Departament of Nursing and Physiotherapy, Faculty of Health Sciences, University of Leon, Campus of Ponferrada, Ponferrada, León, Spain.

出版信息

BMC Pediatr. 2025 May 8;25(1):365. doi: 10.1186/s12887-025-05597-6.

DOI:10.1186/s12887-025-05597-6
PMID:40340898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060352/
Abstract

PURPOSE

To evaluate the impact of the Kangaroo Mother Care method on weight gain in premature newborns.

METHODS

A systematic review was conducted in scientific databases, including Pubmed, Cochrane, Web of Science, and Scopus, as well as clinically relevant articles from Dialnet and Cuiden. The search covered the period from January 1, 2018, to December 31, 2023, using keywords and boolean operators "AND" and "OR."

RESULTS

Nine studies meeting the inclusion criteria and undergoing critical reading were included. Despite the high heterogeneity, the results underscore the global relevance of the Kangaroo Mother Care Method, demonstrating that this method positively impacts weight gain in newborns. Additionally, the positive influence of breastfeeding and kinesthetic stimulation on the weight of these preterm infants was observed.

CONCLUSIONS

The Kangaroo Mother Care method significantly benefits preterm newborns, improving weight gain. Breastfeeding and kinesthetic stimulation combined with KMC further enhance the benefits regarding the weight of preterm infants. These findings highlight the need for broader adoption of Kangaroo Mother Care with standardized protocols.

摘要

目的

评估袋鼠式护理法对早产新生儿体重增加的影响。

方法

在科学数据库中进行了系统综述,包括PubMed、Cochrane、科学网和Scopus,以及来自Dialnet和Cuiden的临床相关文章。检索涵盖2018年1月1日至2023年12月31日期间,使用关键词以及布尔运算符“AND”和“OR”。

结果

纳入了9项符合纳入标准并经过严格审阅的研究。尽管异质性较高,但结果强调了袋鼠式护理法的全球相关性,表明该方法对新生儿体重增加有积极影响。此外,还观察到母乳喂养和触觉刺激对这些早产儿体重的积极影响。

结论

袋鼠式护理法对早产新生儿有显著益处,可改善体重增加情况。母乳喂养和触觉刺激与袋鼠式护理相结合,进一步增强了对早产儿体重的益处。这些发现凸显了采用标准化方案更广泛应用袋鼠式护理法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25de/12060352/6309c08754f5/12887_2025_5597_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25de/12060352/6309c08754f5/12887_2025_5597_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25de/12060352/6309c08754f5/12887_2025_5597_Fig1_HTML.jpg

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本文引用的文献

1
National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis.2020 年全球、区域和国家早产估计数及其 2010 年以来的变化趋势:系统分析。
Lancet. 2023 Oct 7;402(10409):1261-1271. doi: 10.1016/S0140-6736(23)00878-4.
2
Exploring factors influencing the uptake of kangaroo mother care: key informant interviews with parents.探讨影响袋鼠式护理接受度的因素:对父母的关键知情人访谈。
BMC Pregnancy Childbirth. 2023 Oct 3;23(1):706. doi: 10.1186/s12884-023-06021-6.
3
Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis.
袋鼠式护理对早产儿或低出生体重儿的影响:系统评价和荟萃分析。
BMJ Glob Health. 2023 Jun;8(6). doi: 10.1136/bmjgh-2022-010728.
4
The effects of multisensory stimulation on the length of hospital stay and weight gain in hospitalized preterm infants: A systematic review with meta-analysis.多感官刺激对住院早产儿住院时间和体重增加的影响:系统评价与荟萃分析。
Braz J Phys Ther. 2023 Jan-Feb;27(1):100468. doi: 10.1016/j.bjpt.2022.100468. Epub 2022 Dec 20.
5
Strengthening Kangaroo Mother Care at a tertiary level hospital in Zambia: A prospective descriptive study.赞比亚一所三级医院袋鼠式护理的强化:一项前瞻性描述性研究。
PLoS One. 2022 Sep 1;17(9):e0272444. doi: 10.1371/journal.pone.0272444. eCollection 2022.
6
Implementation experience of a 12-month intervention to introduce intermittent kangaroo mother care to eight Chinese neonatal intensive care units.在八个中国新生儿重症监护病房引入间歇性袋鼠式护理为期12个月的干预措施的实施经验。
World J Pediatr. 2022 Dec;18(12):849-853. doi: 10.1007/s12519-022-00607-4. Epub 2022 Aug 25.
7
Benefits of Kangaroo Mother Care on the Physiological Stress Parameters of Preterm Infants and Mothers in Neonatal Intensive Care.袋鼠式护理对新生儿重症监护中早产儿及其母亲生理应激参数的影响。
Int J Environ Res Public Health. 2022 Jun 11;19(12):7183. doi: 10.3390/ijerph19127183.
8
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
9
Positive Effects of Kangaroo Mother Care on Long-Term Breastfeeding Rates, Growth, and Neurodevelopment in Preterm Infants.袋鼠式护理对早产儿长期母乳喂养率、生长和神经发育的积极影响。
Breastfeed Med. 2021 Apr;16(4):282-291. doi: 10.1089/bfm.2020.0358. Epub 2021 Feb 2.
10
Effect of early kangaroo mother care on time to full feeds in preterm infants - A prospective cohort study.早期袋鼠式母亲护理对早产儿完全喂养时间的影响——一项前瞻性队列研究。
Early Hum Dev. 2021 Mar;154:105312. doi: 10.1016/j.earlhumdev.2021.105312. Epub 2021 Jan 22.