Bosque E M, Brady J P, Affonso D D, Wahlberg V
Newborn Services, California Pacific Medical Center, San Francisco 94118, USA.
J Obstet Gynecol Neonatal Nurs. 1995 Mar-Apr;24(3):219-26. doi: 10.1111/j.1552-6909.1995.tb02466.x.
To determine the safety and feasibility of kangaroo care in a tertiary-level nursery as defined by apnea, bradycardia, and oxygen desaturation.
Prospective, long-term, repeated measures with a convenience sample.
A 20-bed, tertiary-level nursery with approximately 400 admissions a year.
Eight mother-infant pairs.
Researchers compared incubator care with kangaroo care for 4 hours a day, 6 days a week, for 3 weeks. Physiologic variables were monitored daily and recorded continuously on a polygraph for 8 hours each week.
Amount of apnea, bradycardia, and oxygen desaturation.
Heart rate, respiratory rate, percent sleep time, and skin temperature.
Apnea, bradycardia, oxygen saturation, heart rate, and respiratory rate were similar during both kangaroo (K) and incubator (I) care. The infants experienced a lower percent (mean +/- standard deviation, K versus I) of total sleep (47 +/- 15 versus 64 +/- 19, p < .003) during kangaroo care. The infants' mean +/- standard deviation temperature during the kangaroo care (36.5 degrees C +/- 0.64 degrees C) was lower (p < .03) than that of the control periods before (36.8 degrees C +/- 0.27 degrees C) or after (36.7 degrees C +/- 0.26 degrees C). Percent sleep time and skin temperature were slightly lower during kangaroo care, but the differences were not clinically significant.
Kangaroo care is safe and feasible for selected mothers and infants in a tertiary-level nursery.
根据呼吸暂停、心动过缓和血氧饱和度来确定三级护理新生儿病房中袋鼠式护理的安全性和可行性。
采用便利抽样的前瞻性长期重复测量研究。
一家拥有20张床位的三级护理新生儿病房，每年约有400名新生儿入院。
八对母婴。
研究人员将保温箱护理与袋鼠式护理进行比较，每天4小时，每周6天，共3周。每天监测生理变量，并每周在多导生理记录仪上连续记录8小时。
呼吸暂停、心动过缓和血氧饱和度的发生次数。
心率、呼吸频率、睡眠时间百分比和皮肤温度。
在袋鼠式护理（K）和保温箱护理（I）期间，呼吸暂停、心动过缓、血氧饱和度、心率和呼吸频率相似。在袋鼠式护理期间，婴儿的总睡眠时间百分比（均值±标准差，K组与I组）较低（47±15对64±19，p<0.003）。在袋鼠式护理期间，婴儿的平均±标准差体温（36.5℃±0.64℃）低于护理前（36.8℃±0.27℃）或护理后（36.7℃±0.26℃）的对照期（p<0.03）。在袋鼠式护理期间，睡眠时间百分比和皮肤温度略低，但差异无临床意义。
在三级护理新生儿病房中，袋鼠式护理对选定的母婴来说是安全可行的。
