Affonso D, Bosque E, Wahlberg V, Brady J P
Neonatal Netw. 1993 Apr;12(3):25-32.
Feasibility and safety of skin-to-skin contact through the Kangaroo method of care in a modern American tertiary intensive care was studied, as well as effects of this innovative care on mother's emotional reactions. Eight mother infant dyads participated in skin-to-skin contact a minimum of 4 hours each day for six days per week during a period of three consecutive weeks. The cognitive adaptation framework was used to identify themes in maternal responses. During the first week, mothers were preoccupied with childbirth events in attempts to understand their sense of loss and victimization. During the second week, maternal emotions intensified and manifested in fears for the baby's well-being and a need to discuss negative and positive emotional reactions to having a premature and sick baby. All mothers requested respite time from skin-to-skin contact, so they could deal with their emotional crises. By the third week, mothers had an increased sense of meaning, mastery, and self-esteem about what had happened to themselves and their infants. Themes of reconciliation and healing occurred when mothers placed their infant skin-to-skin in the Kangaroo position over the three consecutive weeks that this type of nursing care was experienced.
本研究探讨了在美国一家现代三级重症监护病房采用袋鼠式护理法进行皮肤接触的可行性和安全性，以及这种创新护理对母亲情绪反应的影响。八对母婴参与了皮肤接触，在连续三周的时间里，每周六天，每天至少进行4小时的皮肤接触。认知适应框架被用来识别母亲反应中的主题。在第一周，母亲们全神贯注于分娩事件，试图理解她们的失落感和受害者意识。在第二周，母亲的情绪加剧，表现为对婴儿健康的担忧，以及需要讨论对生下早产和患病婴儿的负面和正面情绪反应。所有母亲都要求暂停皮肤接触，以便她们能够应对自己的情绪危机。到第三周，母亲们对自己和婴儿所经历的事情有了更强的意义感、掌控感和自尊心。在连续三周体验这种护理方式的过程中，当母亲们将婴儿以袋鼠式姿势进行皮肤接触时，出现了和解与治愈的主题。
