Effectiveness of Kangaroo Care Education Programme on Mothers, Nurses, and Infants Outcomes in Neonatal Intensive Care Unit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 96
- 试验地点
- 2
- 主要终点
- Change from baseline knowledge of KC at 1-month and 3-month among the mothers.
研究概览
简要总结
A quasi-experimental and longitudinal study was conducted to evaluate the effectiveness of the kangaroo care education program (KCEP) on Mothers, Nurses, and Infants Outcomes in a Neonatal Intensive Care Unit. Forty-eight mother-infant dyads were enrolled per arm in the control and experimental groups. The control group received standard routine care, while the experimental group received a maternal kangaroo care education program.
详细描述
Introduction:
Kangaroo care (KC) is a simple, low cost and highly effective evidence-based nursing intervention that can benefit from mother-infant bonding attachment. Most mothers of premature infants will experience stress being separated from their premature infants. Bonding with premature infants will develop their brain and also make them feel loved, safe, and secure. Therefore, KC will help in bonding attachment, increase weight gain, decrease hospitalization, and increase breastfeeding rates.
Aim:
This study aims to investigate the effectiveness of two programs; a nursing education program and a mother education program regarding KC techniques on mothers, nurses, and infant outcomes.
Method:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Premature infant at corrected age between 28 weeks to 36+6 weeks gestation.
- •Both mothers and premature infants were medically and surgically stable.
- •Mothers were willing to perform KC and admitted to the NICU.
排除标准
- •Surgical infant i.e cleft lip, cleft palate, spina bifida, exomphalos, and omphalocele.
- •Infant required medical treatment eg. prolonged phototherapy treatment.
- •Trisomy 21.
结局指标
主要结局
Change from baseline knowledge of KC at 1-month and 3-month among the mothers.
时间窗: Baseline, 1-month, and 3- month.
The respondents were asked to answer 11 items on knowledge of KC. They were given 'true', 'false', and 'not sure' to indicate their knowledge of KC, with higher mean scores indicating a better level of knowledge
Change from baseline knowledge of KC at 1-month and 3-month among the nurses.
时间窗: Baseline, 1-month and 3-month
The respondents were asked to answer 11 items on knowledge of KC. They were given 'true', 'false', and 'not sure' to indicate their knowledge of KC, with higher mean scores indicating a better level of knowledge.
Change from baseline practice of KC at 1-month and 3-month among the nurses.
时间窗: Baseline, 1-month and 3-month
Respondents were asked to answer 11 items on practice of KC. A 5-point Likert scale. The descriptors were: very uncomfortable (1), somewhat uncomfortable (2), neither comfortable (3), somewhat comfortable (4) and very comfortable (5). A lower mean score indicated a high level of confidence and skills in initiating KC.
Change from baseline perceptions of KC at 1-month and 3-month among the mothers.
时间窗: Baseline, 1-month, and 3- month.
The respondents were asked to answer 20 items on perceptions of KC. A 5-point Likert scale was used (strongly disagree-1 to strongly agree-5). A lower mean score reflecting a better perception of KC.
Change from baseline weight gain at 1-month and 3 month among infants.
时间窗: Baseline, 1-month, and 3- month
The infants' weight were measured and recorded.
Change from baseline breast feeding status at 1-month and 3-month among the infants.
时间窗: Baseline, 1-month and 3-month
The breast feeding status of infants were recorded.
Change from baseline perceived stress at 1-month and 3-month among the mothers.
时间窗: Baseline, 1-month, and 3- month.
The respondents were asked to answer 19 items on perceived stress level. A 5-point Likert scale ranging from not at all stressful (1) to extremely stressful (5), to reflect the level of stress faced by mothers with their premature infant's admission into the NICU. The lower the mean stress scores reported by the mothers, the lower the stress level.
Change in number of days of hospitalization among the infants.
时间窗: From day of admission at 28 weeks of gestation until 44 weeks of hospitalization.
The infants' days of hospitalization were recorded.
Change from baseline perceptions of KC at 1-month and 3-month among the nurses.
时间窗: Baseline, 1-month and 3-month
The respondents were asked to answer 20 items on perceptions of KC. A 5-point Likert scale was used (strongly disagree-1 to strongly agree-5). A lower mean score reflecting a better perception of KC.
Change from baseline perceived barrier to KC at 1-month and 3-month among the mothers.
时间窗: Baseline, 1-month, and 3- month.
The respondents were asked to answer 19 items on perceived barriers to practicing KC. The scale ranged from very influential (5) to not influential at all (1). A lower mean score of perceived barriers means the mothers are very positive.
次要结局
未报告次要终点
研究者
Sharmiza Samsudin
Principle Investigator
University of Malaya