Outcomes of a clinical guideline for implementation of Kangaroo Care with premature infants in a Neonatal Intensive Care Unit, Maharaj Nakorn ChiangMai Hospital

Article type
Authors
Papana N1
1NICU,Nursing division,faculty of medicine,chiang mai university
Abstract
Background:Preterm infants in neonatal intensive care unit are treated and exposed to several stressful interventions. The separation between these infants and their mothers is a major stressor. Kangaroo Mother Care (KMC) has proved beneficial for preterm infants and their mothers.

Objectives:The purpose of this quasi-experimental research study was to examine the effect of KMC on physiologic outcomes, oxygen saturation, apnea of prematurity and mothers’ satisfaction.

Methods: The sample consisted of 17 preterm infants and their mothers with 30 weeks post-conceptional age and above, who were hospitalised in the Neonatal Intensive Care Unit (NICU) of Maharaj Nakorn Chiang Mai Hospital during July to December 2015. The sample of this study was purposive sampling. The research process of this study was divided into three phases: 1) preparing phase; 2) implementation KMC phase; and, 3) after implementation phase. Physiologic outcomes, oxygen saturation and apnea were collected in every phase. Mothers’ satisfaction were evaluated after implementation KMC. The data were analysed using descriptive statistic and repeated measures ANOVA.

Results: The result of this study revealed that body temperature (F=2.10, p=.14), respiratory rate (F=.62, p=.55), heart rate (F=1.90, p=.17), and oxygen saturation (F=.21, p=.81) were not statistically significant between preparing, implementation and after KMC phase.In addition, no change of oxygen used and no apnea were found this study. All of the mothers had highest level of satisfaction.

Conclusions: The findings of this study show that KMC is safe for preterm infants. KMC should be promoted in routine care for improving the relationship between mothers and infants. It also leads to continued breast feeding.