Effect of Kangaroo
Effect of Kangaroo Mother Care on Premature Infants’ Physiological, Behavioral and Psychosocial Outcomes in Ain Shams Maternity and Gynecological Hospital, Cairo, Egypt
Nahed Saied Mohammed El- Nagger1,4, Hoda Abed El-Azim2,4and Sahar Mahmoud Zaki Hassan3,4
1Pediatric Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt
2Obstetric and Gynecological Nursing Department, Faculty of Nursing, ElMinia University, ElMinia, Egypt
3Community Health Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt
4Faculty of Nursing, Umm Al Qura University, Saudi Arabia, Makkah Al- Mukramah
Abstract: Background: Kangaroo Mother Care (KMC) is a method of skin-to-skin contact that has physiological, behavioral and psychosocial gains for premature infants. The aim of this study was to evaluate the effect of KMC on premature infants' physiological, behavioral and psychosocial outcomes. Study design: It was a quasi-experimental study. Subjects and Methods: A purposive sample composed of fifty premature infants and their mothers were chosen from the Neonatal Intensive Care Unit (NICU) at Ain Shams Maternity and Gynecological Hospital according to inclusive and exclusive criteria and recruited into two identical groups: group one was the study group (25) received KMC and group two was the control group (25) received conventional care. The data were collected through using the kangaroo Mother Care Assessment Flow Sheet(KMCAFS) and Mother Bonding Behavioral Scale (pre/post).The researcher was available three days per week, five hours per day from 10 am to 3pm. The average number of cases that was taken per week ranged from2 to 4 premature infants and their mothers. Results: Approximately, fifty percent of premature infants' gestational age was 34 -≤ 36 weeks and < 32 weeks in both study and control groups respectively. Meanwhile, the birth weight in three fourths of study group was 2000 - <2500 grams and more than half of premature infants' diagnosis was prematurity. Regarding, the premature infants' physiological outcomes, it was found that there was statistical significant differences pre and post KMC application (X2 = 17.64, 17.64,7.76 and 0.36 and P-value≤0.05) concerning heart rate, respiratory rate, temperature and occurrence of apneic episodes respectively.Conclusion: KMC was effectively and positively promoted premature infants' physiological stability, behavioral organization and enhanced psychosocial outcomes than those cared by the conventional care.Recommendations: Educational training program for all neonatal nurses in skills necessary to implement the KMC and further studies should be conducted to assess the neonatal nurses' knowledge, attitudes and practices regarding KMC.
[Nahed Saied Mohammed El-Nagger, Hoda Abed El-Azimand Sahar Mahmoud Zaki Hassan. Effect of Kangaroo Mother Care on Premature Infants’ Physiological, Behavioral and Psychosocial Outcomes in Ain Shams Maternity and Gynecological Hospital, Cairo, Egypt. Life Sci J 2013;10(1):703-716]. (ISSN: 1097-8135).http://www.lifesciencesite.com.
Key words: Kangaroo Mother Care (KMC), Premature Infants, Conventional Care.