Outcomes of a clinical guideline for implementation of Kangaroo Care with premature Infants in Neonatal Intensive Care Unit

Navapun Papana; Lawan Tawitha

Authors

Navapun Papana Nursing Department, Faculty of Medicine, Chiang Mai University, Thailand
Lawan Tawitha Nursing Department, Faculty of Medicine, Chiang Mai University, Thailand

Keywords:

kangaroo care, clinical guideline, premature Infants, Neonatal Intensive Care Unit

Abstract

Objective The purposes of this study were to examine the effect of Kangaroo care on physiologic outcomes, oxygen saturation, apnea of prematurity and mothers’ satisfaction.

Methods The study is quasi-experimental research in preterm infants and their mothers with 30 weeks postconceptional age and above, who were hospitalized in Neonatal Intensive Care Unit (NICU) of Maharaj Nakorn Chiang Mai Hospital during July to December 2015. The sample of this study was purposive sampling receiving Maharaj Nakorn Chiang mai’s Kangaroo care guideline. To collect basic data of infants such as gender, gestational age, correct age and maternal age. The physiologic outcomes, temperature, heart rate, respiratory rate and oxygen saturation were collected between prepareing ,implementation and after Kangaroo care including apnea rate and maternal satisfaction. The data were analyzed by using descriptive statistic and repeated measures ANOVA.

Results There is 17 premature infants who received Kangaroo care. 52% are male gender, age 29.7 weeks, postmenstrual age 32.8 weeks, correct age 22.5 days and maternal age 30.06 year. The result of this study revealed that the body temperature (36.8±0.2, 36.9±0.3, 37.0±0.4 °C, p=0.14) Heart rate (161.6±13.3, 162.2±12.6, 165.8±16 T/min, p=0.17) respiration rate (55.8±7.2, 55.9±5.7, 53.9±8.5 T/min, p=0.55) and oxygen saturation (97.3%±2.7, 96.8%± 2.5, 97.0%±3.2, p=0.81). There was no statistically significant between prepareing,implementation and after Kangaroo care phase. .In addition, there were found no apnea in this study. All of the mothers had highest level of satisfaction.

Conclusion Thefindings of this study show that KMC is safe for preterm infants. KMC should be continuing promoted in routine care.

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