Effect of kangaroo mother care on cerebral oxygenation, physiological parameters, and comfort levels in late-premature infants: A randomized controlled trial.

Autor: Tas Arslan F; Faculty of Nursing, Selcuk University, Konya, Turkey., Akkoyun S; Vocational School of Health Services, Selcuk University, Konya, Turkey. Electronic address: sevincakkoyun87@gmail.com., Küçükoğlu S; Faculty of Nursing, Selcuk University, Konya, Turkey., Kocoglu-Tanyer D; Faculty of Nursing, Selcuk University, Konya, Turkey., Konak M; Division of Neonatology, Faculty of Medicine, Selcuk University, Konya, Turkey., Soylu H; Division of Neonatology, Faculty of Medicine, Selcuk University, Konya, Turkey.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Oct; Vol. 137, pp. 104096. Date of Electronic Publication: 2024 Jul 07.
DOI: 10.1016/j.midw.2024.104096
Abstrakt: Objective: To measure the effects kangaroo mother care (KMC) on the regional cerebral oxygen saturation (rSO 2 ) measured with near-infrared spectroscopy (NIRS) in premature infants and to study the physiological stability and comfort of the infants during such interventions.
Design: This was a prospective, single-centered, single-blind, 2-arm, parallel-group randomized controlled trial conducted.
Settings: The study was carried out in a tertiary neonatal intensive care unit in Medical Faculty Hospital in Konya/Turkey.
Participants: Premature infants born between 24 and 36 +6 weeks. Participants were randomly assigned to one of two groups: kangaroo care (n = 20) and control groups (n = 20). The rSO 2 , oxygen saturation (%SpO 2 ), heart rate (HR), respiratory rate, body temperature, and comfort levels of the infants were evaluated in three stages.
Findings: In the 60th min measurement of the intervention group, rSO 2 , body temperature, heart rate, respiratory rate, and, comfort level, the comfort level was found to be higher and significant in the 30th and 60th min measurements (p < 0.001). In the intervention group, the rSO 2 (p < 0.001), body temperature (p < 0.001), HR (p < 0.001), SpO 2 (p < 0.001), respiratory rate (p < 0.001), and comfort levels (p < 0.001) scores with the control group and the group × time interaction was significant.
Key Conclusions: KMC moderately increased the rSO 2 levels and also created a moderate effect size on the physiological parameters and comfort levels of the newborns, which implicates its short-term benefits for premature infants.
Practice Implications: KMC may be beneficial in stabilizing rSO 2 and physiological parameters and increasing comfort in premature infants. The trial was registered in ClinicalTrials.gov (identifier: NCT04725435).
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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