Reimagining Kangaroo Care for Preterm Infants: A Novel Garment for Safe and Comfortable Bonding.

Autor:	McMillin A; Lucile Packard Children's Hospital Stanford, 453 Quarry Road, Palo Alto, CA 94304, USA., Presser Aiden A; Lucile Packard Children's Hospital Stanford, 453 Quarry Road, Palo Alto, CA 94304, USA., Sherman JP; Children's National Hospital, 111 Michigan Avenue NW, Washington, DC 20010, USA., Crystal RA; Lucile Packard Children's Hospital Stanford, 453 Quarry Road, Palo Alto, CA 94304, USA., Rhine WD; Lucile Packard Children's Hospital Stanford, 453 Quarry Road, Palo Alto, CA 94304, USA.
Jazyk:	angličtina
Zdroj:	Children (Basel, Switzerland) [Children (Basel)] 2024 Nov 16; Vol. 11 (11). Date of Electronic Publication: 2024 Nov 16.
DOI:	10.3390/children11111392
Abstrakt:	Background/objectives: Kangaroo Care (KC) has been proven to enhance physiological stability, growth, and bonding in preterm, low-birthweight infants. Despite its benefits, KC is underutilized in Level IV Neonatal Intensive Care Units (NICUs) due to challenges in managing medical equipment. This study introduces the Kangarobe™, a novel garment designed to facilitate safe, comfortable, and efficient KC for medically fragile infants in high-acuity NICUs. Methods: From 2021 to 2023, a feasibility study was conducted involving 25 infant-parent dyads in a Level IV NICU. The Kangarobe™ was designed using human-centered design principles and tested on infants dependent on respiratory support. Surveys employing a 5-point Likert scale were administered to parents and nursing staff to assess safety, comfort, ease of use, and procedural access. Results: Survey results showed positive feedback from both parents and nursing staff, particularly in the areas of safety and comfort. For example, 72-80% of parents and nurses responded positively regarding ease and comfort. High level of agreement (76%) on the security of medical line management, with minimal negative feedback. In addition, parents using the Kangarobe™ held their infants for an average of 171 min per session, with a notable increase compared to the typical 75 min, indicating enhanced comfort and feasibility for extended KC sessions. The Kangarobe™ successfully enabled the secure management of medical lines and tubes, with the vertical access window improving procedural efficiency without interrupting KC. Conclusions: The Kangarobe™ demonstrates promise in addressing barriers to KC in high-acuity NICUs. By enhancing safety, comfort, and ease of use, it supports wider adoption of KC practices, potentially improving patient safety, staff efficiency, and family-centered care.
Databáze:	MEDLINE
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