Effect of Educational Intervention on Knowledge, Attitude and Practice of Nursing Mothers of Babies Receiving Kangaroo Mother Care and its Impact on Weight Gain: A Randomised Controlled Trial

Autor: Nr Supreeth Prasad, Jyothi S Doshetty, Meenakshi Sarvi, Bm Sindhura, Chinmayi R Joshi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Indian Journal of Neonatal Medicine and Research, Vol 12, Iss 02, Pp 39-46 (2024)
Druh dokumentu: article
ISSN: 2277-8527
2455-6890
DOI: 10.7860/IJNMR/2024/67583.2419
Popis: Kangaroo Mother Care (KMC) has proven to be a humane, powerful, easy-to-use, and low-cost method to promote the health of Low Birth Weight (LBW) neonates. The level of Knowledge, Attitude and Practice (KAP) of nursing mothers on KMC is variable. The KAP of mothers on KMC can be improved through mass media communication, which In turn improves the outcome of LBW. Aim: To determine the level of KAP regarding KMC among the mothers admitted to the KMC ward and to assess the impact of educational intervention on babies’ weight gain during KMC stay and on follow-up. Materials and Methods: This was a Randomised Controlled Trial conducted in the KMC ward, Belagavi Institute of Medical Science (BIMS) (a tertiary care centre), Northern Karnataka, India, from March 2021 to February 2022. A total of 79 subjects were included in the study and randomised into two groups: the case group (n=39) and the control group (n=40). The case group received educational intervention on KMC using audiovisual aids, while the control group received standard KMC counselling. Mothers from both groups were assessed for KAP using a prestructured questionnaire. Babies were followed-up at the 1st, 2nd, and 3rd months after discharge for weight gain. Data were analysed using Statistical Package for Social Sciences (SPSS) software version 23.0. Chi-square tests and Mann-Whitney U tests were applied for analysis. Results: The study comprised 79 KMC mother-baby dyads, with 39 in the case group and 40 in the control group. Most mothers (91%) were in the age group of 20-30 years, and 92% of the mothers had an educational status of Secondary School Leaving Certificate (SSLC), and Pre-university Course (PUC). The mean birth weight was 2.1 kg, 57% of babies were delivered by Lower Segment Caesarean Section (LSCS), and the mean gestational age was 34.48 weeks. There were no significant differences in demographic characteristics between the two groups. At admission, there was no significant difference in knowledge scores between the case and control groups (20.83±1.89 vs 19.19±3.04, p-value=0.06), but there was a statistically highly significant difference at discharge (23.9±0.38 vs 21.63±3.31, p-value
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