Objective To evaluate the maternal satisfaction and the clinical effect of kangaroo mother care (KMC) in preterm infants. Methods We searched PubMed, EMBASE, Ovid, Springer, CNKI, CBM and Taiwan Database of Journal Fulltext (from establishment to September 2007) and hand searched relevant conference proceedings to identify randomized controlled trials on kangaroo mother care. The quality of included trials was assessed. Meta-analyses were conducted using The Cochrane Collaboration’s RevMan 4.2 software. Results A total of 5 eligible studies were included. No significant differences were observed in infant mortality, incidence of severe infections, and psychomotor development at 12 months (corrected for age) between the KMC group and the routine therapy group (Pgt;0.05). Compared to the routine therapy group, the KMC group had lower incidences of nosocomial infection, upper respiratory tract disease at 6-month follow-up and not exclusively breastfeeding at discharge (Plt;0.05). KMC could improve mother’s sense of competence during her baby’s stay in hospital and NICU, increase infant weight at discharge, relieve mother’s feelings of worry and stress during her baby’s stay in hospital (Plt;0.05). Conclusions The currently published evidence from randomised trials supports the use of KMC in preterm infants, which is a scientific, effective and humanistic nursing model. Further multicentre and large-scale randomized controlled trials of KMC are still needed to evaluate its potential influence on infant mortality and psychomotor development.
目的 讨论袋鼠式护理对于足月新生儿疼痛的护理效果，评价其临床应用价值。 方法 将2010年9月－2011年6月在本院出生的98例足月新生儿随机分为两组，其中对照组（49例）采用常规护理方法，观察组（49例）采用袋鼠式护理，对两组新生儿的疼痛程度、心率、血氧饱和度及啼哭时间进行比较。 结果 观察组新生儿疼痛评分低于对照组，两组差异具有统计学意义（P＜0.05）；观察组新生儿心率低于对照组，而血氧饱和度高于对照组，两组差异有统计学意义（P＜0.05）；观察组新生儿啼哭时间短于对照组，两组间差异具有统计学意义（P＜0.05）。结论 袋鼠式护理有助于降低新生儿的疼痛感，促进生命体征稳定，临床应用效果好。
Kangaroo mother care has reduced mortality and morbidity in preterm and low birth weight infants and has many benefits, such as promoting breastfeeding. Based on the current evidence in China and internationally, we developed clinical practice guidelines for kangaroo mother care in preterm and low birth weight infants using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE), and proposed 34 recommendations for 20 key questions. Our goal is to promote the appropriate implementation of kangaroo mother care in clinical practice.