早產兒袋鼠式護理的臨床效果和母親滿意度的Meta分析_《中國循證醫學雜志》

作者：

余章斌 ,  韓樹萍 , 徐業芹 , 翁莉

南京醫科大學附屬南京婦幼保健院兒科（南京 210004）;

關鍵詞：

袋鼠式護理早產兒滿意度 Meta分析

DOI：

10.7507/1672-2531.20080058

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　評價早產兒袋鼠式護理（kangaroo mother care，KMC）的臨床效果和母親對KMC滿意度的影響。
方法　計算機檢索PubMed、EMbase、Ovid、Springer數據庫，中國期刊全文數據庫，中國臺灣電子期刊全文數據庫，中國生物醫學文獻數據庫；此外，還手工檢索學術會議記錄、專題論文集。檢索時間均從建庫至2007年9月。納入袋鼠式護理早產兒的所有隨機對照試驗，并對納入文獻進行行質量評價。采用RevMan 4.2軟件進行Meta分析。
結果　最終納入5篇隨機對照試驗。KMC組患兒病死率、重癥感染發生率及12個月隨訪時精神運動功能發育與常規護理組比較，差異無統計學意義（P gt;0.05）。KMC組院內感染發生率、6個月隨訪時的上呼吸道感染發生率及出院時牛奶喂養發生率均低于常規護理組（P lt;0.05）。KMC組的母親對早產兒在普通新生兒和重癥監護病房對他（她）進行照顧的自信心較常規護理組增強，對早產兒在普通新生兒病房的擔心和焦慮情況較常規護理組減輕、患兒出院時體重增加（P lt;0.05）。
結論　 Meta分析結果表明KMC是一種科學、有效、人性化的新生兒護理模式，但對患兒的死亡率和長期精神運動功能發育的影響還不能肯定，需要進行大樣本、多中心的隨機對照試驗進行評價。

引用本文： 余章斌,韓樹萍,徐業芹,翁莉. 早產兒袋鼠式護理的臨床效果和母親滿意度的Meta分析. 中國循證醫學雜志, 2008, 08(4): 277-283. doi: 10.7507/1672-2531.20080058 復制

1.	Dabrowski GA. Skin-to-Skin Contact: Giving Birth Back to Mothers and Babies. Nurs Womens Health, 2007,11(1): 64-71.
2.	Byaruhanga RN, Bergstrom A, Tibemanya J, et al. Perceptions among post-delivery mothers of skin-to-skin contact and newborn baby care in a periurban hospital in Uganda. Midwifery, 2007. [Epub ahead of print].
3.	Pattinson RC, Bergh AM, Malan AF, et al. Does kangaroo mother care save lives? J Trop Pediatr, 2006, 52(6): 438-441.
4.	Ferber SG, Makhoul IR. The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial. Pediatrics, 2004, 113(4): 858-865.
5.	Roller CG. Getting to know you: mothers’ experiences of kangaroo care. J Obstet Gynecol Neonatal Nurs, 2005, 34(2): 210-217.
6.	Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ, 2004, 329(7475): 1179-1181.
7.	Engler AJ, Ludington-Hoe SM, Cusson RM, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Matern Child Nurs, 2002, 27(3): 146-153.
8.	千巧云. 1例極低體重兒應用袋鼠式保暖法的臨床觀察. 中華護理雜志, 1997, 32(4): 231-232.
9.	Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.4 [updated March 2005]. In: The Cochrane Library, Issue 2, 2005．.
10.	Moher D, Pham B, Jones A, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet, 1998, 352(9128): 609-613.
11.	Sloan NL, Camacho LW, Rojas EP, et al. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team. Lancet, 1994, 344(8925): 782-785.
12.	Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. Kangaroo mother versus traditional care for newborn infants ≤2000 grams: a randomized, controlled trial. Pediatrics, 1997, 100(4): 682-688.
13.	Cattaneo A, Davanzo R, Worku B, et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr, 1998, 87(9): 976-985.
14.	尹引弟, 王如華, 李美璇, 等. 袋鼠式護理與常規護理對早產兒母親滿意度影響之探討. 護理雜志 (臺灣), 2003, 50(2): 37-47.
15.	Worku B, Kassie A. Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. J Trop Pediatr, 2005, 51(2): 93-97.
16.	Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 2001, 108(5): 1072-1079.
17.	Tessier R, Cristo M, Velez S, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics, 1998, 102(2): e17.
18.	廉德花, 王正運, 朱愛霞, 等. 早產兒發育支持護理模式的建立及應用. 中國實用護理雜志, 2005, 21(11): 27-28.
19.	de Macedo EC, Cruvinel F, Lukasova K, et al. The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care. J Trop Pediatr, 2007, 53(5): 344-346.
20.	Charpak N, Ruiz-Pelaez JG. Resistance to implementing Kangaroo Mother Care in developing countries, and proposed solutions. Acta Paediatr, 2006, 95(5): 529-534.
21.	Wallin L, Rudberg A, Gunningberg L. Staff experiences in implementing guidelines for Kangaroo Mother Care--a qualitative study. Int J Nurs Stud, 2005, 42(1): 61-73.
22.	Boo NY, Jamli FM. Short duration of skin-to-skin contact: Effects on growth and breastfeeding. J Paediatr Child Health, 2007, 43(12): 831-836.
23.	中華醫學會兒科學分會新生兒學組. 中國城市早產兒流行病學初步調查報告. 中國當代兒科雜志, 2005, 7(1): 25-28.

1. Dabrowski GA. Skin-to-Skin Contact: Giving Birth Back to Mothers and Babies. Nurs Womens Health, 2007,11(1): 64-71.
2. Byaruhanga RN, Bergstrom A, Tibemanya J, et al. Perceptions among post-delivery mothers of skin-to-skin contact and newborn baby care in a periurban hospital in Uganda. Midwifery, 2007. [Epub ahead of print].
3. Pattinson RC, Bergh AM, Malan AF, et al. Does kangaroo mother care save lives? J Trop Pediatr, 2006, 52(6): 438-441.
4. Ferber SG, Makhoul IR. The effect of skin-to-skin contact (kangaroo care) shortly after birth on the neurobehavioral responses of the term newborn: a randomized, controlled trial. Pediatrics, 2004, 113(4): 858-865.
5. Roller CG. Getting to know you: mothers’ experiences of kangaroo care. J Obstet Gynecol Neonatal Nurs, 2005, 34(2): 210-217.
6. Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ, 2004, 329(7475): 1179-1181.
7. Engler AJ, Ludington-Hoe SM, Cusson RM, et al. Kangaroo care: national survey of practice, knowledge, barriers, and perceptions. MCN Am J Matern Child Nurs, 2002, 27(3): 146-153.
8. 千巧云. 1例極低體重兒應用袋鼠式保暖法的臨床觀察. 中華護理雜志, 1997, 32(4): 231-232.
9. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions 4.2.4 [updated March 2005]. In: The Cochrane Library, Issue 2, 2005．.
10. Moher D, Pham B, Jones A, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet, 1998, 352(9128): 609-613.
11. Sloan NL, Camacho LW, Rojas EP, et al. Kangaroo mother method: randomised controlled trial of an alternative method of care for stabilised low-birthweight infants. Maternidad Isidro Ayora Study Team. Lancet, 1994, 344(8925): 782-785.
12. Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. Kangaroo mother versus traditional care for newborn infants ≤2000 grams: a randomized, controlled trial. Pediatrics, 1997, 100(4): 682-688.
13. Cattaneo A, Davanzo R, Worku B, et al. Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr, 1998, 87(9): 976-985.
14. 尹引弟, 王如華, 李美璇, 等. 袋鼠式護理與常規護理對早產兒母親滿意度影響之探討. 護理雜志 (臺灣), 2003, 50(2): 37-47.
15. Worku B, Kassie A. Kangaroo mother care: a randomized controlled trial on effectiveness of early kangaroo mother care for the low birthweight infants in Addis Ababa, Ethiopia. J Trop Pediatr, 2005, 51(2): 93-97.
16. Charpak N, Ruiz-Pelaez JG, Figueroa de C Z, et al. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 2001, 108(5): 1072-1079.
17. Tessier R, Cristo M, Velez S, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics, 1998, 102(2): e17.
18. 廉德花, 王正運, 朱愛霞, 等. 早產兒發育支持護理模式的建立及應用. 中國實用護理雜志, 2005, 21(11): 27-28.
19. de Macedo EC, Cruvinel F, Lukasova K, et al. The Mood Variation in Mothers of Preterm Infants in Kangaroo Mother Care and Conventional Incubator Care. J Trop Pediatr, 2007, 53(5): 344-346.
20. Charpak N, Ruiz-Pelaez JG. Resistance to implementing Kangaroo Mother Care in developing countries, and proposed solutions. Acta Paediatr, 2006, 95(5): 529-534.
21. Wallin L, Rudberg A, Gunningberg L. Staff experiences in implementing guidelines for Kangaroo Mother Care--a qualitative study. Int J Nurs Stud, 2005, 42(1): 61-73.
22. Boo NY, Jamli FM. Short duration of skin-to-skin contact: Effects on growth and breastfeeding. J Paediatr Child Health, 2007, 43(12): 831-836.
23. 中華醫學會兒科學分會新生兒學組. 中國城市早產兒流行病學初步調查報告. 中國當代兒科雜志, 2005, 7(1): 25-28.

上一篇
隱原性機化性肺炎的臨床影像學特點研究
下一篇
隱原性機化性肺炎的臨床影像學特點研究

《中國循證醫學雜志》

早產兒袋鼠式護理的臨床效果和母親滿意度的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《中國循證醫學雜志》

早產兒袋鼠式護理的臨床效果和母親滿意度的Meta分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料