目的:探讨袋鼠母亲护理(KMC)对早产儿局部脑氧饱和度(rSO2)的近红外光谱(NIRS)测定的影响,并研究其生理稳定性和舒适度。在此类干预过程中婴儿。
方法:这是一个前瞻性的,单中心,单盲,双臂,进行平行组随机对照试验。
方法:该研究是在土耳其科尼亚医学院医院的三级新生儿重症监护病房进行的。
方法:出生在24至36+6周之间的早产儿。参与者被随机分为两组:袋鼠护理组(n=20)和对照组(n=20)。rSO2,氧饱和度(%SpO2),心率(HR),呼吸频率,体温,分三个阶段评估婴儿的舒适度。
结果:在干预组的第60分钟测量中,rSO2,体温,心率,呼吸频率,and,舒适度,在第30分钟和第60分钟的测量中,发现舒适度较高且显着(p<0.001)。在干预组中,rSO2(p<0.001),体温(p<0.001),HR(p<0.001),SpO2(p<0.001),呼吸频率(p<0.001),舒适水平(p<0.001)评分与对照组和组×时间交互作用有显著性差异。
结论:KMC适度增加了rSO2水平,并对新生儿的生理参数和舒适度产生了适度的影响大小,这暗示了它对早产儿的短期益处。
结论:KMC可能有利于稳定rSO2和生理参数,提高早产儿的舒适度。该试验在ClinicalTrials.gov中注册(标识符:NCT04725435)。
OBJECTIVE: To measure the effects kangaroo mother care (KMC) on the regional cerebral oxygen saturation (rSO2) measured with near-infrared spectroscopy (NIRS) in premature infants and to study the physiological stability and
comfort of the infants during such interventions.
METHODS: This was a prospective, single-centered, single-blind, 2-arm, parallel-group randomized controlled trial conducted.
METHODS: The study was carried out in a tertiary neonatal intensive care unit in Medical Faculty Hospital in Konya/Turkey.
METHODS: 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 rSO2, oxygen saturation (%SpO2), heart rate (HR), respiratory rate, body temperature, and
comfort levels of the infants were evaluated in three stages.
RESULTS: In the 60th min measurement of the intervention group, rSO2, 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 rSO2 (p < 0.001), body temperature (p < 0.001), HR (p < 0.001), SpO2 (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.
CONCLUSIONS: KMC moderately increased the rSO2 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.
CONCLUSIONS: KMC may be beneficial in stabilizing rSO2 and physiological parameters and increasing comfort in premature infants. The trial was registered in ClinicalTrials.gov (identifier: NCT04725435).