背景:袋鼠式护理是一种有效的干预措施,可提高早产儿的生存率并改善其健康和发育。尽管如此,袋鼠护理在全球的实施仍然很低。这项审查的目的是:(A)综合关于父母和医疗保健从业人员看法的证据,经验,知识,以及在医院环境中对早产儿袋鼠护理的态度;(b)建立父母对袋鼠护理的满意度。
方法:任何设计的研究都包括在内,如果他们专注于父母或医疗保健从业者的看法,经验,知识,以及对袋鼠照顾早产儿的态度,或报告父母的满意度,并在医院环境中进行。搜索七个电子数据库,非洲在线期刊,世界卫生组织区域数据库,灰色文献检索于2020年4月/5月进行,并于2024年1月进行了更新。研究选择由两名独立的评审员进行。使用混合方法评估工具和数据提取的质量评估由一名审阅者完成,另一名审阅者进行10%的检查。使用并行结果收敛集成设计对数据进行叙述合成。
结果:37项研究,19定量,16定性,和两种混合方法,包括在内。研究结果表明,虽然医疗保健从业人员普遍表现出有关袋鼠护理的知识,在接受培训的人中,有少数人缺乏足够的理解。父母的知识,尤其是在父亲中,是有限的。医疗保健从业者和父母似乎对袋鼠护理持积极态度。关于父母对袋鼠护理的满意度知之甚少。
结论:大多数医疗保健从业人员都对袋鼠护理有所了解,但是父母的知识有限。这项审查结果表明,有必要在新生儿病房入院前加强父母对袋鼠护理的了解,并且HCPs需要培训才能始终如一地实施袋鼠护理。
BACKGROUND: Kangaroo care is an effective intervention to increase survival and improve the health and development of preterm infants. Despite this, implementation of kangaroo care globally remains low. The objectives of this review were to: (a) synthesize evidence on parents\' and healthcare practitioners\' perceptions, experiences, knowledge of, and attitudes toward kangaroo care of preterm babies in hospital settings; and (b) establish parents\' satisfaction with kangaroo care.
METHODS: Studies of any design were included if they focused on parents\' or healthcare practitioners\' perceptions, experiences, knowledge of, and attitudes to kangaroo care of preterm babies, or reported parents\' satisfaction, and were conducted in hospital settings. The search of seven electronic databases, African Journals Online, World Health Organization regional databases, and a gray literature search was conducted in April/May 2020, and updated in January 2024. Study selection was undertaken by two independent reviewers. Quality assessment using the Mixed Method Appraisal Tool and data extraction were completed by one reviewer with a 10% check by a second reviewer. Data were synthesized narratively using a parallel results convergent integrated design.
RESULTS: Thirty-seven studies, 19 quantitative, 16 qualitative, and 2 mixed methods, were included. The findings suggested that while healthcare practitioners generally demonstrated knowledge about kangaroo care, there was a notable minority with insufficient understanding among those who received training. Parents\' knowledge, particularly among fathers, was limited. Both healthcare practitioners and parents appeared to have positive attitudes to kangaroo care. Little is known about parental satisfaction with kangaroo care.
CONCLUSIONS: Most healthcare practitioners were knowledgeable about kangaroo care, but parents had limited knowledge. This review findings suggest a need to enhance parental knowledge of kangaroo care before neonatal unit admission, and training is needed for HCPs to implement kangaroo care consistently.