임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제23권2호
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  • Pages.211-221
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  • 2017
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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신생아중환자실 캥거루 케어 전국 실태조사- 간호행위, 장애요인, 간호사의 지식과 신념

National Survey of Kangaroo Care Practice, Barriers, Knowledge, and Belief

  • Kim, Hee Young (Department of Nursing, Asan Medical Center) ;
  • Jang, Eun Kyung (Department of Nursing, Severance Children's Hospital) ;
  • Lee, Jin-Hee (Department of Nursing, Korea University Medical Center Anam Hospital) ;
  • Lee, Eun Jung (Department of Nursing, Samsung Medical Center) ;
  • Oh, Seyeon (Department of Nursing, Seoul National University Hospital) ;
  • Jo, Keum Sig (Department of Nursing, Severance Children's Hospital)
  • 투고 : 2017.05.30
  • 심사 : 2017.06.20
  • 발행 : 2017.08.31
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초록

Purpose: A National survey was conducted to assess neonatal intensive care nurses' practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). Methods: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. Results: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. Conclusion: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.

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참고문헌

  1. White-Traut RC, Nelson MN, Silvestri JM, Patel M, Berbaum M, Gu GG, et al. Developmental patterns of physiological response to a multisensory intervention in extremely premature and high-risk infants. Journal of Obstetric, Gynecology, & Neonatal Nursing. 2004;33(2):266-275. http://dx.doi.org/10.1177/0884217504263289
  2. Rautava L, Häkkinen U, Korvenranta E, Andersson S, Gissler M, Hallman M, et al. Health-related quality of life in 5-yearold very low birth weight infants. The Journal of Pediatrics. 2009;155(3):338-343. http://dx.doi.org/10.1016/j.jpeds.2009.03.061
  3. World Health Organization. Kangaroo mother care: A practical guide. Geneva: Department of Reproductive Health and Research of WHO Publication; 2003. p. 1-9.
  4. Wilson D, Hockenberry MJ. Wong's nursing care of infants and children (9th ed.). Maryland: Mosby Inc; 2011.
  5. Ludington-Hoe SM, Morrison B, Morgan K, Anderson GC. Certified kangaroo caregiver learner's program manual 5th ed. United States Institute for Kangaroo Care; 2011.
  6. Henderson A. Understanding the breast crawl: Implications for nursing practice. Nursing for Women's Health. 2011;15 (4):296-307. http://dx.doi.org/10.1111/j.1751-486X.2011.01650.x
  7. Conde-Agudelo A, Diaz-Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews. 2016 Aug 23;(8). http://dx.doi.org/10.1002/14651858.CD002771.pub4
  8. Lim JH, Shin JE, Lee SM, Eun HS, Park MS, Park KI, et al. Efficacy and safety of kangaroo mother care in preterm infants in Korea. Korean Journal of Perinatology. 2015;26(4):305-311. http://dx.doi.org/10.14734/kjp.2015.26.4.305
  9. DiMenna L. Considerations for implementation of a neonatal kangaroo care protocol. Neonatal Network. 2006;5(2):405-412 http://dx.doi.org/10.1891/0730-0832.25.6.405
  10. Lee SB, Shin HS. Effects of kangaroo care on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants. Journal of Korean Academy of Nursing. 2007;37(6):949-956. https://doi.org/10.4040/jkan.2007.37.6.949
  11. Bloch-Salisbury E, Zuzarte I, Indic P, Bednarek F, Paydarfar D. Kangaroo care: Cardio-respiratory relationships between the infant and caregiver. Early Human Development. 2014; 90(12);843-850. http://dx.doi.org/10.1016/j.earlhumdev.2014.08.015
  12. Whitelaw A, Sleath K. Myth of the marsupial mother: Home care of very low birth weight babies in Bogota, Columbia. Lancet. 1985;25(1):1206-1209.
  13. Tessier R, Cristo M, Velez S, Giron M, de Calume ZF, Ruiz- Palaez JG, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics. 1998;102(2):e17. https://doi.org/10.1542/peds.102.2.e17
  14. Anderson GC, Marks EA, Wahlberg V. Kangaroo care for premature infants. American Journal of Nursing. 1986;86(7):807-809.
  15. Jang M. Effects of kangaroo care on growth in premature infants and on maternal attachment. Child Health Nursing. 2009;15(4):335-342. https://doi.org/10.4094/jkachn.2009.15.4.335
  16. Tessier R, Cristo MB, Velez S, Giron M, Nadeau L, de Calume ZF, et al. Kangaroo mother care: A method for protecting highrisk low-birth-weight and premature infants against developmental delay. Infant Behavior & Development. 2003;26(3): 384-397. https://doi.org/10.1016/S0163-6383(03)00037-7
  17. Ogi S, Arisawa K, Takahashi T, Akiyama T, Goto Y, Fukuda M, et al. The developmental effects of an early intervention program for very low birthweight infants. No to Hattatsu. 2001;33(1):31-36.
  18. Ohgi S, Fukuda M, Moriuchi H, Kusumoto T, Akiyama T, Nugent JK, et al. Comparison of kangaroo care and standard care: Behavioral organization, development, and temperament in healthy, low-birth-weight infants through 1 year. Journal of Perinatology. 2002;22(5):374-379. http://dx.doi.org/10.1038/sj.jp.7210749
  19. Feldman R, Eidelman AI. Skin-to-skin contact (kangaroo care) accelerates autonomic and neurobehavioural maturation in preterm infants. Developmental Medicine and Child Neurology. 2003;45(4):274-281. https://doi.org/10.1111/j.1469-8749.2003.tb00343.x
  20. Ludington-Hoe SM. Kangaroo care as a neonatal therapy. Newborn and Infant Nursing Reviews. 2013;13(2):73-75. http://dx.doi.org/10.1053/j.nainr.2013.03.004
  21. Koo HY. The effects of kangaroo care on body weight, physiologic responses and behavioral states in premature infants. Journal of Korean Academy of Nursing. 2000;30(1):171-182. https://doi.org/10.4040/jkan.2000.30.1.171
  22. Jeong SK. Perception and barriers of kangaroo care among nurses in the neonatal intensive care unit [master's thesis]. Daejeon: Daejeon University:2016. p. 1-66.
  23. Penn S. Overcoming the barriers to using kangaroo care in neonatal settings. Nursing Children and Young People. 2015; 27(5):22-27. http://dx.doi.org/10.7748/ncyp.27.5.22.e596
  24. Park SY, Koo SM, Choi SM, Kim TI. Knowledge and beliefs about kangaroo care among nursing students. Child Health Nursing Research. 2016;22(1):61-69. http://dx.doi.org/10.4094/chnr.2016.22.1.61
  25. Lee EJ, Kim ES, Lee YN, Park SH, Lee GM, Yi YH. Development of kangarro care protocol and its effect on premature infants. Journal of Korean Clinical Nursing Research. 2014;20 (3):313-325. https://doi.org/10.22650/JKCNR.2014.20.3.313
  26. Engler AJ, Ludington-Hoe SM, Cusson RM, Adams R, Bahnsen M, Brumbaugh E, et al. Kangaroo care: National survey of practice, knowledge, barriers, and perceptions. MCN The American Journal of Maternal Child Nursing. 2002;27(3):146-153. https://doi.org/10.1097/00005721-200205000-00004
  27. Bang KS. Perception of nurses and physicians in neonatal intensive care units on kangaroo care. Child Health Nursing Research. 2011;17(4):230-237. http://dx.doi.org/10.4094/jkachn.2011.17.4.230
  28. Pallas-Alonso CR, Losacco V, Maraschini A, Greisen G, Pierrat V, Warren I, et al. Parental involvement and kangaroo care in European neonatal intensive care units: A policy survey in eight countries. Pediatric Critical Care Medicine. 2012;13(5): 568-577. http://dx.doi.org/10.1097/PCC.0b013e3182417959
  29. Johnson AN. Factors influencing implementation of kangaroo holding in a special care nursery. MCN American Journal of Maternal and Child Nursing. 2007;32(1):25-29.
  30. Chia P, Sellick K, Gan S. The attitudes and practices of neonatal nurses in the use of kangaroo care. The Australian Journal of Advanced Nursing. 2006;23(4):20-27.