Effect of Kangaroo Mother Care on the Psychological Stress Response and Sleep Quality of Mothers With Premature Infants in the Neonatal Intensive Care Unit

Abstract

ObjectiveTo investigate the effect of kangaroo mother care on the psychological stress response and sleep quality of mothers with premature infants admitted to the neonatal intensive care unit (NICU).MethodsA randomized controlled design was used to recruit participants. The study recruited 126 mothers of premature infants in the NICU from January 2019 to January 2020. The participants were divided into the experimental and control groups according to the random number table method (63 mothers per group). The control group was managed with conventional premature infant treatment, nursing programme, and discharge education, whereas the experimental group was managed with a 4-week kangaroo mother care intervention. The psychological stress state and sleep status of mothers with preterm infants in both the groups were evaluated using the Symptom Check List 90 (SCL-90) and Assens Insomnia Scale (AIS).ResultsAfter the intervention, the total SCL-90 score and factor scores such as coercion, interpersonal relationships, depression, anxiety, hostility and additional factors, were lower in the experimental group than those in the control group (P < 0.05). The total AIS score and the items such as night waking, total sleep time, total sleep quality, daytime mood and daytime body function were lower in the experimental group than those in the control group (P < 0.05).ConclusionsThe Kangaroo mother care approach can relieve adverse psychological stress and improve the sleep status of mothers of NICU premature infants after mother-infant separation. It can be promoted and used in mothers of premature infants in the NICU to enhance physical and mental health.

Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis

“…Eighteen trials were randomized controlled trials, 20 – 22 , 28 – 30 , 34 – 36 , 39 , 41 – 44 , 46 – 49 whereas 12 were quasi-randomized trials ( Box 2 ). 23 – 27 , 31 – 33 , 37 , 38 , 40 , 45 There was a low risk of bias in seven trials (all randomized controlled trials), 36 , 41 , 42 , 44 , 46 – 48 some concern about bias in eight, 20 , 29 , 35 , 39 , 40 , 43 , 45 , 49 and a high risk of bias in 15. 21 – 28 , 30 – 34 , 37 , 38 Details of our findings on bias are available from the online repository.…”

“… 21 – 28 , 30 – 34 , 37 , 38 Details of our findings on bias are available from the online repository. 50 Eight trials were conducted in low- or lower-middle-income countries, 4 , 28 , 32 , 42 , 45 – 47 eight in upper-middle-income countries, 21 , 27 , 30 , 39 , 40 , 43 , 48 , 49 and 14 in high-income countries. 20 , 22 – 26 , 29 , 31 , 33 – 37 , 41 …”

Atmung und Schlafregulation beim Neugeborenen

“…Anhand einer Metaanalyse zeigte sich, dass die Durchführung von KMC bei sehr kleinen Frühgeborenen mit einer Absenkung der Mortalität um 36 % verbunden ist [84,85,86,87]. Interessanterweise scheint KMC sogar auch einen positiven Einfluss auf den Schlaf der Mutter zu haben [81,88]. Abhängig von der klinischen Situation und der Reife des Neugeborenen kann das Schnullern einen günstigen Einfluss auf die Organisation der Schlafphasen aufweisen (möglicher protektiver Einflussfaktor zur Vermeidung des SIDS) [89].…”

Atmung und Schlafregulation beim Neugeborenen

“…um 36% verbunden ist [84,85,86,87]. Interessanterweise scheint KMC sogar auch einen positiven Einfluss auf den Schlaf der Mutter zu haben [81,88]. Abhängig von der klinischen Situation und der Reife des Neugeborenen kann das Schnullern einen günstigen Einfluss auf die Organisation der Schlafphasen aufweisen (möglicher protektiver Einflussfaktor zur Vermeidung des SIDS) [89].…”