Effectiveness of Kangaroo Mother Care by Role-Playing Method on Mother’s Resilience and Breastfeeding Self-Efficacy in Neonatal Intensive Care Unit, a Randomized Controlled Trial

Abstract

Background The purpose of the study is to evaluate the effectiveness of kangaroo mother care by role-playing method on mother’s resilience and breastfeeding self-efficacy in neonatal intensive care unit. Methods In this one-blind a randomized controlled trial,78 mothers of infants admitted to neonatal intensive care unit were randomly assigned into two groups: role-playing method (n = 39), routine method (n = 39). The mothers of the intervention group were trained individually in two 30-minute sessions. After training, mothers performed kangaroo mother Care for their infants three times a day and each time 30 min for 7 days. Mothers in the control group received routine embrace care training (booklet training). Questionnaires were collected before the intervention, one day after and one week after intervention. Data analyses were conducted using SPSS version 22. Results mother’s resilience and breastfeeding self-efficacy in the study groups was significant at the end of the two among groups. Funding demonstrated a statistically significant difference in the score of the resilience (P = < 0.001) and breastfeeding self-efficacy (P = < 0.001) in the each group one day and one week after performing the intervention. In addition, revealed a statistically significant difference between the both groups in of resilience score(P < 0.01) and breastfeeding self-efficacy (P < 0.01) one day and one week after performing the intervention (P < 0.01), So that the role playing method was more effective than the routine method (booklet training). Conclusion Training kangaroo mother care by role-playing and routine methods were both effective in mother’s resilience and breastfeeding self-efficacy, but role-playing method was More effective and can be recommended role playing and routine methods as therapeutic care methods in clinical settings at the beginning of the admission of infants in the neonatal intensive care unit to improve mother’s resilience and breastfeeding self-efficacy.