A Randomized Controlled Trial of Early Kangaroo Care for Preterm Infants: Effects on Temperature, Weight, Behavior, and Acuity

Miao-Ju Chwo；Gene C. Anderson；Marion Good；Donna A. Dowling；Shiow-Hwa H. Shiau；Der-Ming Chu

preterm infant ； kanga rooc are ； randomized con trolled trial

The Journal of Nursing Research

10卷2期（2002 / 06 / 01）

129 - 142

英文

Kangaroo care (KC) has been the intervention for preterm infants in numerous published studies. However, most well designed studies to date have used a one-group repeated mea sure design. This methodology is not as definitive as an experimental design. Because of the absence of a com parable control group, change between pre test and posttest may be due to any other environ mental variables or normal variation of subjects (Kirk, 1995). This randomized controlled trial (RCT) was done to test t he hypotheses that KC infants would have higher meantym panic temperatures, less weight loss, more optimal behavioral states, and lower acuity (length of stay). Thirty-four eligible mother-infant dyads were randomly assigned to the KC or the control group by computerized minimization on the day following birth. Stratification variables included infant gender, birth weight, dclivcry method, and parity. KC infants com pared to control infants had higher meantym panic temperature (37.3℃s. 37.0℃), more quiet sleep (62%vs. 22%, and less crying (2%vs. 6%) all at p=000.Nosignificantdifferencewas found for weight loss and acuity (length of stay). These findings can be used for cvidence-based nursing practice in Tai wan. With the knowledge attained from this RCT, nurses can educate and motivate mothers to keep the irstable preterm infants warm by skin-to-skin contact inside their clothing, thereby encouraging self-regulatory feeding.

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