웰빙융합연구 (Journal of Wellbeing Management and Applied Psychology)

한국웰빙융합학회 (Korea Wellbeing Convergence Association)
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Effects of Kangaroo Mother Care: A Quasi-Experimental Design

  • Joo-Young, LEE (Department of Nursing, Seoul Women's College of Nursing) ;
  • Do-Young, LEE (Department of Nursing, Changshin University)
  • 투고 : 2023.01.23
  • 심사 : 2023.03.26
  • 발행 : 2023.03.30
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초록

Purpose: This study aimed to implement safe and suitable kangaroo mother care with healthy mothers and newborns immediately after childbirth. In addition, it aimed to assess its effects on maternal attachment, maternal role confidence, and maternal role satisfaction. Research design, data and methodology: A quasi-experimental design was used with pre and posttests. A total of 58 participants were selected by convenience sampling through public notifications at a women's hospital. The control group performed routine care without providing kangaroo contact, and a posttest was performed four weeks after the pretest. The experimental group comprised healthy mothers who had given birth by cesarean section. They performed kangaroo mother care twice a day (60 min each) for four weeks for their newborns after the protocol was validated by an expert. Results: The results showed significantly higher maternal attachment, maternal role confidence, and maternal role satisfaction in mothers who participated in kangaroo mother care than those who did not. Our findings suggested that kangaroo mother care has a positive effect on the enhancement of maternal attachment and facilitation of maternal role confidence and satisfaction. Conclusions: Thus, the expansion and implementation of kangaroo mother care are necessary to promote healthier mother-child relationships.

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참고문헌

  1. Bae, Y. H. 2016. The effects of kangaroo care on physical and mental recovery among postpartum woman [Master's thesis]. Gimhae-si, Korea: Inje University.
  2. Bang, K. S. 2011. Perception of nurses and physicians in neonatal intensive care units on kangaroo care. J Korean Acad Child Health Nurs. 17(4):230-7. doi: 10.4094/jkachn.2011.17.4.230.
  3. Bell, R. P., McGrath, J. M. 1996. Implementing a research-based kangaroo care program in the NICU. Nurs Clin North Am. 31(2):387-403. doi: 10.1016/S0029-6465(22)00148-7, PMID 8637814.
  4. Boundy, E. O., Dastjerdi, R., Spiegelman, D., Fawzi, W. W., Missmer, S. A., Lieberman, E. et al. 2016. Kangaroo mother care and neonatal outcomes: A meta-analysis. Pediatrics. 137(1):e20152238. doi: 10.1542/peds.2015-2238, PMID 26702029.
  5. de Cock, E. S. A., Henrichs, J., Klimstra, T. A., Janneke, B. M., Maas, A., Vreeswijk. CMJM., Meeus, WHJ. et al. 2017. Longitudinal associations between parental bonding, parenting stress, and executive functioning in toddlerhood. J Child Fam Stud. 26(6):1723-33. doi: 10.1007/s10826-017-0679-7, PMID 28572718.
  6. Dodd VL. 2005. Implications of kangaroo care for growth and development in preterm infants. J Obstet Gynecol Neonatal Nurs. 34(2):218-32. doi: 10.1177/0884217505274698, PMID 15781599.
  7. Eisenberg, N., Liew, J., Pidada, S. U. 2001. The relations of parental emotional expressivity with quality of Indonesian children's social functioning. Emotion. 1(2):116-36. doi: 10.1037/1528-3542.1.2.116, PMID 12899192.
  8. Han, K. E. 2001. The relationship of maternal self-esteem and maternal sensitivity with mother-to-infant attachment [dissertation]. Seoul, Korea: Hanyang University.
  9. Jang, M. Y. 2009. Effects of kangaroo care on growth in premature infants and on maternal attachment. J Korean Acad Child Health Nurs. 15(4):335-42. doi:10.4094/jkachn.2009.15.4.335.
  10. Jeong, S. K., Kim, T. I. 2016. Perception and barriers to kangaroo-mother care among neonatal intensive care unit nurses. Child Health Nurs Res. 22(4):299-308. doi:10.4094/chnr.2016.22.4.299.
  11. Kim, E. S., Cho, Y. A. 2017. The effect of fathers' kangaroo care experience of preterm babies on paternal attachment. J Korean Crit Care Nurs. 10(2):45-55.
  12. Kluczniok, D., Boedeker, K., Fuchs, A., Hindi Attar, C. H., Fydrich, T., Fuehrer, D. et al. 2016. Emotional availability in mother-child interaction: the effects of maternal depression in remission and additional history of childhood abuse. Depress Anxiety. 33(7):648-57. doi: 10.1002/da.22462, PMID 26697826.
  13. Lederman, R. P., Weingarten, C. G., Lederman, E. 1981. Postpartum Self-Evaluation Questionnaire: measures of maternal adaptation. Birth Defects Orig Artic Ser. 17(6):201-31. PMID 7326372.
  14. Lee, E. O., Lim, N, Y., Park, H. A. 2009. Nursing research and statistical analysis. Paju, South Korea: Soomoonsa; p. 228.
  15. Lee, S. B. 2008. Care on mother's anxiety and maternal-infant attachment on the infection, and physiological marker of preterm infants [dissertation]. South Korea: Kyung hee University.
  16. Lee, S. B., Shin, H. S. 2007. Effects of kangaroo care on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm Infants. Taehan Kanho Hakhoe Chi. 37(6):949-56. doi: 10.4040/jkan.2007.37.6.949, PMID 17992067.
  17. Lee, Y. E. 1991. An experimental study on the impact of an agreement on the means to achieve nursing goals in the early postpartum period of primiparous mothers and enhance their self-confidence and satisfaction in maternal role performance [dissertation]. Seoul, Korea: Ewha Woman's University.
  18. Lim, J. H., Kim, G. E., Shin, Y. H. 2016. Effects for kangaroo care: systematic review & meta-analysis. J Korea Acad-Ind Coop Soc. 17(3):599-610. Korean. doi:10.5762/KAIS.2016.17.3.599.
  19. Lim, J. H., Shin, J. E., Lee, S. M., Eun, H. S., Park, M. S., Park, K. I. et al. 2015. Efficacy and safety of kangaroo mother care in preterm infants in Korea. Korean J Perinatol. 26(4):305-11. doi: 10.14734/kjp.2015.26.4.305.
  20. Lima, G., Quintero-Romero, S., Cattaneo, A. 2000. Feasibility, acceptability and cost of kangaroo mother care in Recife, Brazil. Ann Trop Paediatr. 20(1):22-6. doi: 10.1080/02724930092020, PMID 10824209.
  21. Lynn, M. R. 1986. Determination and quantification of content validity. Nurs Res. 35(6):382-5. doi: 10.1097/00006199-19861000-00017, PMID 3640358.
  22. Moon, Y. I., Koo, H. Y. 2000. The effects of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. Korean J Child Health Nurs. 6(3):281-90.
  23. Muller, M. E. A 1994. Questionnaire to measure mother-to-infant attachment. J Nurs Meas. 2(2):129-41. doi: 10.1891/1061-3749.2.2.129, PMID 7780768.
  24. Oldbury, S., Adams, K. 2015. The impact of infant crying on the parent-infant relationship. Community Pract. 88(3):29-34. PMID 25812239.
  25. Park, B. R. 2020. A systematic review on the effect of domestic research in kangaroo care intervention. HSS21. 11(6):1499-510. doi: 10.22143/HSS21.11.6.106.
  26. Pennestri, M. H., Gaudreau H, Bouvette-Turcot AA, Moss E, Lecompte V, Atkinson L et al. 2015. Attachment disorganization among children in Neonatal Intensive Care Unit: preliminary results. Early Hum Dev. 91(10):601-6. doi: 10.1016/j.earlhumdev.2015.07.005, PMID 26261864.
  27. Shin, H. J., Park, I. N. 2013. Effect of kangaroo care on mental and motor development in premature infant and maternal role confidence. J Korean Soc Matern Child Health. 17(2):215-26. https://doi.org/10.21896/jksmch.2013.17.2.215
  28. Waltz, C. F., Bausell, R. B. 1981. Nursing research: design, statistics and computer analysis. Philadelphia: F A Davis.
  29. Whitelaw, A., Sleath, K. 1985. Myth of the marsupial mother: home care of very low birth weight babies in Bogota, Colombia. Lancet. 325(8439):1206-8. doi: 10.1016/S0140-6736(85)92877-6.
  30. Wilson, D., Hockenberry, M. J. 2011. Wong's nursing care of infants and children. MD: Mosby Inc.
  31. World Health Organization [internet]. Kangaroo mother care started immediately after birth critical for saving lives, new research shows. Geneva: World Health Organization; 2021 May 26 [2021 October 20]. Available from: https://www.who.int/news/item/26-05-2021-kangaroomother-care-started-immediately-after-birth-critical-forsaving-lives-new-research-shows.