• Journal of Korean Critical Care Nursing
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• v.10 no.2
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• pp.45-55
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• 2017

Purpose: This study was intended to standardize the Kangaroo care protocol for fathers, and to determine the effect of fathers' Kangaroo care experience on paternal attachment. Methods: The data was collected from February to April, 2013. The study subjects were 34 fathers (17 experimental group subjects, 17 control group subjects) of premature babies, bornatatertiaryhospitalinSeoul, who agreed to participate . The standardized Kangaroo care protocol, which consisted of at least three 60-minutes sessions during the hospitalization period in a neonatal intensive care unit, was carried out with the experimental group. The data was analyzed by a $x^2$-test and Mann-Whitney U test. Results: The results were as follows: 1) There were no between-group differences in the general characteristics of babies and their fathers. 2) The Kangaroo care fathers showed higher scores of paternal attachment than the control group (Z=-3.657, p=0.008). Conclusion: Fathers who attended the Kangaroo care sessions showed stronger paternal attachment than those who did not. Therefore, use of a Kangaroo care program for fathers of premature babies at neonatal intensive care units is recommended.

• Journal of Korean Academy of Nursing
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• v.30 no.1
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• pp.171-182
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• 2000

This study was performed to investigate the effect of kangaroo care on body weight, physiological responses and behavioral states in premature infants. The subjects were 32 premature infants, fifteen for the kangaroo care group and seventeen for the control group, who hospitalized in a neonatal intensive care unit at a university-affiliated hospital. The kangaroo care was applied 8 times during the twenty five days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a premature infant wearing a diaper and a hat is placed on its mother's chest. As for the measures, body weight was measured everyday. The levels of epinephrine, norepinephrine and 17-OHCS were measured twice, before beginning the first intervention and after finishing the last intervention. While each session of the care is undergoing, such physiological responses were measured periodically as heart rate, respiration rate, oxygen saturation, core temperature and skin temperature. The results were as follows : 1. The weight gain was significantly greater in the kangaroo care group than that in the control group during the period of performing the kangaroo care. 2. No significant difference was revealed between the two groups in heart rate, respiration rate, oxygen saturation and core temperature. The kangaroo care group also showed significant increases in the skin temperature. 3. The differences in the levels of epinephrine, norepinephrine and 17-OHCS were not significant between the kangaroo care and the control groups. The level of norepinephrine in the two groups was significantly increased over time. 4. Sleep pattern changed significantly in the kangaroo group from a very restless sleep to a very quiet sleep. These results suggest that kangaroo care is an effective nursing intervention for premature infants in gaining weight, achieving stable physiological responses and facilitating a quiet sleep.

• Journal of Wellbeing Management and Applied Psychology
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• v.6 no.1
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• pp.9-15
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• 2023

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.

• Child Health Nursing Research
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• v.6 no.3
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• pp.281-290
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• 2000

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2. The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3. The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.

• Journal of Korean Clinical Nursing Research
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• v.20 no.3
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• pp.313-325
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• 2014

Purpose: This study aimed to develop the protocol of kangaroo care for premature infants and to evaluate its effects including physiologic responses of premature infants, their parents'anxiety, and neonatal nurses'perception regarding the kangaroo care. Methods: Kangaroo care protocol was developed through a literature review and validation of an expert group. The developed kangaroo care protocol was tested with 27 preterm infants, 24 parents, and 60 nurses in one neonatal intensive care unit in S hospital. Data were collected from December 2012 to February 2013 and analyzed by descriptive statistics and t-test using the SPSS/Win statistical program. Results: Physiologic responses including heart rate, respiration rate, oxygen saturation, body temperature among premature infants received the kangaroo care were maintained within normal limit. The anxiety levels of the parents who provided kangaroo care for their infants were significantly decreased as it was compared before and after care (t=3.43, p=.002). There were no significant differences in nurses'perceptions about kangaroo care before and after the application of the protocol. Conclusion: The developed kangaroo care protocol is proved to be effective and can be used safely in nursing practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.599-610
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• 2016

This paper reports the results of a systematic review (SR) and meta-analysis research to compare the effect of Kangaroo care, targeting mothers and premature infants. A randomized clinical trial study was performed until February 2015. The domestic literature contained the non-randomized clinical trial research without restriction according to the level of the study design. A search of the Ovid-Medline, CINAHL, PubMed and KoreaMed, the National Library of KOREA, the National Assembly Library, NDSL, KISS and RISS. Through the KMbase we searched and combined the main term ((kangaroo OR KC OR skin-to-skin) AND (care OR contact)) AND (infant OR preterm OR Low Birth Weight OR LBW), ((kangaroo OR kangaroo OR kangaroo) AND (care OR nursing care OR management OR skin contact)) was made; these were all combined with a keywords search through the selection process. They were excluded in the final 25 studies (n=3051). A methodology checklist for randomized controlled trials (RCTs) designed by SIGN (Scottish Intercollegiate Guidelines Network) was utilized to assess the risk of bias. The overall risk of bias was regarded as low. In 16 studies that were evaluated as a grade of "++", 9 studies were evaluated as a grade of "+". As a result of meta-analysis, kangaroo care regarding the effects of premature mortality, severe infection/sepsis had an insignificant effect. Hyperthermia incidence, growth and development (height and weight), mother-infant attachment, hypothermia incidence, length of hospital days, breast feeding rate, sleeping, anxiety, confidence, and gratification of mothering role were considered significant. In satisfaction of the role performance, depression and stress presented contradictory research results for individual studies showing overall significant difference. This study has some limitations due to the few RCTs comparing kangaroo care in the country. Therefore, further RCTs comparing kangaroo care should be conducted.

• Child Health Nursing Research
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• v.14 no.2
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• pp.138-145
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• 2008

Purpose: This study, using a pre-posttest design of non-equivalence comparative groups, was done to determine effects of KC (kangaroo care) on weight and SH (stress hormone) of premature infants. Method: Participants were 31 premature infants assigned to KC(14) or CG(control group)(17). Data were collected from June 2006 to February 2007. KC was given for 60 minutes at a time, Mon, Wed, and Fri for a 10 times. Body weight was measured at a fixed time daily and serum cortisol was examined as part of routine blood testing, frequent for premature infants. Results: The weight for infants in the KC group was higher than the control. The difference was significant between both the two groups, and the 2 measurement times(F=12.7, p=.001). SH(cortisol) in infants of KC group decreased than CG, but there was no valid difference from the statistical viewpoint. Conclusion: The result of the study suggest that KC contributes to weight increase in premature infants and also that KC is effective for SH reduction in spite of the lack of statistical validity. Therefore, our conclusion is that KC can be used as an independent nursing intervention for development and advance of premature infants.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.128-137
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• 2016

This study aimed to investigate the effect of kangaroo care on physical development adaptation of external environment of prematurity, and maternal role confidence of those who delivered preterm infants. The subjects were 38 preterm infants and mothers with cesarean section delivery in the hospital, located at B city. Eighteen premature infants were assigned to the kangaroo care (KC) group or the control group (CG). Data were collected between June 2013 and June 2015. KC was given 3 times a day (60 min at a time) and performed a total of 10 times. The physical development indicator (weight, height, and head circumference) as well as the adaptation of external environment (temperature, heart rate, oxygenation) of preterm infants were checked before the start of the program. Following the initial measurement, the program was performed, and measurements were taken again at the end of the program. For measurement of maternal role confidence, structured self-reported questionnaires were performed. The results showed that the KC group had a lower oxygenation compared with the CG (t=2.27, p=.02); however, the physical development indicator (weight t=-0.83, p=.21, height t=-0.34, p=.37, head circumference t=1.29, p=.10) and maternal role confidence (t=-0.41, p=.34) were not significantly compared with the CG. The results of this study suggest that the practice of KC helps the adaptation of external environment of preterm infants

• Journal of Korean Society of Transportation
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• v.33 no.2
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• pp.182-191
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• 2015

The Korean government introduced an automated speed enforcement system (ASES), which uses traffic enforcement cameras, to counteract safety issues that are caused by speeding. As the information of the traffic enforcement camera locations is provided to the drivers via navigation systems and mobile applications in a timely manner, drivers can avoid enforcement by momentarily diminishing their speeds only near the camera locations. To prevent drivers' evasional behavior and improve the effectiveness of ASES, section control, which enforces speeding vehicles by measuring their average travel speeds over a stretch of road and checking against the speed limit, has been recently implemented. In this study, Section Speed Enforcement Zone and Comparison Zone are compared in terms of traffic stream characteristics under free flow conditions. To this end, loop detector data were obtained from the three study sites and analyzed. The study results demonstrated that drivers maintain their speeds below the speed limit over the enforcement section with a lower variance of speeds.

• Journal of the Korean Society of Safety
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• v.34 no.5
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• pp.144-152
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• 2019

According to the National Police Agency, point-to-point speed enforcement system is being installed and operated in 97 sections across the country. It is more effective than other enforcement systems in terms of stabilizing the traffic flow and inhibiting the kangaroo effect. But it is only 5.1% of the total enforcement systems. The National Police Agency is also aware that its operation ratio is very low and it is necessary to expand point-to-point speed enforcement system. Hence, this study aims to provide the expansion basis of the point-to-point speed enforcement operation through analysis of the quantitative effects and development the accident prediction model. Firstly, this study analyzed the effectiveness of point-to-point speed enforcement system. Naive before-after study and comparison group method(C-G Method) were used as methodologies of analyzing the effectiveness. The result of using the naive before-after study was significant. Total accidents, EPDOs and casualty crashes decreased by 42.15%, 70.64% and 45.30% respectively. And average speed and the ratio of exceeding speed limit decreased by 6.92% and 20.50%p respectively. Moreover, using the C-G method total accidents, EPDOs and casualty crashes decreased by 31.35%, 66.62% and 10.04% respectively. And average speed and the ratio of exceeding speed limit decreased by 3.49% and 56.65%p respectively. Secondly, this study developed a prediction model for the probability of casualty crash. It was dependant on factors of traffic volume, ratio of exceeding speed limit, ratio of heavy vehicle, ratio of curve section, and presence of point-to-point speed enforcement. Finally, this study selected the most danger sections to the major highway and evaluated proper installation sections to the recent installation section by applying the accident prediction model. The results of this study are expected to be useful in establishing the installation standards for the point-to-point speed enforcement system.