미숙아를 위한 캥거루케어 프로토콜 개발 및 적용 효과
Development of the Kangaroo Care Protocol and its Effect on Premature Infants
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연구목적: 미숙아를 위한 캥거루 케어 프로토콜을 개발하고 그 적용 효과(미숙아의 생리적 반응, 부모의 불안 및 캥거루 케어에 대한 간호사의 인식)를 검증하는 것이다. 연구방법: 문헌고찰과 전문가집단의 타당도 검증을 거쳐 캥거루 케어 프로토콜을 개발하고, S 상급종합병원 중환자실에서 미숙아 27명, 부모 24명, 간호사 60명을 대상으로 프로토콜을 적용하여 효과를 검증하였다. 2012년 12월부터 2013년 2월까지 자료를 수집하였고, 수집된 자료는 SPSS 통계 프로그램을 이용하여 기술통계 및 t-test로 분석하였다. 연구결과: 프로토콜에 의해 캥거루 케어를 받은 심장박동수, 호흡수, 산소포화도 및 체온을 포함한 미숙아의 생리적 반응은 정상 범위 내에서 유지되었다. 캥거루 케어를 아기에게 시행한 부모의 불안은 시행 전에 비해 시행 후 유의하게 감소하였다. 캥거루 케어에 대한 간호사의 인식은 프로토콜 적용 전후로 유의한 차이가 없었다. 결론: 본 연구에서 개발된 캥거루 케어 프로토콜은 간호실무에 효과적이며, 안전하게 사용할 수 있음이 확인되었다.
Abstract
Purpose: This study aimed to develop the protocol of kangaroo care for premature infants and to evaluate itseffects including physiologic responses of premature infants, their parents’anxiety, and neonatal nurses’perceptionregarding the kangaroo care. Methods: Kangaroo care protocol was developed through a literature review andvalidation of an expert group. The developed kangaroo care protocol was tested with 27 preterm infants, 24parents, and 60 nurses in one neonatal intensive care unit in S hospital. Data were collected from December2012 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 temperatureamong premature infants received the kangaroo care were maintained within normal limit. The anxiety levelsof the parents who provided kangaroo care for their infants were significantly decreased as it was comparedbefore and after care (t=3.43, p =.002). There were no significant differences in nurses’perceptions aboutkangaroo care before and after the application of the protocol. Conclusion: The developed kangaroo careprotocol is proved to be effective and can be used safely in nursing practice.
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