Babaların Uyguladığı Kanguru Bakımının Etkileri: Sistematik Derleme

Amaç: Bu sistematik derleme, babaların uyguladığı kanguru bakımının etkileri ile ilgili yayınlanmış çalışmaların gözden geçirilmesi ve elde edilen verilerin sistematik bir biçimde incelenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Konu ile ilgili tarama Pubmed, Google Akademik, Evidence-Based Nursing veri tabanlarında yapılmıştır. Tarama sonucunda araştırma kapsamına 6 çalışma alınmıştır (As a result of the research, 6 studies were included in this particular review). Bulgular: Babaların uyguladığı kanguru bakımının bebeklerin fiziksel parametrelerini, ağrısını, davranışlarını, emmeye başlama zamanını ve enerji tüketimini, ebeveynlerin ise kalp hızını, vücut sıcaklığını, oksitosin, kortizol ve anksiyete düzeyini düzenlemede etkili olduğu saptanmıştır. Sonuç: Değerlendirmeye alınan çalışmalarda babaların uyguladığı kanguru bakımının hem bebek hem ebeveyn için etkili bir uygulama olduğu görülmüştür. Konuyla ilgili çalışmaların derlenmesi ile uygulamanın etkinliği konusunda bilimsel kanıtlara ulaşılmıştır. Bu sistematik derlemenin, konu ile ilgili yapılacak çalışmalara katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler:

Kangaroo father care, Paternal kangaroo care, Bebek

The Effects of Kangaroo Care Applied by Fathers: A Systematic Review

Objective: This systematic review aims to review published studies on the effects of kangaroo care applied by fathers and to systematically examine the data obtained. Materials and Method: The literature review regarding the subject was performed on Pubmed, Google Scholar, Evidence-Based Nursing databases. As a result of the review, 6 studies were included in the study. Findings: It was found that the kangaroo care applied by the fathers was effective in regulating the physical parameters, pain, behaviors, time to start sucking and energy consumption of babies, and parents' heart rate, body temperature, oxytocin, cortisol and anxiety levels. Conclusion: In the studies taken under review, it was seen that kangaroo care applied by fathers was an effective application for both the infant and the parent. Scientific evidence was obtained about the effectiveness of the application by compiling the relevant studies. It is believed that this systematic review will contribute to the studies to be conducted on the subject.

Keywords:

Kangaroo father care, Paternal kangaroo care, Infant,

PDF

___

Referans1. World Health Organization. Kangaroo mother care: A practical guide. Department of Reproductive Health and Research. 2003. WHO, Geneva, Switzerland, 1–48. http://apps.who.int/iris/bitstream/10665/42587/1/9241590351.pdf.
Referans2. Cong X, Ludington-Hoe SM, Hussain N, Cusson RM, Walsh S, Vazquez V ve ark. Parental oxytocin responses during skin-to-skin contact in pre-term infants. Early Human Development 2015; 91(7): 401-406.
Referans3. Sarparast L, Farhadi R, Sarparast M, Shafai S. The effect of kangaroo mother care on neonatal outcomes in Iranian hospitals: A review. Journal of Pediatrics Review 2015; 3(1): e195.
Referans4. UNICEF, U. Guide to the baby friendly initiative standards. 2012. UNICEF: London.
Referans5. Baley J. Skin-to-skin care for term and preterm infants in the neonatal ICU. Pediatrics 2015; 136(3): 596-599.
Referans6. Çavuşoğlu H. Yüksek riskli yenidoğan ve hemşirelik bakımı. H. Çavuşoğlu (Ed.). Çocuk Sağlığı Hemşireliği (Genişletilmiş 10. Baskı, Cilt 2) (s.57-116). 2013. Ankara: Sistem Ofset Basımevi.
Referans7. Srinath BK, Shah J, Kumar P, Shah PS. Kangaroo care by fathers and mothers: comparison of physiological and stress responses in preterm infants. Journal of Perinatology 2016; 36(5): 401.
Referans8. Blomqvist YT, Rubertsson C, Kylberg E, Jöreskog K, Nyqvist KH. Kangaroo Mother Care helps fathers of preterm infants gain confidence in the paternal role. Journal of advanced nursing 2012; 68(9): 1988-1996.
Referans9. Rulo A. Kangaroo Care. JCCC Honors Journal 2013; 4(1): 6.
Referans10. Mörelius E, Örtenstrand A, Theodorsson E, Frostell A. A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding. Early human development 2015; 91(1): 63-70.
Referans11. Seidman G, Unnikrishnan S, Kenny E, Myslinski S, Cairns-Smith S, Mulligan B ve ark. Barriers and enablers of kangaroo mother care practice: a systematic review. PloS one 2015; 10(5): e0125643.
Referans12. Conde‐Agudelo A, Belizán JM, Diaz‐Rossello J. Cochrane review: kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Evidence‐Based Child Health: A Cochrane Review Journal 2012; 7(2): 760-876.
Referans13. Krishnan L. Pain relief in neonates. journal of neonatal surgery 2013; 2(2): 19.
Referans14. Bauer J, Sontheimer D, Fischer C, Linderkamp O. Metabolic rate and energy balance in very low birth weight infants during kangaroo holding by their mothers and fathers. The Journal of paediatrics 1996; 129(4): 608-611.
Referans15. Shah V, Jefferies A. Preterm infants receiving heel lance procedures have slightly lower pain scores and quicker time to return to baseline heart rate when held in kangaroo care by the mother than by the father. BMJ evidence-based medicine 2012, ebmed-2012.
Referans16. Johnston, C. C., Campbell-Yeo, M., & Filion, F. (2011). Paternal vs maternal kangaroo care for procedural pain in preterm neonates: a randomized crossover trial. Archives of pediatrics & adolescent medicine, 165(9), 792-796.
Referans17. Srinath BK, Shah J, Kumar P, Shah PS. Kangaroo care by fathers and mothers: comparison of physiological and stress responses in preterm infants. Journal of perinatology 2015; 1-4.
Referans18. Velandia M, Uvnäs‐Moberg K, Nissen E. Sex differences in newborn interaction with mother or father during skin‐to‐skin contact after Caesarean section. Acta Paediatrica 2012; 101(4): 360-367.