Datos del Documento


Título: Does daily Kangaroo Care provide sustained pain and stress relief in preterm infants?
  Enlace: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122210/pdf/nihms-617540.pdf
  Autores: Mitchell, Anita J.; Yates, Charlotte C.; Williams, D. Keith ; Chang, Jason Y.; Hall, Richard Whit;
  Tipo de documento: Articulo de revista
  Idioma: Inglés
  Resumen:OBJECTIVES: 1. Determine whether stress in preterm infants, measured with salivary cortisol, decreases after five days of Kangaroo Care (KC) compared to five days of Standard Care (SC). 2. To determine whether kangaroo care provides sustainable pain relief beyond the period of skin-to-skin holding. STUDY DESIGN: Preterm infants (n = 38) born at 27–30 weeks gestational age were randomized to either the KC or the SC group and received the allocated intervention starting on day of life (DOL) five and continuing for five days. Salivary cortisol was collected on DOL five and again on DOL ten. Differences were analyzed using repeated measures ANOVA and t tests. Pain during nasal suctioning over five days was assessed using the Premature Infant Pain Profile (PIPP). RESULT: 1. Adequate saliva samples for salivary cortisol were collected for 13 KC infants and 11 SC infants. There was no main effect of group (p = 0.49), but there was a significant main effect of age (DOL five versus DOL ten), with salivary cortisol levels decreasing in both groups (p = 0.02). 2. Pain scores for both groups (n = 38) indicted mild to moderate pain during suctioning, with no significant difference in pain scores between groups. CONCLUSION: 1. KC did not affect salivary cortisol levels in preterm neonates, but levels in both the KC and SC groups decreased over time from DOL five to ten. Salivary cortisol may vary with age of infant. 2. Infants experience pain during routine suctioning and may require pain management
  Descriptores: kangaroo care; preterm infants; salivary cortisol; pain;
  Soporte: Digital
  Ilustraciones:
  Tipo documento: Revista
  Nombre revista: Journal of Perinatology
  ISSN: 1476-5543 (online)
  Periodicidad:
  Volumen: 6
  Número: 1
  Páginas: 45-52
  Año: 2013
Afiliada a WAIMH
World Association
for Infant Mental Health
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