Journal of Korean Academy of Nursing

The Effects of Kangaroo Care on Body Weight, Physiologic Responses and Behavioral States in Premature Infants: Hyun Young Koo; Journal of Korean Academy of Nursing 2000;30(1):171-182. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.171

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.

Citations

Citations to this article as recorded by

Effects for kangaroo care: systematic review & meta analysis
Junghee Lim, Gaeun Kim, Yeonghee Shin
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(3): 599. CrossRef
Effect of Kangaroo Care on Mental and Motor Development in Premature Infant and Maternal Role Confidence
신화진, Insook Park
JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2013; 17(2): 215. CrossRef
The Effects of Kangaroo Care on Maternal Self-esteem and Premature Infants' Physiological Stability
Jihye Lee, Kyung-Sook Bang
Korean Journal of Women Health Nursing.2011; 17(5): 454. CrossRef
Perception of Nurses and Physicians in Neonatal Intensive Care Units on Kangaroo Care
Kyung-Sook Bang
Journal of Korean Academy of Child Health Nursing.2011; 17(4): 230. CrossRef
Kangaroo Care on Premature Infant Growth and Maternal Attachment and Post-partum Depression in South Korea
H. Y. Ahn, J. Lee, H.-J. Shin
Journal of Tropical Pediatrics.2010; 56(5): 342. CrossRef

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Effects of Cycled Lighting on Body Weight, Physiological Variables and Behavioral States in Low Birth Weight Infants: In Sook Jung; Journal of Korean Academy of Nursing 2005;35(1):143-153. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.143

Abstract PDF

Purpose

This study was aimed at finding the effects of cycled lighting on body weight, physiological variables and the behavioral state of LBWI (low birth weight infants) in the NICU.

Method

The subjects were 20 LBWI at 2 NICUs. They were assigned to an experimental or control group which consisted of 10 subjects in each. Cycled light was applied to the experimental group for 10 days.

Result

It was certified that the application of cycled lighting resulted in increased body weight and O₂ saturation, and decreased heart rate of the LBWI. However, there was no effect in decrease of respiration and stabilization of the behavioral state.

Conclusion

The application of cycled lighting might be a nursing intervention which would in turn have positive effects on the growth of LBWI.

Citations

Citations to this article as recorded by

Cycled light in the intensive care unit for preterm and low birth weight infants
Iris Morag, Yu-Tian Xiao, Matteo Bruschettini
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef
Effect of Lights-Out at Night Time on Body Weight, Physiological Variables, and Behavioral Status in Premature Infants
Kyeong Nam Lee, Bo Min Seo, Deog Hwan Moon, Ga Won Jeon, Jong Beom Sin
Neonatal Medicine.2016; 23(2): 102. CrossRef
Effects of Cycled Lighting on Circadian Rhythms of Premature Infants
Seong-Jin Lee, Kyung-Ja Han, Kyung-Sook Bang
Journal of Korean Academy of Child Health Nursing.2012; 18(2): 85. CrossRef

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Effects of Non-nutritive Sucking on the Physiological and Behavioral States of Pre-term Infants during Tube Feeding: Kyoung Hwa Joung, Il Young Yoo, Hee Soon Kim, Soo Kim, Ja Hyung Lee; Journal of Korean Academy of Nursing 2006;36(5):732-741. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.732

Abstract PDF

Purpose

This study was to investigate the effects of non-nutritive sucking on physiological and behavioral state of pre-term infants during tube feeding.

Method

This nonequivalent, non-synchronized experimental study included 50 pre-term infants. An attempt was made to match gestational age and birth weight of infants in each group. Infants in the experimental group were given a pacifier 2 minutes before, during, and for 2 minutes after tube feeding. Infants in the control group did not get a pacifier. Both groups were tested at three stages for changes in the physiologic state and behavioral state-2 minutes before, during, and 2 minutes after feeding. Date was analyzed with SPSS WIN 10.0 using an χ²-test, t-test, and repeated measures ANOVA.

Result

Heart rates and oxygen saturation levels of the two groups were significantly different(P=.001, P=.000). The behavioral states of the two groups were significantly different during and post feeding(P=.000, P=.000).

Conclusion

This result suggests non-nutritive sucking by using a pacifier is an effective intervention for pre-term infants during tube feeding.

Citations

Citations to this article as recorded by

Oral stimulation for promoting oral feeding in preterm infants
Zelda Greene, Colm PF O'Donnell, Margaret Walshe
Cochrane Database of Systematic Reviews.2023;[Epub] CrossRef
Evaluation of Mental Status in High-Risk Neonates using Infants Coma Scale
Young-Mee Ahn, Min Sohn, Sang-Mi Lee
Journal of Korean Academy of Nursing.2010; 40(4): 561. CrossRef

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