Journal of Korean Academy of Nursing

Original Articles

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 a Sensory Stimulation on Weight, Stress Hormone and Behavioral State in Premature Infants: Kun Ja Lee; Journal of Korean Academy of Nursing 1999;29(2):445-455. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.445

Abstract PDF

This study has been conducted on the nonequivalent control group pretest-posttest design in quasi experimental basis and newly born premature infants from intensive care unit of G Medical University Hospital in Inchon Metropolitan were selected in two groups of 21 infants each. The first group for experimental and the other for control. Data has been collected form October 30, 1997 to August 29, 1998. For the experimental group tactile and kinesthetic stimulation was applied 2 times a day for 10 days(10:00~11:00 hours in the morning and 17:00~18:00 in the afternoon). As a weight weighing instrument, electronic indicator scale(Cas Co, Korea) was used. To determine urine cortisol concentration level in stress hormone, radio immuno assay method was used. And high performance liquid chlomatogarphy was used to determine urine norepinephrine, concentration level. To determine behavior status, tools developed by anderson et al(1990) and remodeled by Kim Hee-Sook(1996) were used. Collected data were analyzed with the SAS program using x2-test, student t-test, repeated measures ANOVA and paired t-test. The result were as follow. 1. As for the daily weight gain, the experimental group showed first change in weight and this group also showed higher weight in the average weight than the control group. Statistically, however, there was no significant factor between the two groups. 2. The cortisol concentration in urine showed decrease in the experimental group norepinephrine concentration in urine showed increase in both experimental and control groups. No statistical significance was shown between the two groups. 3. In the aspect of behavior status, the experimental group showed statistical significance by showing inactive in the state of alert and conversion to a positive state than the control group. In conclusion, the sensory stimulation in this study showed a positive aspect through there was no statistical significance n the weight gain and urine stress hormone concentration. In the behavior status, there was statistical significance in the frequency of staying inactive in the state of alert and conversion to a positive state.

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Effects of Infant Massage Therapy on Transcutaneous Bilirubin, Feeding, and Excretion in Neonates with Jaundice Undergoing Phototherapy
정성진, 박미경
JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2018; 22(1): 25. CrossRef
Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients
Gwangsoon Kang, Sangeun Oh
Journal of Korean Academy of Nursing.2012; 42(2): 161. CrossRef
Effects of Infant Massage on Physical Growth and Stress Response in Preterm Babies
Namyoun Cheung, Youngshin Song
Journal of Korean Academy of Child Health Nursing.2009; 15(1): 71. CrossRef
Cardiac Vagal Tone as an Index of Autonomic Nervous Function in Healthy Newborn and Premature Infants
Hae-Kyung Lee
Journal of Korean Academy of Child Health Nursing.2009; 15(3): 299. CrossRef

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The Effects of a Home-Visiting Discharge Education on Maternal Self-esteem, Maternal Attachment, Postpartum Depression and Family Function in the Mothers of NICU Infants: Young Mee Ahn, Mi Ran Kim; Journal of Korean Academy of Nursing 2004;34(8):1468-1476. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.8.1468

Abstract PDF

Purpose

A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants.

Methods

Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1week after the discharge by mail.

Results

The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group.

Conclusion

These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.

Citations

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Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
Kortney Floyd James, Betsy E. Smith, Millicent N. Robinson, Courtney S. Thomas Tobin, Kelby F. Bulles, Jennifer L. Barkin
Journal of Clinical Medicine.2023; 12(2): 647. CrossRef
Identifying the common elements of psychological and psychosocial interventions for preventing postpartum depression: Application of the distillation and matching model to 37 winning protocols from 36 intervention studies
Yuping Lin, Xiangchun Zhang, Tianchun Zhou, Feng Xu, Xinli Zhu, Huixin Zhou, Xiao Wang, Yan Ding
Early Intervention in Psychiatry.2023; 17(10): 947. CrossRef
Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review
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Frontiers in Psychiatry.2022;[Epub] CrossRef
Promoting infant mental health in the neonatal intensive care unit (NICU): A review of nurturing factors and interventions for NICU infant-parent relationships
Soudabeh Givrad, Georgina Hartzell, Melissa Scala
Early Human Development.2021; 154: 105281. CrossRef
Development and evaluation of a newborn care education programme in primiparous mothers in Nepal
Sharmila Shrestha, Kumiko Adachi, Marcia A. Petrini, Sarita Shrestha, Bina Rana Khagi
Midwifery.2016; 42: 21. CrossRef
The Correlation between Maternal Adult Attachment Style and Postpartum Depression and Parenting Stress
Sung Yong Park, Sun Mi Kim, Baik Seok Kee, Doug Hyun Han, Churl Na, Gwang Jun Kim, Min Young Park, Na Mi Lee
Journal of Korean Neuropsychiatric Association.2015; 54(4): 515. CrossRef
Effects of Music Therapy and Phone Counseling on Postpartum Depression and Maternal Identity in High Risk Women
Hae Won Kim, Sun OK Kim, Hye Gyung Kim, Hyang Ran Jeon
Perspectives in Nursing Science.2014; 11(1): 63. CrossRef
The Still-Face Paradigm and bidirectionality: Associations with maternal sensitivity, self-esteem and infant emotional reactivity
Ann M. Mastergeorge, Katherine Paschall, Sophie R. Loeb, Ashley Dixon
Infant Behavior and Development.2014; 37(3): 387. CrossRef
The development and psychometric evaluation of the Chinese version of the maternal attachment inventory
Chen‐Jung Chen, Huei‐chuan Sung, Yi‐Chang Chen, Ching‐Yuan Chang, Ming‐Shinn Lee
Journal of Clinical Nursing.2013; 22(19-20): 2687. CrossRef
Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries
Nadja van Ginneken, Prathap Tharyan, Simon Lewin, Girish N Rao, SM Meera, Jessica Pian, Sudha Chandrashekar, Vikram Patel
Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef
Maternal Attachment Inventory: psychometric evaluation of the Korean version
Hyunjeong Shin, Young Hee Kim
Journal of Advanced Nursing.2007; 59(3): 299. CrossRef

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The Effects of the Systemic Follow up Health Care Program on the Health Promotion and the Risk Reduction in Premature Infants and Their Mothers: Young Mee Ahn; Journal of Korean Academy of Nursing 2004;34(6):1129-1142. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.1129

Abstract PDF

Purpose

This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers.

Method

The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively.

Result

All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar.

Conclusion

A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

Citations

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Experiences of Mothers' Attachment in a Follow-Up Program Using Early Intervention for Low-Birth-Weight Infants
Jia Lee, Jinhee Choi Kang, Eun Sun Ji
Asian Nursing Research.2019; 13(3): 177. CrossRef
Effect of Child Development Knowledge, Rearing Knowledge and Use of Health Care Service on Maternal Confidence among Mothers with Premature Infants
So Yeon Kim, Sook Jung Kang
Child Health Nursing Research.2017; 23(4): 407. CrossRef
Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
Min Hee Kim, Eun Sun Ji
Journal of Korean Academy of Nursing.2016; 46(1): 79. CrossRef
Parenting Stress in Mothers of Premature Infants.
Hyun Sook Hwang, Hee Soon Kim, Il Young Yoo, Hyun Sook Shin
Child Health Nursing Research.2013; 19(1): 39. CrossRef
Mothers' Parenting Experience of Premature Infants: Q Methodological Approach
Mi-Young Chon, Eun Sun Ji, Shin-Hwa Lee
Journal of Korean Academy of Nursing.2013; 43(6): 704. CrossRef
Effects of a Home-based Discharge Program for Mothers of Premature Infants on Oxygen Therapy at Home
Ji Min Lee, Soon Ja Oh, Kyung A Kim, Eun Jung Lee, Ji Yoon Lee, Moon Sook Hwang, Jung Sook Kim
Journal of Korean Academy of Child Health Nursing.2010; 16(2): 144. CrossRef
Analysis of Maternal Child Health Services in Korea - Perspective of the Premature Infant -
Hyejung Lee, Kwangok Lee, Mikyung Shin
Journal of Korean Academy of Child Health Nursing.2009; 15(1): 81. CrossRef

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Growth Patterns of Premature Infants Up to 40th Term Week of Corrected Age: Youngmee Ahn, Min Sohn, Sangmi Lee; J Korean Acad Nurs 2011;41(5):613-622. Published online October 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.5.613

Abstract PDF

Purpose

Study purpose were to describe growth patterns of premature infants in weight, length and head circumference from birth to 40th week of corrected ages (CA) and to explore factors affecting patterns.

Methods

A longitudinal descriptive study was conducted with 267 premature infants. They were categorized into 2 groups; GA group with measurements at birth and the CA group with measurements at CA, which was categorized into 3 groups (group 1-3) by WHO guideline for gestational age (GA) at birth.

Results

GA group presented greater measures in all than CA group at same week of life. Among CA groups, group 3 showed the highest measurements, up to 37 weeks of life, though this disappeared at 38-40 weeks. Reversely, group 1 revealed the highest growth rates in all measures, followed by group 2 and group 3. Significant interaction was observed in all measures between week of life and any type of groups.

Conclusion

Higher measures in GA group, as well group 3 among CA groups, supported the superiority of intra-uterine environment overriding quality of regimen from NICU. Regardless of growth acceleration, smaller infants remain smaller, indicating that intra-uterine thrifty phenotype may continue at least up to the 40th week of CA.

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Socioeconomic disparities in the postnatal growth of preterm infants: a systematic review
Krithi Ravi, Aneurin Young, R. Mark Beattie, Mark J. Johnson
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Jisu Jeon, Won Hee Seo, Sang-Jin Chung
Journal of Nutrition and Health.2022; 55(5): 572. CrossRef
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Eun-Ju Lee, Sang-Yeol Lee
Journal of Exercise Rehabilitation.2018; 14(3): 523. CrossRef
Weight Variation in Term Newborns Hospitalized during Early Postnatal Period
Youngmee Ahn, Namhee Kim, Eunyoung Lee, Miyoung Kwak
Child Health Nursing Research.2015; 21(4): 339. CrossRef
Growth of Korean preterm infants in a family‐centered tradition during early infancy: The influence of health risks, maternal employment, and the sex of infants
Youngmee Ahn, Min Sohn, Sangmi Lee
Japan Journal of Nursing Science.2014; 11(4): 281. CrossRef
Growth patterns and their implications for preterm infants in a culture of rapid modernization
Youngmee Ahn, Min Sohn, Yonghoon Jun, Sangmi Lee
Journal of Child Health Care.2013; 17(3): 242. CrossRef
Relationship Between Brain Injury and Head Circumference Growth in Extremely Premature Infants
Young-mee Ahn, Sang-mi Lee
Journal of Korean Academy of Child Health Nursing.2011; 17(4): 281. CrossRef

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