Kangaroo Care and Maternal Stress in the Neonatal Intensive Care Unit: A Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/163420
Category:
Abstract
Type:
Presentation
Title:
Kangaroo Care and Maternal Stress in the Neonatal Intensive Care Unit: A Randomized Controlled Trial
Author(s):
Engler, Arthur J.
Author Details:
Arthur J. Engler, DNSc, RNC, APRN, Associate Professor, University of Connecticut School of Nursing, Storrs, Connecticut, USA, email: arthur.engler@uconn.edu
Abstract:
Purpose: To evaluate the effect of skin-to-skin contact between mother and newborn, or Kangaroo Care on maternal stress levels in the neonatal intensive care unit (NICU). Theoretical Framework: Anderson's Mutual Caregiving Model. Methods (Design, Sample, Setting, Measures, Analysis): Design: Randomized controlled trial. Sample: The sample consisted of 25 mothers (experimental = 13, control = 12). Mean maternal age was 26.88 years (SD = 6.438), with 48% being Caucasian. Mean infant gestational age at birth was 32.779 (SD = 2.7932) weeks, mean birth weight was 1985.72 g (SD = 757.033), mean postnatal age was 17.32 days (SD = 19.326), with 64% being male, 76% having 5-minute Apgars of at least 8. Setting: Two level III NICUs, one in New England and one in the Mid-Atlantic region of the U.S. Measures: Fingertip temperature, galvanic skin resistance, skin conductance, salivary cortisol, Parental Stress Scale: NICU, Multiple Affect Adjective Checklist Revised (MAACL). Analysis: Inferential and descriptive statistics. Results: Repeated measures ANOVA for fingertip temperature and time almost reached significance, Wilks' lambda = .691, F (2, 16) = 3.576, p = .052; results were non-significant for all other variables. A Students' t-test showed a significant difference in MAACL dysphoria T scores after treatment, t (8) = 3.790, p = .005, with experimental group mothers having significantly lower mean scores than control group mothers (M = 43.00, SD = 1.549 vs. M = 56.75, SD = 8.958). Conclusions and Implications: Although the findings were not as strong as expected, the Mutual Caregiving Model was weakly supported, especially regarding depression. Subsequent analysis showed that a variety of factors might have accounted for these findings, including sample size, technical difficulties with study equipment, and changes in the setting.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleKangaroo Care and Maternal Stress in the Neonatal Intensive Care Unit: A Randomized Controlled Trialen_GB
dc.contributor.authorEngler, Arthur J.en_US
dc.author.detailsArthur J. Engler, DNSc, RNC, APRN, Associate Professor, University of Connecticut School of Nursing, Storrs, Connecticut, USA, email: arthur.engler@uconn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163420-
dc.description.abstractPurpose: To evaluate the effect of skin-to-skin contact between mother and newborn, or Kangaroo Care on maternal stress levels in the neonatal intensive care unit (NICU). Theoretical Framework: Anderson's Mutual Caregiving Model. Methods (Design, Sample, Setting, Measures, Analysis): Design: Randomized controlled trial. Sample: The sample consisted of 25 mothers (experimental = 13, control = 12). Mean maternal age was 26.88 years (SD = 6.438), with 48% being Caucasian. Mean infant gestational age at birth was 32.779 (SD = 2.7932) weeks, mean birth weight was 1985.72 g (SD = 757.033), mean postnatal age was 17.32 days (SD = 19.326), with 64% being male, 76% having 5-minute Apgars of at least 8. Setting: Two level III NICUs, one in New England and one in the Mid-Atlantic region of the U.S. Measures: Fingertip temperature, galvanic skin resistance, skin conductance, salivary cortisol, Parental Stress Scale: NICU, Multiple Affect Adjective Checklist Revised (MAACL). Analysis: Inferential and descriptive statistics. Results: Repeated measures ANOVA for fingertip temperature and time almost reached significance, Wilks' lambda = .691, F (2, 16) = 3.576, p = .052; results were non-significant for all other variables. A Students' t-test showed a significant difference in MAACL dysphoria T scores after treatment, t (8) = 3.790, p = .005, with experimental group mothers having significantly lower mean scores than control group mothers (M = 43.00, SD = 1.549 vs. M = 56.75, SD = 8.958). Conclusions and Implications: Although the findings were not as strong as expected, the Mutual Caregiving Model was weakly supported, especially regarding depression. Subsequent analysis showed that a variety of factors might have accounted for these findings, including sample size, technical difficulties with study equipment, and changes in the setting.en_GB
dc.date.available2011-10-27T11:07:16Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:16Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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