目的 评价早产儿袋鼠式护理（kangaroo mother care，KMC）的临床效果和母亲对KMC满意度的影响。
方法 计算机检索PubMed、EMbase、Ovid、Springer数据库，中国期刊全文数据库，台湾电子期刊全文数据库，中国生物医学文献数据库；此外，还手工检索学术会议记录、专题论文集。检索时间均从建库至2007年9月。纳入袋鼠式护理早产儿的所有随机对照试验，并对纳入文献进行行质量评价。采用RevMan 4.2软件进行Meta分析。
Objective To evaluate the maternal satisfaction and the clinical effect of kangaroo mother care (KMC) in preterm infants.
Methods We searched PubMed, EMBASE, Ovid, Springer, CNKI, CBM and Taiwan Database of Journal Fulltext (from establishment to September 2007) and hand searched relevant conference proceedings to identify randomized controlled trials on kangaroo mother care. The quality of included trials was assessed. Meta-analyses were conducted using The Cochrane Collaboration’s RevMan 4.2 software.
Results A total of 5 eligible studies were included. No significant differences were observed in infant mortality, incidence of severe infections, and psychomotor development at 12 months (corrected for age) between the KMC group and the routine therapy group (Pgt;0.05). Compared to the routine therapy group, the KMC group had lower incidences of nosocomial infection, upper respiratory tract disease at 6-month follow-up and not exclusively breastfeeding at discharge (Plt;0.05). KMC could improve mother’s sense of competence during her baby’s stay in hospital and NICU, increase infant weight at discharge, relieve mother’s feelings of worry and stress during her baby’s stay in hospital (Plt;0.05).
Conclusions The currently published evidence from randomised trials supports the use of KMC in preterm infants, which is a scientific, effective and humanistic nursing model. Further multicentre and large-scale randomized controlled trials of KMC are still needed to evaluate its potential influence on infant mortality and psychomotor development.
引用本文： 余章斌,韩树萍,徐业芹,翁莉. 早产儿袋鼠式护理的临床效果和母亲满意度的Meta分析. 中国循证医学杂志, 2008, 08(4): 277-283. doi: 10.7507/1672-2531.20080058 复制