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Effect of kangaroo father care during transport on physiological parameters, anxiety, and paternal bonding in preterm
Zeynep Büşra Zekey1, Raziye Celen2, Murat Konak3
1Selcuk University, Faculty of Medicine Hospital, Konya, Turkey.
Insights
Kangaroo father care during transport improved preterm infants' physiological stability and reduced fathers' anxiety. While it did not affect body temperature or bonding, it offers a safe, low-cost method for infant care.
Area of Science:
- Neonatal care
- Pediatrics
- Maternal and child health
Background:
- Preterm infants require specialized care during transport to the Neonatal Intensive Care Unit (NICU).
- Maternal and paternal involvement are crucial for infant well-being and development.
- Transport can be a stressful experience for both preterm infants and their parents.
Purpose of the Study:
- To evaluate the impact of kangaroo father care (KFC) during transport on preterm infants' physiological parameters.
- To assess the effect of KFC on fathers' anxiety levels during infant transport.
- To examine the influence of KFC on the development of paternal bonding.
Main Methods:
- A randomized controlled trial involving 40 preterm infants and their fathers was conducted.
- Infants were assigned to either the intervention group (KFC during transport) or the control group (standard transport).
- Physiological parameters, state anxiety, and father-infant bonding were measured before, during, and after transport.
Main Results:
- Infants receiving KFC showed significant improvements in heart rate, respiratory rate, and oxygen saturation compared to the control group.
- Fathers in the KFC group reported significantly lower state anxiety levels.
- No significant differences were observed in infant body temperature or father-infant bonding scores between the groups.
Conclusions:
- Kangaroo father care during transport is a beneficial intervention for stabilizing preterm infants' physiological status.
- KFC effectively reduces anxiety in fathers during the stressful transport period.
- This non-invasive approach is a safe, cost-effective method to enhance infant care and parental well-being during neonatal transport.
Aim:
This study aims to determine the effects of kangaroo father care during transport on physiological parameters, anxiety, and paternal bonding in preterm infants.
Method:
A parallel-group, randomized controlled study was carried out at a university hospital in Türkiye between December 2023 and December 2024. The study included 40 preterm infants and their fathers, randomly assigned to intervention (n = 20) or control (n = 20) groups. Infants in intervention group were transported to the NICU while receiving early kangaroo father care, whereas those in control group were transported using standard practice. Data collection was conducted using a father-infant information form, a physiological parameter monitoring form, the state anxiety inventory, and the father-infant bonding scale. Fathers and infants were monitored from initiation of kangaroo care until completion of transport.
Results:
There was no significant difference in body temperature between the groups (p > 0.05). However, there were significant differences in heart rate, respiratory rate, and oxygen saturation between the groups (p < 0.05). Fathers in intervention group had significantly lower state anxiety than those in control group (p < 0.001, η2 = 0.161). However, no significant difference was found in father-infant bonding scores over time between the groups (p > 0.05).
Conclusion:
Kangaroo father care during transport positively affected heart rate, respiratory rate, and oxygen saturation in infants and reduced fathers' state anxiety. However, no difference was found between the groups in body temperature or father-infant bonding.
Practice Implications:
Kangaroo father care is a safe, low-cost, and non-invasive approach that can improve physiological stability in preterm infants and reduce anxiety in fathers during transport.
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