ผลของโปรแกรมการเสริมสร้างพลังอำนาจในการดูแลแบบแกงการูของมารดาต่อการทำหน้าที่ทางสรีรวิทยาของทารกเกิดก่อนกำหนดที่มีภาวะหายใจลำบาก

Abstract

Preterm infants are not fully developed and have incomplete function which can lead to respiratory distress syndrome These infants require special care in the Neonatal Intensive Unit and are separated from their mothers for a period time. This separation prevents mothers from learning about their infant's behavior resulting in low confidence to provide care for their infants. Preterm infants hospitalized in the Neonatal Intensive Unit, often results in stress. These children need kangaroo care to promote interaction between mothers and preterm infants. This quasi-experimental research study aimed to compare oxygen saturation and heart rate of preterm infants between a control group receiving routine nursing care and an experimental group receiving the routine nursing care along with an empowerment program. The study compared oxygen saturation and heart rate of preterm infants between the two groups. Oxygen saturation and heart rate data was also collected for the experimental group before, during, and after kangaroo care. The study sample consisted of 30 mothers with preterm infants admitted to Neonatal Intensive Unit from January 2020 to October 2020. Fifteen mother-infant pairs were assigned to the control group and the other 15 were assigned to the experimental group. The research instrument included the plan for the kangaroo care empowerment program on Physiological Functions of Preterm Infants with Respiratory Distress Syndrome and instruments used for data collection consisted of the demographic data form and the physiological functions of preterm infants. The data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test, repeated one-way ANOVA and Independent t-test. The results were as follows: 1. There was no significant different in preterm infant heart rate between the experimental group and the control group. However, infant oxygen saturation was significantly higher in the experimental group than in the control group (p< .05). 2. There was no significant difference in heart rate before, during, and after kangaroo care for preterm infants in the kangaroo care empowerment program. Nevertheless, the difference in infant oxygen saturation was significant (p< .05). The results of this study can guide the pediatric nurses to empower mothers of preterm infants with respiratory distress syndrome in order to perform the kangaroo care appropriately.