The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial
Background & Aims: Little is known about managing delirium in neonates admitted to Neonatal Intensive Care Units. The current study investigated whether kangaroo mother care can affect neonates' delirium under non-invasive mechanical ventilation. Materials & Methods: In this randomized...
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Tehran University of Medical Sciences
2024-12-01
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| Series: | Nursing Practice Today |
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| Online Access: | https://npt.tums.ac.ir/index.php/npt/article/view/3405 |
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| author | Kayvan Mirnia Jason W. Osborne Hamid Sharif-Nia David Sánchez-Teruel Fatemeh Khoshnavay Fomani Nasim Mirzaei |
| author_facet | Kayvan Mirnia Jason W. Osborne Hamid Sharif-Nia David Sánchez-Teruel Fatemeh Khoshnavay Fomani Nasim Mirzaei |
| author_sort | Kayvan Mirnia |
| collection | DOAJ |
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Background & Aims: Little is known about managing delirium in neonates admitted to Neonatal Intensive Care Units. The current study investigated whether kangaroo mother care can affect neonates' delirium under non-invasive mechanical ventilation.
Materials & Methods: In this randomized control trial, a total of 50 term neonates who were under non-invasive mechanical ventilation were allocated to intervention and control groups (n=25 in each group) using block randomization. Utilizing “Cornell Assessment of Pediatric Delirium”, and “ACoRN respiratory sequence protocol”, the data were gathered at baseline, 24, 48, and 72 hours after. The intervention group received 30 minutes of kangaroo mother care daily.
Results: There was a statistical delirium mean scores difference between the two groups on day 2 (p < 0.045) but not on other days. Repeated measures modeling (linear mixed models and generalized linear mixed models) indicated significant differences in change curves for both Cornell Assessment of Pediatric Delirium scores and the incidence of delirium.
Conclusion: Implementing kangaroo mother care for a 30-minute duration each day for neonates under non-invasive mechanical ventilation may markedly decrease delirium occurrence.
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| format | Article |
| id | doaj-art-a47ee69cf7b342a8bd7ca0824d70ac82 |
| institution | Kabale University |
| issn | 2383-1154 2383-1162 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Nursing Practice Today |
| spelling | doaj-art-a47ee69cf7b342a8bd7ca0824d70ac822025-02-09T09:09:22ZengTehran University of Medical SciencesNursing Practice Today2383-11542383-11622024-12-0112110.18502/npt.v12i1.17528The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trialKayvan Mirnia0Jason W. Osborne1Hamid Sharif-Nia2David Sánchez-Teruel3Fatemeh Khoshnavay Fomani4Nasim Mirzaei5Children Medical Center Pediatric Center of Excellence, Tehran University of Medical Science, Tehran, IranDepartment of Statistics, Miami University, Oxford, Ohio, USAPsychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran AND Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, IranDepartment of Personality, Assessment and Psychological Treatment, University of Granada, Granada, SpainNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranSchool of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Background & Aims: Little is known about managing delirium in neonates admitted to Neonatal Intensive Care Units. The current study investigated whether kangaroo mother care can affect neonates' delirium under non-invasive mechanical ventilation. Materials & Methods: In this randomized control trial, a total of 50 term neonates who were under non-invasive mechanical ventilation were allocated to intervention and control groups (n=25 in each group) using block randomization. Utilizing “Cornell Assessment of Pediatric Delirium”, and “ACoRN respiratory sequence protocol”, the data were gathered at baseline, 24, 48, and 72 hours after. The intervention group received 30 minutes of kangaroo mother care daily. Results: There was a statistical delirium mean scores difference between the two groups on day 2 (p < 0.045) but not on other days. Repeated measures modeling (linear mixed models and generalized linear mixed models) indicated significant differences in change curves for both Cornell Assessment of Pediatric Delirium scores and the incidence of delirium. Conclusion: Implementing kangaroo mother care for a 30-minute duration each day for neonates under non-invasive mechanical ventilation may markedly decrease delirium occurrence. https://npt.tums.ac.ir/index.php/npt/article/view/3405infant; delirium; mechanical ventilation; neonatal intensive care unit; kangaroo mother care method |
| spellingShingle | Kayvan Mirnia Jason W. Osborne Hamid Sharif-Nia David Sánchez-Teruel Fatemeh Khoshnavay Fomani Nasim Mirzaei The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial Nursing Practice Today infant; delirium; mechanical ventilation; neonatal intensive care unit; kangaroo mother care method |
| title | The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial |
| title_full | The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial |
| title_fullStr | The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial |
| title_full_unstemmed | The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial |
| title_short | The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial |
| title_sort | effects of kangaroo care on delirium management in neonates under non invasive mechanical ventilation a randomized control trial |
| topic | infant; delirium; mechanical ventilation; neonatal intensive care unit; kangaroo mother care method |
| url | https://npt.tums.ac.ir/index.php/npt/article/view/3405 |
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