Objective To analyze the effects of parental participation in developmental care combined with kangaroo intervention on growth and development, neuro-behavior and Ghrelin level in very low birth weight (VLBW) infants. Methods A total of 106 extremely low birth weight infants treated in Sichuan Maternal and Child Health Hospital from May 2017 to June 2019 were enrolled in this study.Forty-nine cases whose parents participated in developmental care on the basis of conventional intervention were selected as the control group, and 57 infants in the observation group were given kangaroo intervention additionally.The clinical conditions, developmental conditions, complications, neurobehavioral development, and Ghrelin level in infants were compared between the two groups. Results The infants in the observation group had shorter enteral feeding time and time to return to normal weight than the control group, and the daily sleep time in the observation group was significantly longer than that in the control group (t=7.200, 6.284,14.995, P<0.05).There was no significant difference in the weight, head circumference and length of the two groups before intervention (P> 0.05).The weight, head circumference and length of the infants in the observation group were larger than those in the control group after intervention (t=10.257,2.155,3.559, P<0.05).The total incidence of complications in the observation group was 8.77%, significantly lower than that in the control group (24.49%) (χ2=4.834, P<0.05).There was no significant difference in NBNA score and Ghrelin level between the two groups of infants before intervention (P>0.05), but the score of NBNA and Ghrelin in the observation group were significantly higher than those in the control group after intervention (t=6.284,2.893, P<0.05). Conclusion Compared with kangaroo intervention alone, parents' participation in developmental care combined with kangaroo intervention can significantly shorten the time for VLBW infants to reach total enteral feeding, recover normal body weight and sleep every day, improve their weight, head circumference and body length, and facilitate their neurobehavioral development and improve the level of Ghrelin.
Key words
parent involvement /
developmental care /
kangaroo intervention /
very low birth weight infants
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