OBJECTIVE Feeding intolerance (FI) is a common condition in preterm infants because they have an immature gastrointestinal tract. There are studies on the effects of the position on gastric residual volume (GRV) in preterm infants. Kangaroo mother care (KMC) may be an instrument for reducing FI by providing an upright position to infants. Moreover, numerous studies conducted with this therapeutic position applied by putting an infant on the mother's chest have indicated its positive effects on the infant's weight gain, growth and development, and vital signs. Therefore, this study aimed to reveal the impact of KMC on FI in preterm infants. METHODS The population of the study, designed as a randomized trial, consisted of 168 preterm infants [KMC: 84, Standart Care (SC): 84] hospitalized in the neonatal intensive care unit of a university hospital between June and November 2020. Infants were randomly selected and divided into two groups. After the vital signs of the infants in both groups became stable, the infants were fed in the same position. KMC was applied to the infants in the intervention group for 1 h by preparing a suitable environment after feeding. Infants in the SC group were placed in the prone position after feeding. The GRVs of the infants in both groups were recorded on the Infant Follow-up Form before the next feeding. RESULTS No statistically significant difference was detected between the groups upon comparing them in terms of demographic and clinical characteristics. The body temperatures and O2 saturations of the participants in the KMC group were statistically significantly higher, and their respiratory and heart rates were lower than the SC group. The transition time to full enteral feeding was statistically significantly shorter, and FI was experienced significantly less in the KMC group infants than in the SC group (p < 0.05). There was no statistically significant difference between the groups in terms of the infants' weight gain and length of hospital stay (p > 0.05). CONCLUSION The present study demonstrated that KMC had a positive impact on FI in preterm infants. KMC is not only a safe care model providing the earliest contact between parents and infants but also a practice whose positive effect on the functioning of the digestive system in preterm infants we can use.

中文翻译：

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袋鼠妈妈护理对早产儿喂养不耐受的影响。

目的 喂养不耐受 (FI) 是早产儿的常见病症，因为他们的胃肠道尚未成熟。有研究探讨体位对早产儿胃残余量（GRV）的影响。袋鼠妈妈式护理 (KMC) 可能是通过为婴儿提供直立姿势来减少 FI 的一种工具。此外，通过将婴儿放在母亲胸部进行的这种治疗姿势进行的大量研究表明，这种姿势对婴儿的体重增加、生长发育以及生命体征有积极的影响。因此，本研究旨在揭示KMC对早产儿FI的影响。方法 这项研究的人群是一项随机试验，包括 2020 年 6 月至 11 月期间在大学医院新生儿重症监护病房住院的 168 名早产儿 [KMC：84，标准护理 (SC)：84]。随机选择并分为两组。待两组婴儿生命体征稳定后，以相同体位喂养。干预组婴儿喂养后准备合适的环境，应用KMC 1 h。SC组的婴儿在喂养后处于俯卧位。在下次喂养前，将两组婴儿的GRV记录在婴儿随访表上。结果 在人口统计学和临床​​特征方面进行比较后，各组之间没有发现统计学上的显着差异。KMC 组参与者的体温和 O2 饱和度在统计上显着高于 SC 组，而呼吸和心率则低于 SC 组。与 SC 组相比，KMC 组婴儿向完全肠内喂养的过渡时间显着缩短，并且 FI 经历的次数显着减少 (p < 0.05)。各组间婴儿体重增加和住院时间无统计学差异（p > 0.05）。结论 本研究表明 KMC 对早产儿 FI 有积极影响。KMC 不仅是一种提供父母与婴儿最早接触的安全护理模式，而且也是一种我们可以使用的对早产儿消化系统功能产生积极影响的做法。