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The Effects of Kangaroo Care on Delirium Management in Neonates Under Non-Invasive Mechanical Ventilation: A Randomized Control Trial Publisher



Mirnia K1 ; Osborne JW2 ; Sharifnia H3, 4 ; Sanchezteruel D5 ; Fomani FK6 ; Mirzaei N7
Authors
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Authors Affiliations
  1. 1. Children's Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Statistics, Miami University, Oxford, OH, United States
  3. 3. Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  4. 4. Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
  5. 5. Department of Personality, Assessment and Psychological Treatment, University of Granada, Granada, Spain
  6. 6. Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: Nursing Practice Today Published:2025


Abstract

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. © 2025 Tehran University of Medical Sciences.