Abstract:
OBJECTIVE:Kangaroo care (KC), a well-established parent-based intervention in neonatal intensive care units (NICUs), with documented benefits for infants and their parents. However, in China there remains a lack of knowledge and a reluctance to implement KC in hospitals. Therefore, our aim was to investigate the current knowledge, beliefs and practices regarding KC among NICU nurses in China using the 'Kangaroo Care Questionnaire'. METHODS:A quantitative descriptive survey was designed. This questionnaire comprised 90 items classified according to four domains: knowledge, practice, barriers and perception. Data were analysed using SPSS V.20.0, and content analysis was used to summarise data derived from open-ended questions. RESULTS:The survey involved 861 neonatal nurses from maternity and general hospitals across China (response rate=95.7%). The findings showed that 47.7% (n=411) of the nurses had participated in the implementation of KC. Neonatal nurses in the 'experienced in KC' group showed an overall better understanding of KC and its benefits with a higher 'correct response' rate than those in the 'not experienced in KC' group. In the 'experienced in KC' group, over 90% considered KC beneficial to the parent-baby relationship and attachment, and over 80% believed that KC positively affected outcomes of preterm infants. The 'not experienced in KC' group perceived more barriers to KC implementation than did the 'experienced in KC' group. CONCLUSION:Although most nurses working in NICUs in China were aware of the benefits of KC, there remain substantial barriers to its routine use in practice. Education for both staff and parents is necessary, as is the provision of appropriate facilities and policies to support parents in providing this evidence-based intervention.
journal_name
BMJ Openjournal_title
BMJ openauthors
Zhang Y,Deng Q,Zhu B,Li Q,Wang F,Wang H,Xu X,Johnston Ldoi
10.1136/bmjopen-2018-021740subject
Has Abstractpub_date
2018-08-30 00:00:00pages
e021740issue
8issn
2044-6055pii
bmjopen-2018-021740journal_volume
8pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:To develop and measure the effectiveness and acceptability of a pharmacy-based chlamydia screening intervention called Emergency Contraception Mediated Pharmacy Access to Chlamydia Testing (ECOMPACT). DESIGN:Selective, opportunistic and cross-sectional study targeting asymptomatic women requesting emergency...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003338
更新日期:2013-08-17 00:00:00
abstract:OBJECTIVE:To assess the sociodemographic patterning of changes in glycaemic control of patients with diabetes affected by the 2011 triple disaster in Japan (earthquake, tsunami and nuclear accident). METHODS:A retrospective cohort study was undertaken with 404 patients with diabetes at a public hospital in Minamisoma ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011455
更新日期:2016-07-07 00:00:00
abstract:INTRODUCTION:Our group previously demonstrated the feasibility of the HuCare Quality Improvement Strategy (HQIS), aimed at integrating into practice six psychosocial interventions recommended by international guidelines. This trial will assess whether the introduction of the strategy in oncology wards improves patient'...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-016347
更新日期:2017-10-06 00:00:00
abstract:OBJECTIVES:To investigate mortality in adults with intellectual disabilities: rates, causes, place, demographic and clinical predictors. DESIGN:Cohort study with record linkage to death data. SETTING:General community. PARTICIPANTS:961/1023 (94%) adults (16-83 years; mean=44.1 years; 54.6% male) with intellectual di...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036465
更新日期:2020-05-17 00:00:00
abstract:INTRODUCTION:Patients with cancer are at high risk of developing pressure ulcers at the end of life as a result of their underlying condition or cancer treatment. There are many guidelines which set out best practice with regard to end-of-life skin care. However, the complexity of palliative cancer care often means tha...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034938
更新日期:2020-07-05 00:00:00
abstract:INTRODUCTION:This article describes two randomised controlled trials that will evaluate the effectiveness and cost-effectiveness of Self-Help Plus (SH+), a group self-help intervention developed by the WHO to reduce distress. In these trials SH+ is being tested as a preventative intervention to lower the incidence of m...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-030259
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVES:This study aimed to explore barriers to accessing care, if any, among people living with HIV/AIDS (PLHA) in two districts of Bihar. We also aimed to assess attitudes towards PLHA among healthcare providers and community members. DESIGN:This qualitative study used an exploratory study design through thematic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033790
更新日期:2019-11-25 00:00:00
abstract:OBJECTIVE:Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients'...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031665
更新日期:2019-12-08 00:00:00
abstract:OBJECTIVE:To explore risks of experiencing intimate partner violence (IPV) after HIV infection among women with HIV in a postnatal care setting in Swaziland. DESIGN:A qualitative semistructured in-depth interview study, using thematic analysis with deductive and inductive coding, of IPV experiences after HIV infection...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006907
更新日期:2015-05-14 00:00:00
abstract:OBJECTIVE:To determine the feasibility of therapy-based, risk-stratified follow-up guidelines for childhood and teenage cancer survivors by evaluating adverse health outcomes in a survivor cohort retrospectively assigned a risk category. DESIGN:Retrospective cohort study. SETTING:Tertiary level, single centre, paedia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002451
更新日期:2013-08-02 00:00:00
abstract:INTRODUCTION:Carotid intima-media thickness (CIMT) is a surrogate marker of atherosclerosis that is measured in adults and children to better understand the natural history of cardiovascular disease (CVD). In adults, CIMT is predictive of myocardial infarction and stroke. In children and adolescents, CIMT is used to as...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019644
更新日期:2018-06-04 00:00:00
abstract:OBJECTIVES:Malignant melanoma has high morbidity and mortality rates. Early diagnosis improves prognosis. Clinical prediction rules (CPRs) can be used to stratify patients with symptoms of suspected malignant melanoma to improve early diagnosis. We conducted a systematic review of CPRs for melanoma diagnosis in ambulat...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-014096
更新日期:2017-03-06 00:00:00
abstract:OBJECTIVE:The primary objective was to explore differences in perceived need for care (PNC), mental health services use (MHSU) and perceived sufficiency of care (PSC) between Canadian Armed Forces Regular Force (RegF) and Reserve Force (ResF) personnel with an objective need for mental health services. DESIGN:Data cam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028849
更新日期:2019-09-18 00:00:00
abstract:OBJECTIVES:The purpose of this study was to investigate the combined effect of exposure to perceived risk at work and unstable employment on self-rated health in both Korea and the European Union. DESIGN:Cross-sectional study. SETTING:We conducted the analyses using employees data from the third Korean Working Condit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032380
更新日期:2020-01-02 00:00:00
abstract:OBJECTIVES:This study aimed to investigate whether violent and non-violent offending were related to elevated risk of suicide. We also investigated whether the risk was higher among those with repeated offences and how experiences of substance misuse and suicide attempt modified the relationship. DESIGN:A nationwide p...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003497
更新日期:2014-02-03 00:00:00
abstract:OBJECTIVES:1) To investigate patient and healthcare provider (HCP) knowledge, attitudes and barriers to handover and healthcare communication during inpatient care. 2) To explore potential interventions for improving the storage and transfer of healthcare information. DESIGN:Qualitative study comprising 41 semi-struct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028199
更新日期:2019-11-11 00:00:00
abstract:OBJECTIVES:To assess the communication potential of three-dimensional (3D) patient-specific models of congenital heart defects and their acceptability in clinical practice for cardiology consultations. DESIGN:This was a questionnaire-based study in which participants were randomised into two groups: the 'model group' ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007165
更新日期:2015-04-30 00:00:00
abstract:INTRODUCTION:Hospitals are complex systems and optimising their function is critical to the provision of high quality, cost effective healthcare. Metrics of performance have to date focused on the performance of individual elements rather than the whole system. Manipulation of individual elements of a complex system wi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034265
更新日期:2020-02-09 00:00:00
abstract:INTRODUCTION:Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how fo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031332
更新日期:2019-11-19 00:00:00
abstract:PURPOSE:Optical coherence tomography (OCT) captures retinal damage in neuromyelitis optica spectrum disorders (NMOSD). Previous studies investigating OCT in NMOSD have been limited by the rareness and heterogeneity of the disease. The goal of this study was to establish an image repository platform, which will facilita...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035397
更新日期:2020-10-29 00:00:00
abstract:INTRODUCTION:Warfarin is an effective anticoagulant and the only oral anticoagulant available for patients with mechanical heart valves. The prothrombin time and the associated international normalised ratio (INR) are routinely tested to monitor the response to anticoagulation therapy in patients. Patients who undergo ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032949
更新日期:2019-12-05 00:00:00
abstract:INTRODUCTION:High body mass index (BMI) is associated with risk of diabetes. Lorcaserin is a selective 5-hydroxytryptamine 2C agonist which exerts robust benefits on long-term weight loss by suppressing appetite among adults with overweight or obesity. The magnitude of efficacy of lorcaserin for preventing and remittin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029426
更新日期:2019-07-27 00:00:00
abstract:INTRODUCTION:Vitamin D is related to resistance to chronic diseases, physiological parameters and functional measures. All of these relationships underscore the potential benefits of cholecalciferol or D3 (nutritional vitamin D) in cancer. This is the first study designed to obtain conclusive evidence on the effect of ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2014-006128
更新日期:2014-12-31 00:00:00
abstract:OBJECTIVE:To develop a conceptual model for effective use of telehealth in the management of chronic health conditions, and to use this to develop and evaluate an intervention for people with two exemplar conditions: raised cardiovascular disease risk and depression. DESIGN:The model was based on several strands of ev...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006448
更新日期:2015-02-06 00:00:00
abstract:OBJECTIVES:To assess the relationship between occupational health and safety (OH&S)-related behaviours of migrating workers in China and their knowledge regarding OH&S laws and regulations (L&Rs). MATERIALS AND METHODS:We sampled 1282 migrant workers from 12 labour-intensive manufacturers in Guangdong, China, with a r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040143
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION:Cancer is one of the leading causes of death globally and many jurisdictions have developed population-based cancer screening programmes to reduce the public health burden of disease. However, screening participation remains suboptimal. Social media and other mobile health (mHealth) technologies are increa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035411
更新日期:2020-02-05 00:00:00
abstract:OBJECTIVES:Despite evidence for an association between the built environment and physical activity, less evidence exists regarding relations between the built environment and sedentary behaviour. This study investigated the extent to which objectively assessed and self-reported neighbourhood walkability, in addition to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009418
更新日期:2015-11-25 00:00:00
abstract:INTRODUCTION:Depression and alcohol use disorders are international public health priorities for which there is a substantial treatment gap. Brief mental health interventions delivered by lay health workers in primary care services may reduce this gap. There is limited economic evidence assessing the cost-effectiveness...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026973
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVES:To examine the patterns of social inequalities in anaemia over time among women of reproductive age in India. DESIGN:Repeated cross-sectional study using nationally representative data from the 1998/1999 and 2005/2006 National Family Health Surveys of India. Multivariate modified Poisson regression models w...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002233
更新日期:2013-03-19 00:00:00
abstract:OBJECTIVES:An increased trend in the number of reported gonorrhoea cases has been observed between 2014 and 2017 in China. This study aims to describe the reported epidemic of gonorrhoea and potential driving forces in Guangdong Province, China. DESIGN:A review of surveillance data. PARTICIPANTS:Three different sourc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031578
更新日期:2019-11-10 00:00:00