Abstract:

Objective To systematically evaluate and analyze qualitative studies of parental engagement in kangaroo mother care experiences for preterm infants in the NICU，aiming to provide references for promoting the early recovery of preterm infants in NICU and improving the quality of nursing services. Methods Relevant were searched for qualitative studies of parental engagement in kangaroo mother care for preterm infants in NICU. The search time limit was from the construction of the database to July 19，2024. The quality of the included literature was assessed using the Joanna Brigg Institute’s（JBI） Australian Centre for Evidence-Based Health Care’s Quality Assessment Criteria for Qualitative Research，and the results were integrated using the meta-integration methods. Results A total of 17 papers were included in the literature，and 61 findings were extracted，grouped into 10 new categories. These were further synthesized into 4 integrated findings：physical and psychological perceptions of participation in kangaroo mother care；challenges to participation in kangaroo mother care；facilitators of participation in kangaroo mother care；expectations and suggestions for kangaroo mother care. Conclusion Hospital administrators should further improve the management specifications of kangaroo mother care for preterm infants in NICU，optimize resource allocation and strengthen publicity. At the same time，healthcare professionals should actively promote the establishment of peer and family support systems and increase participation in kangaroo mother care to facilitate early recovery of preterm infants in NICU and to continuously promote the improvement of nursing service quality.

Key words: Preterm Infants, Low Birth Weight Infants, Kangaroo Mother Care, Neonatal Intensive Care Unit, Qualitative Study

摘要：

目的 系统评价和整合NICU早产儿父母参与袋鼠式护理体验的质性研究，为促进NICU早产儿的早期康复、提高护理服务质量提供参考。 方法 计算机检索相关数据库，收集关于NICU早产儿父母参与袋鼠式护理的质性研究，检索时限为建库至2024年7月19日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准对纳入文献进行质量评价，采用汇集性整合法对纳入文献进行整合与分析。 结果 共纳入文献17篇，提炼61个研究结果，形成10个类别，最终归纳为4个整合结果：参与袋鼠式护理的身心感知；参与袋鼠式护理面临的挑战；参与袋鼠式护理的促进因素；对袋鼠式护理的期望与改进建议。 结论 医院管理者应进一步完善NICU早产儿袋鼠式护理的管理规范，优化资源配置并加强宣传。同时，医护人员应积极推动同伴与家庭支持体系的建立，提高袋鼠式护理的参与度，以促进NICU早产儿的早期康复，持续推进护理服务质量的提升。

关键词: 早产儿, 低出生体重儿, 袋鼠式护理, 新生儿重症监护室, 质性研究