The Effect of Kangaroo Care on Sleep Duration in Preterm Infants

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Parinasupa Homsombat
Jariya Wittayasooporn
Tipawan Daramas


This study aimed to compare the average sleep duration of preterm infants between Kangaroo care and usual care. A quasi-experimental study with a crossover design was used. The samples consisted of 20 pairs of mothers and preterm infants recruited using purposive sampling from one university hospital, Pathum Thani Province, during May–September 2018. Each pair of samples was randomly assigned to either the experiment or the control situation first and vice versa. The Kangaroo care is a method of holding a baby that involves skin-to-skin contact. The sleep-wake state was evaluated using the tape record and evaluation guidelines. The data were analyzed using paired t-test or Wilcoxon Signed-rank test. The findings showed that the preterm infants during Kangaroo care had the average sleep time longer than during usual care with a statistical significance. The results of this study support the study hypothesis and assure the WHO
recommendation to provide Kangaroo care for at least one hour and keep continuing as long as possible for the optimum benefit of Kangaroo care.


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Homsombat P, Wittayasooporn J, Daramas T. The Effect of Kangaroo Care on Sleep Duration in Preterm Infants. Rama Nurs J [Internet]. 2020 May 7 [cited 2022 Aug. 19];26(1):31-45. Available from:
Author Biographies

Parinasupa Homsombat, โรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์ โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล

Professional Nurse, Thammasat chalermprakiet Hospital, Pathum Thani; and Master’s Student, Master of Nursing Science Program (Pediatric Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Jariya Wittayasooporn, Lecturer, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Tipawan Daramas, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Assistant Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University


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