Designing dress (sarbebe) for kangaroo care, the effect of kangaroo care provided with this dress on mother and newborn's comfort

INTRODUCTION AND AIM: Kangaroo care (KC) is skin-to-skin contact that ensures interaction between the parent and baby. The first aim of this study was to design the dress that mothers will wear in KC and to develop the Kangaroo Care Comfort Scale (KCCS). The second aim was to determine the effect of KC provided with this dress on mother and newborn's comfort. MATERIAL AND METHOD: The first stage of the study was carried out methodologically for designing dress for KC, and the second stage was carried out as a randomized controlled experimental study. While the scale development stage of the study was carried out with 253 mothers and their newborn's, the second stage was carried out with 30 intervention groups, 30 control group mothers and their preterm newborn's.The mothers in the intervention group were worn in dress called Sarbebe which was designed for the study, and the control group was provided with KC according to the service routine. The data was transferred to IBM SPSS Statistics 23 and AMOS 22 program and evaluated. RESULTS: The fit index values of the developed scale for the confirmatory factor analysis model were found to beχ²/sd:2.908, RMSEA: 0.077, GFI: 0.862, CFI: 0.897, SRMR: 0.063. The Cronbach alpha coefficient of the scale was found to be 0.872 for the whole scale. It was determined that the KCSS (z: -4.785 p: 0.000) and maternal satisfaction scale score (z: -3.728 p: 0.000) in the intervention group were significantly higher compared to the control group (p<0.05). A similarity was found between the two groups in terms of Newborn Comfort Behavior Scale total scores (z: -1.837 p: 0.066).The pain (z: -4.439 p: 0.000) and distress (z: -4.601 p: 0.000) levels of the control group were found to be significantly higher compared to the intervention group. CONCLUSION: It was concluded that mother's comfort and satisfaction were high and the pain and distress scores of the newborn were low after the KC provided with Sarbebe. Keywords: Kangaroo Care, Premature Baby, Mothers, NeonatalIntensive Care Unit, Kangaroo Care Comfort Scale, Kangaroo Care Dress (Sarbebe)