The Effect of Kangaroo Care on Paternal Attachment A Randomized Controlled Study

Yıldırım, Fatma
Büyükkayacı Duman, Hayriye
Şahin, Ebru
Vural, Gülşen
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Advances in Neonatal Care
Background: During the first interaction between the father and the infant, touch can be very important especially father–infant skin-to-skin contact. Few studies have focused on the effect of kangaroo care (KC) on paternal attachment. Purpose: This randomized controlled study was conducted to determine the effect of KC on paternal attachment. Methods: A total of 90 fathers of healthy newborns, including 45 in the intervention group and 45 in the control group who met the inclusion criteria, were included randomly in the study. Data were collected using the Introductory Information Form at study admission and the Father–Infant Attachment Scale (FIAS) at 3 months of age. T test, Mann–Whitney U test, and Kruskal–Wallis test were used for statistical analysis. Results: The mean FIAS scores for the intervention group (I) were higher than for the control group (C) (I: 80.57 ± 13.70; C: 56.76 ± 13.23) (P < .05). Patience and tolerance (I: 13.70 ± 1.18; C: 11.57 ± 2.30), pleasure in interaction (I: 29.50 ± 2.86; C: 17.13 ± 5.93), and love and pride (I: 37.37 ± 2.85; C: 28.06 ± 5.82) mean scores for FIAS subdimensions in the intervention group were also higher than in the control group (P < .05). Implications for Practice and Research: Findings of this study demonstrate that KC has the potential to increase paternal attachment. Healthcare providers should provide discharge education for fathers on KC to increase father–infant attachment. There is a need for studies with larger samples in different cultures on the factors related to parents that affect father–infant attachment and evidence-based practices that increase attachment.
Published by Advances in Neonatal Care ; DOI: 10.1097/ANC.0000000000001100; Yildirim, Fatma PhD; Büyükkayaci Duman, Nuriye PhD; Şahin, Ebru PhD; Vural, Gülşen PhD ; Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Hitit University, Çorum, Turkey (Drs Yildirim and Duman); Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Ordu University, Ordu, Turkey (Dr Şahin); and Atılım University Medical Services and Techniques Department, Ankara, Turkey (Dr Vural).
Kangaroo care; father; paternal attachment; Turkey