The efficacy of continuous kangaroo mother care (C-KMC) in reducing neonatal mortality and morbidity among low birthweight and premature infants has been confirmed. Despite the recommendations of the World Health Organization, UNICEF, and the Ministry of Health of Iran to use C-KMC for eligible hospitalized neonates, this type of care is not performed due to implementation problems. This protocol aims to describe the design, implementation, and assessment of C-KMC in one tertiary hospital by means of participatory action research. The objective of this study is to design and implement a C-KMC program for neonates that will be performed in two phases using a stages-of-change model. The first phase will be conducted in three consecutive activities of designing, implementing, and assessing the introduction of C-KMC. The second phase of the study has a before-and-after design to assess the effectiveness of C-KMC by comparing the length of preterm neonates’ stay in hospital and exclusive breastfeeding at discharge before and after implementing C-KMC. KMC is an important component of neonatal developmental care as part of family-centered care. Applying this type of care requires creating appropriate strategies, budget allocation, and clear and coordinated planning at different levels of the health system. The stages-of-change model is one of the appropriate approaches to the implementation of C-KMC.

中文翻译：

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持续袋鼠妈妈护理的实施和有效性：参与式行动研究协议

持续袋鼠妈妈护理 (C-KMC) 在降低低出生体重儿和早产儿新生儿死亡率和发病率方面的功效已得到证实。尽管世界卫生组织、联合国儿童基金会和伊朗卫生部建议对符合条件的住院新生儿使用 C-KMC，但由于实施问题，此类护理并未进行。该协议旨在通过参与式行动研究来描述一家三级医院中 C-KMC 的设计、实施和评估。本研究的目的是为新生儿设计和实施 C-KMC 计划，该计划将使用变化阶段模型分两个阶段进行。第一阶段将在设计、实施和评估 C-KMC 引入的三个连续活动中进行。该研究的第二阶段采用前后设计，通过比较实施 C-KMC 前后早产儿住院时间和出院时纯母乳喂养的时间来评估 C-KMC 的有效性。作为以家庭为中心的护理的一部分，KMC 是新生儿发育护理的重要组成部分。应用这种类型的护理需要在卫生系统的不同级别制定适当的策略、预算分配以及明确和协调的规划。变化阶段模型是实施 C-KMC 的适当方法之一。作为以家庭为中心的护理的一部分，KMC 是新生儿发育护理的重要组成部分。应用这种类型的护理需要在卫生系统的不同级别制定适当的策略、预算分配以及明确和协调的规划。变化阶段模型是实施 C-KMC 的适当方法之一。作为以家庭为中心的护理的一部分，KMC 是新生儿发育护理的重要组成部分。应用这种类型的护理需要在卫生系统的不同级别制定适当的策略、预算分配以及明确和协调的规划。变化阶段模型是实施 C-KMC 的适当方法之一。