The Effect of Abdominal Massage on Bilirubin Levels in Term Infants Receiving Phototherapy: A Randomized Controlled Trial.

IF 1.6 4区医学 Q2 NURSING Advances in Neonatal Care Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI:10.1097/ANC.0000000000001149

Selmin Köse, Duygu Gözen, Özge Eda Karadağ Aytemiz, Sabiha Çağlayan

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Abstract

Background: The incidence of neonatal hyperbilirubinemia in Europe and the United States is estimated to be 3.2 and 4.4 per 10,000 live births, respectively. Abdominal massage for hyperbilirubinemia is considered a safe complementary treatment for infants that may increase number of defecations and decrease bilirubin levels.

Purpose: This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy.

Methods: The sample consisted of 43 term newborns (intervention group: 23; control group: 20) who received phototherapy in a university hospital between June 2019 and February 2021. Information and observation forms were used for data collection. The intervention group received 6 abdominal massages over 2 days, performed 3 times a day, 6 hours apart, and lasting 5 minutes each.

Results: Transcutaneous bilirubin levels and heart rate were significantly lower in the intervention group than in the control group at 48 hours (P = .015 and P = .033, respectively). Number of defecations was higher in the intervention group at 24 hours (P = .007) but there was no significant difference at 48 hours. The decrease in serum bilirubin between 24 and 48 hours was significantly greater in the intervention group (P = .005).

Implication for practice and research: Abdominal massage was effective in reducing bilirubin levels and may increase the number of defecations. Providing massage training to the parents of infants who are discharged early could be a protective approach to prevent the rise in bilirubin levels.

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腹部按摩对接受光疗的足月婴儿胆红素水平的影响：随机对照试验

背景：在欧洲和美国，新生儿高胆红素血症的发病率估计分别为每万名活产婴儿中有 3.2 例和 4.4 例。腹部按摩治疗高胆红素血症被认为是一种安全的婴儿辅助治疗方法，可增加排便次数并降低胆红素水平。目的：本研究设计了一项随机对照试验，以确定腹部按摩对接受光疗的足月儿胆红素水平的影响：样本包括 2019 年 6 月至 2021 年 2 月期间在一家大学医院接受光疗的 43 名足月儿（干预组：23 名；对照组：20 名）。数据收集使用了信息和观察表。干预组在两天内接受了 6 次腹部按摩，每天 3 次，每次间隔 6 小时，每次持续 5 分钟：结果：48 小时后，干预组的经皮胆红素水平和心率明显低于对照组（分别为 P = .015 和 P = .033）。24 小时时，干预组的排便次数较多（P = .007），但 48 小时时没有明显差异。干预组在 24 小时和 48 小时之间的血清胆红素降幅明显更大（P = .005）：对实践和研究的启示：腹部按摩可有效降低胆红素水平，并可增加排便次数。为提前出院婴儿的父母提供按摩培训可能是防止胆红素水平升高的一种保护性方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.