الفهرس 
Effect of massage on health status of neonates with hyperbilirubinemia
AbstractOnly 14 pages are availabe for public view
 |  | from | 145 |  |  |
| | | from | 145 | | |
Abstract
Hyperbilirubinemia affects 60% of term and 80% of preterm infants in the 1st week of life. Massage is a non-invasive therapeutic technique. It does not require any special technology or equipment; can easily be carried out alongside classical medicine and can result in a lowering of treatment costs, shortening of the length of the disease and its side-effects. The aim of the current study was to evaluate the effect of massage on health status of neonates with hyperbilirubinemia. Quasi -experimental design was utilized, a purposeful sample of 64 neonates with hyperbilirubinemia at El Monira Pediatric Hospital - Cairo University admitted to Neonatal Intensive Care Unit, full term neonates with unconjugated hyperbilirubinemia, bilirubin level above 12 mg/dl, under phototherapy, not requiring exchange transfusion, and birth weight {u2265} 2.500 kg were included. Two tools used, Tool one: Neonatal characteristics sheet developed by the researcher included two parts: Part I: Personal data of the neonate including: gender, birth weight, mode of delivery, onset and history of hyperbilirubinemia. Part II: Medical data: total serum bilirubin level (TSB), stool frequency, type& amount of feeding/ day, daily weight, and hospital stay duration. Tool two: Bilirubin-Induced Neurological Dysfunction (BIND) score sheet adopted from Johnson, Brown & Bhutani, (1999), which included mental status, muscle tone and cry pattern. The results revealed that, the mean TSB level in the 2nd, 3rd, and 4th day of the study was decreased among the study group than the control group with statistical significant differences. The mean number of stool frequency in the 2nd, and 3rdday of the study was increased, as well among the study group than the control group with statistical significant differences between both groups. Regarding daily weight gain there was no statistical significant differences between both groups. The mean hospital stay duration was lower among study group than control group with statistical significant differences between them. The current study concluded that applying Vimala massage therapy combined with phototherapy in neonates with hyperbilirubinemia is effective in reducing total serum bilirubin level and hospital stay duration, increasing stool frequency during the study and feeding amount on 4th day of study but no effect on weight gain. Applying neonatal massage as a routine care for full term neonates with hyperbilirubinemia receiving phototherapy was recommended