Effects of Nursing Interventions on Newborn with Hyperbilirubinemia
Date Issued
2014
Date
2014
Author(s)
Lee, Shin-Fen
Abstract
Hyperbilirubinemia is the most common health problem in the neonatal phase. Around 1% to 4% of newborns will be hospitalized again due to this problem in the first week after birth. The research is to explore the effects of nursing interventions on newborn with hyperbilirubinemia within 14 days after being discharged from hospital. These factors includes the characteristics of newborns and their mothers, newborns’ admission body weight, discharge body weight, bilirubin value at admission, bilirubin value at discharge, days of phototherapy, length of hospital stay, feeding pattern, times of output, amount of breast milk feeding, breastfeeding time, amount of formula milk feeding.
Data were collected by the researcher herself through chart review. Research tools include self-developed checklists for the demographic characteristics of both newborns and their mothers and the clinical manifestationof newborn babies. All the data were recored in a laptop computer. Investigation period ranged from 2013.10.07 to 2013.11.09. Control group from Jan, 2008 to Dec, 2009. There are 61 newborns in total which got hyperbilirubinemia and need readmitted, Experimental group, in between Jan, 2010 and Dec, 2011, there are 30 newborns who suffered the same symptoms. The SPSS20.0 software was used for the statistics analysis, including methods like description statistics, Chi-square test, independent sample t-test and Fisher’s exact test, and Scheffe test.
We found that by providing mothers with complete instructions for taking care of a baby with hyperbilirubinemia during the nursing intervening, it helps reducing the readmission rate of the newborns with hyperbilirubinemia from 3.86% to 2.16%. Decrease infant formula from 465.12 ± 224.34 ml to 323.86 ± 172.75 ml (t = -2.98, p = .004). Comparing the status of readmission, the experimental group was heavier in both admission body weight（2876.27 ± 463.65gm vs 3123.98 ± 551.37gm, t = -2.12, p =.037）and discharge body weight（2951.87 ± 487.13 gm vs 3284.82 ± 559.93 gm, t = -2.78, p = .007）, had higher value in discharge bilirubin（11.50 ± 1.41 mg / dL vs 10.74 ± 1.37 mg / dL, t = 2.47, p = .015）, and has less intake of formula milk (323.86 ± 172.75 ml vs 465.12 ± 224.34 ml, t = -2.98, p = .004) significantly than in the control group. In addition, we found that the older age of the mother, the lenth of hospital stay of the newborn baby is shorter （7.50 ± 0.70 vs 3.79 ± 1.65 vs 3.44 ± 1.59, t＝5.407, p＝.011）. The higher level of mother’s education was, both length of hospital stay （8.00 ± 0.00 vs 3.80 ± 2.04 vs 3.33 ± 1.52 vs 3.50 ± 1.54 vs 6.00 ± 1.00天, t＝3.312, p＝.026）and days of phototherapy were shorter（8.00 ± 0.00 vs 2.60 ± 1.82 vs 2.33 ± 1.53 vs 2.44 ± 1.38 vs 4.33 ± 2.08, t＝3.941, p＝.013）. Mothers with the degree of university had more amount of breast milk feeding than both mothers with high school deploma and graduate degree (192.57 ± 80.59 vs 60.00 ± 0.00, 51.33 ± 10.26 respectively, t = 5.031, p = .038).
Based on the concept of family-centered care, the nursing education with complete instruction of taking care of a newborn baby indeed contribute a mother to improve their understanding about correct feeding pattern and observation. Current study support the effect on increasing breast feeding, decreasing formula milk feeding, and reducing the rate of readmission for the infant with hyperbilirubinemia. These findings provide nursing staffs a good reference for nursing care of the newborns.
Subjects
護理介入措施
高膽紅素血症新生兒
成效
Type
thesis
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