Effect of Tub Bathing on Skin and Bilirubin Levels in Infants Undergoing Tunnel and LED of Phototherapy
Study Details
Study Description
Brief Summary
The study was conducted as a randomized controlled study to determine effect of tube bathing on skin and bilirubin levels in infants undergoing tunnel and LED of phototherapy. The population of the study consisted of term babies with the diagnosis of hyperbilirubinemia in Gaziantep Cengiz Gökçek Maternity and Pediatrics Hospital and Kilis State Hospital Neonatal Intensive Care Units (NICU) among November 2019-September 2020. The sample size was composed of a total of 140 babies, which were determined according to Power Analysis and met the case selection criteria. Accordingly, Thirty-five babies were randomly assigned to each group (Tunnel Group = experiment and control; LED Group = experiment and control). The babies in the experimental groups were given a tube bath at 6 and 12 hours after phototherapy started. On the other hand, the babies in the control groups were given routine cares in the units. Data were gathered 'Information and Registration Form', Neonatal Skin Risk Assessment Scale (NSRAS) and Neonatal Skin Condition Score (NSCS).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Tunnel group Tube bath during the phototherapy
|
Other: TUBE BATH
Wrap Tube Baht (immersion)
|
| No Intervention: Tunnel group rutin care
|
|
| Experimental: LED group Tube bath during the phototherapy
|
Other: TUBE BATH
Wrap Tube Baht (immersion)
|
| No Intervention: LED group rutine care
|
Outcome Measures
Primary Outcome Measures
- Sample size [1-2 month]
The sample size was composed of a total of 140 babies, which were determined according to Power Analysis and met the case selection criteria.
- Divided groups [1 month]
Thirty-five babies were randomly assigned to each group (Tunnel Group = experiment and control; LED Group = experiment and control).
- Experiment difining and time [12 month]
The babies in the experimental groups were given a tube bath at 6 and 12 hours after phototherapy started. On the other hand, the babies in the control groups were given routine cares in the units.
- Measurement [First, 6-12-24 hours for each nerwborn]
Data were gathered 'Information and Registration Form', Neonatal Skin Risk Assessment Scale (NSRAS) and Neonatal Skin Condition Score (NSCS).
- Biochemical measurement [First, 6-12-24 hours for each nerwborn]
Total serum bilirubin values obtained from patient files.
- TSB Findings [10 month]
When differences regarding decrease in 24-hour total serum bilirubin (TSB) levels were compared in all relevant experimental groups, statistically differences were observed (p˂ .001). In particular, the levels of bilirubin were listed as LED-trial, Tunnel-trial, Tunnel-control and LED-control, respectively. It is worthy to utter herein that the decline in TSB was more notable in bathing groups.
- Skin care findings [10 month]
Skin integrity and moisture balance were better in bathing groups than control groups, the best was in the Tunnel-experimental group and the worst was in the Tunnel-control group (p˂ .001).
- Conclusion [12 month]
Tube bath is suggested that decreasing total serum bilirubin level and maintaining skin integrity and moisture balance.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
The baby is receiving phototherapy due to physiological hyperbilirubinemia,
-
Being a term newborn,
-
Monitoring of the LED group in the incubator and the tunnel group in the tunnel phototherapy device,
-
Parents' consent to participate in the study.
Exclusion Criteria:
-
Rh incompatibility between mother and baby,
-
Finding ABO non-compliance,
-
Positive direct Coombs test,
-
Presence of congenital anomaly or syndrome,
-
Any surgical intervention has been or will be made,
-
Having any skin lesions,
-
The need for mechanical ventilation.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Serap ÖZDEMİR | Gaziantep | Turkey | 27000 |
Sponsors and Collaborators
- Istanbul University-Cerrahpasa
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Association of Women's Health, Obstetric and Neonatal Nurses. (2018). Evidence-Based Clinical Practice Guideline: Neonatal Skin Care (4th ed.). Washington, DC.
- Bagwell, G. A., & Steward, D. K. (2020). Hematologic System. Comprehensive Neonatal Nursing Care (6th ed.), Springer Publishing Company, 11C. New York, 315-335.
- Brogan J, Rapkin G. Implementing Evidence-Based Neonatal Skin Care With Parent-Performed, Delayed Immersion Baths. Nurs Womens Health. 2017 Dec;21(6):442-450. doi: 10.1016/j.nwh.2017.10.009.
- Dağ, Y. S., & Yayan, E. H. (2019). The Effect on Bilirubin Levels of Massage, Tub Bath, and Sponge Bath in Newborns with Hyperbilirubinemia: A Randomized ControlLed Trial. European Journal of Integrative Medicine, 27, 70-74.
- Kaplan, M., Wong, RJ., Burgis, JC., Sibley E., Stevensen, DK. (2020). Neonatal Jaundice and Liver Diseases, Martin RJ, Fanoroff AA, Walsh MC, Fanaroff and Martin's Neonatal-Perinatal Medicine in 11th Edition, Philadelphia, 91:1788-1852.
- Mohammadi Pirkashani, L., Asghari, G., Marofi, M., & Barekatain, B. (2017). Effect of Chicory Extract Bath on Neonatal Bilirubin Levels: A Randomized Clinical Trial Study. International Journal of Pediatrics, 5(12), 6679-6688.
- Sherbiny HS, Youssef DM, Sherbini AS, El-Behedy R, Sherief LM. High-intensity light-emitting diode vs fluorescent tubes for intensive phototherapy in neonates. Paediatr Int Child Health. 2016 May;36(2):127-33. doi: 10.1179/2046905515Y.0000000006.
- IstanbulUC-Pediatri