Yakson's Massage Versus Kangaroo Mother Care on Phototherapy Duration and Serum Bilirubin Level among Neonates with Hyperbilirubinemia | ||
| Egyptian Journal of Health Care | ||
| Volume 11, Issue 2, June 2020, Pages 1147-1162 PDF (432.95 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.269230 | ||
| Authors | ||
| Hoda Ahmed Mahmoud1; Merfat Amin Elzehri2; Hanan Abdallah Mohammed3 | ||
| 1Lecturer of Pediatric Nursing, Faculty of Nursing, Cairo University, Egypt. | ||
| 2Assist. Prof. of Child Bearing Family College of Applied Medical Science, Taibahu University & Technical Institute of Nursing, Mansoura University, Egypt | ||
| 3Lecturer of Pediatric Nursing, Faculty of Nursing, Fayoum University, Egypt. | ||
| Abstract | ||
| Background: Phototherapy is the most important treatment for hyperbilirubinemia, there are attempting to reduce the duration of phototherapy through application of Yakson's massage and kangaroo mother care (KMC). Aim: to investigate the effect of Yakson's massage versus kangaroo mother care on phototherapy duration and serum bilirubin level among neonates with hyperbilirubinemia. Method: a quasi-experimental design was utilized. Sample: A purposive sample of 90 neonates with hyperbilirubinemia on phototherapy was randomly allocated into three groups: 30 control, 30 received KMC and 30 received Yakson's massage. Setting: The study was conducted at Neonatal Intensive Care Unit (NICU) of Pediatric University Hospital, Cairo University Hospitals. Tools: Tool (I) Neonatal and mothers' characteristics sheet and Tool (II) Record sheet for duration of phototherapy and total serum bilirubin level. Results: the current study revealed that the mean differences between phototherapy duration of studied neonates in Yakson's massage, KMC and control groups was (6.13 ± 1.19, 5.49 ± 1.60 & 7.07 ± 2.06 days) respectively P value˂0.001. Also, the mean differences between duration of hospital stay of studied neonates in Yakson's massage, KMC and control groups was (6.50 ± 1.08, 5.93± 1.48 & 8.17± 1.89 days) respectively P value˂0.001. In addition, there were a highly significance difference between the total serum bilirubin levels of studied neonates after 24, 48 and 72 hours of intervention, after 72 hours the bilirubin level in Yakson's massage group was 9.10 ± 1.62 mg/dl, KMC group was 7.20 ± 1.91 mg/dl while in the control group was 13.59 ± 3.08 mg/dl. Conclusion: The use of Yakson's massage or KMC with phototherapy significantly reduced the serum bilirubin levels, shorten the duration of phototherapy and hospital stay compared to use phototherapy alone and there was a highly statistical significant difference in serum bilirubin level in application of KMC with phototherapy compared to Yakson's massage among neonates with hyperbilirubinemia, also KMC reduced mean duration of phototherapy and hospitalization compared to those who received Yakson's massage with no statistical significant differences found between two interventions groups. Recommendation: The current study recommended that, establishment of health education program about importance of application of KMC and Yakson's massage for management of neonatal hyperbilirubinemia. | ||
| Keywords | ||
| Yakson's Massage; KMC; Neonatal Hyperbilirubinemia; Phototherapy; NICU | ||
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