Bilirubinemia, Newborn Jaundice
Conditions
Keywords
bilirubin, comfort, neonates, phototherapy, positioning
Brief summary
Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort. Design and methods: This was a single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: Supine position group (n = 20), hourly position change group (n = 20), and control group (n = 20). The bilirubin level and comfort levels of the neonates were evaluated.
Detailed description
Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.
Interventions
BEHAVIORALSupine position group
These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position.
BEHAVIORALHourly position change group
Infants in this group were repositioned every hour based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours.
BEHAVIORALControl Group (2-hour position change)
Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation. Phototherapy was started with neonates in supine position. In the second period, the neonate was placed in the prone position after routine feeding was performed.
Sponsors
Selcuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
single (participant, outcomes assessor)
Intervention model description
single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
35 Weeks to 42 Weeks
Healthy volunteers
Yes
Inclusion criteria
* gestational age between 35-42 weeks * birth weight of 2000 g or more * indication for phototherapy * no previous phototherapy, * no medical diagnosis other than prenatal hyperbilirubinemia * stable health status * no clinical signs of dehydration * transition to oral feeding, no sucking problems * being at least 2 days old on the day of phototherapy
Exclusion criteria
* a sudden change in stability during phototherapy and * phototherapy duration of less than 24 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in bilirubin level | Baseline and 24 hours after phototherapy | bilirubin level change |
| comfort level questionnaire | up to 24 hours | comfort level change |
Countries
Turkey (Türkiye)
Outcome results
None listed