Abstract:Background: Jaundice is one of the most common problems in the neonatal period. Phototherapy is one of the most commonly used treatments for jaundice that can be used as a simple, practical home-based treatment. Hospitalization during the first days of birth to conduct phototherapy may result in problems like nosocomial infections and mother separation from the baby. Objectives: The aim of this study was to evaluate the efficacy of home phototherapy in the duration of treatment, mean bilirubin level, and compl… Show more
“…The current study revealed that there was gradual decrease in bilirubin level as the mean difference of the TSB at admission was (16.58± 1.31) and at discharge was (8.76± 0.67) with highly statistically significant difference, however; there was no statistically significant differences in the mean value of the DSB on admission and at discharge (P=0.179). This is agreed to some extent with a recent study in 2019 that revealed that bilirubin level was (16.46 ± 1.47) in the first day (at admission) and (10.08 ± 1.07) at the third day (Sardari et al, 2019).…”
Section: Mazary Et Al 2017)supporting
confidence: 93%
“…As regards the duration of phototherapy, the current study came in agreement with Sardari et al, (2019) that revealed that the mean duration of phototherapy in their study was 48 hours. Regarding the side effects of phototherapy, the current study revealed that the most common complication was skin rash, which developed in about 4% of cases only.…”
Background: Jaundice is the most common clinical sign in neonatal medicine. Phototherapy is the most commonly used intervention to treat and prevent severe hyperbilirubinemia. Zinc has a vital role in maintenance of cell functions, protein synthesis, and immune-functions.Objective: To study the effect of phototherapy on zinc status in term neonates with indirect hyperbilirubinemia.
Patients and methods:This was a prospective study carried out on 50 term neonates with indirect hyperbilirubinemia in neonatal intensive care unit at Damietta Al-Azhar University Hospital during the period from February 2019 to February 2020. Total serum zinc was measured before and after phototherapy.Results: About 26 (52%) were males and 24 (48%) were females. The mean zinc levels before and after phototherapy showed no statistically significant difference. There were no statistically significant difference in total serum bilirubin (TSB) level at admission and after 12 hrs following admission but there were statistically significant differences after 24 hrs and at discharge. However, the majority of neonates with hyperbilirubinemia were deficient in zinc level.
Conclusion:Phototherapy has no effect on serum zinc level. However, zinc supplementation encouraged in cases with neonatal jaundice as they usually have zinc deficiency.
“…The current study revealed that there was gradual decrease in bilirubin level as the mean difference of the TSB at admission was (16.58± 1.31) and at discharge was (8.76± 0.67) with highly statistically significant difference, however; there was no statistically significant differences in the mean value of the DSB on admission and at discharge (P=0.179). This is agreed to some extent with a recent study in 2019 that revealed that bilirubin level was (16.46 ± 1.47) in the first day (at admission) and (10.08 ± 1.07) at the third day (Sardari et al, 2019).…”
Section: Mazary Et Al 2017)supporting
confidence: 93%
“…As regards the duration of phototherapy, the current study came in agreement with Sardari et al, (2019) that revealed that the mean duration of phototherapy in their study was 48 hours. Regarding the side effects of phototherapy, the current study revealed that the most common complication was skin rash, which developed in about 4% of cases only.…”
Background: Jaundice is the most common clinical sign in neonatal medicine. Phototherapy is the most commonly used intervention to treat and prevent severe hyperbilirubinemia. Zinc has a vital role in maintenance of cell functions, protein synthesis, and immune-functions.Objective: To study the effect of phototherapy on zinc status in term neonates with indirect hyperbilirubinemia.
Patients and methods:This was a prospective study carried out on 50 term neonates with indirect hyperbilirubinemia in neonatal intensive care unit at Damietta Al-Azhar University Hospital during the period from February 2019 to February 2020. Total serum zinc was measured before and after phototherapy.Results: About 26 (52%) were males and 24 (48%) were females. The mean zinc levels before and after phototherapy showed no statistically significant difference. There were no statistically significant difference in total serum bilirubin (TSB) level at admission and after 12 hrs following admission but there were statistically significant differences after 24 hrs and at discharge. However, the majority of neonates with hyperbilirubinemia were deficient in zinc level.
Conclusion:Phototherapy has no effect on serum zinc level. However, zinc supplementation encouraged in cases with neonatal jaundice as they usually have zinc deficiency.
“…[8,9] Home phototherapy for hyperbilirubinemia has been found to be effective in some high-income countries when conducted under the supervision of nurses. [10][11][12] In Bangladesh, several studies showed the effectiveness of a home-based community health worker (CHW) approach in delivering maternal and newborn health interventions including message delivery for health promotion, identi cation of sick newborns, hospital referral as well as home treatment of newborn sepsis. [13][14][15][16][17] In Bangladesh and other LMICs around the world, CHWs have successfully implemented home-based diabetes management, postnatal newborn care, maternal and child nutrition, and child development interventions.…”
There is an unmet need for phototherapy treatment in low- and middle-income countries (LMICs) to prevent disability and death of newborns with neonatal hyperbilirubinemia. Home phototherapy deployed by community health workers (CHWs) in LMICs may help increase access to essential newborn postnatal care in a more acceptable way for families and lead to an increase in indicated treatment rates for newborns with hyperbilirubinemia. We aimed to investigate the operational feasibility and acceptability of a CHW-led home phototherapy intervention in a rural sub-district of Bangladesh for families and CHWs where home delivery was common and treatment facility for neonatal hyperbilirubinemia was often more than two hours from households. We enrolled 23 newborns who were > = 2 kilograms and > = 35 weeks’ gestational age, without clinical danger signs, and met the American Academy of Pediatric treatment criteria for phototherapy for hyperbilirubinemia. We employed a mixed-method investigation to evaluate the feasibility and acceptability of home phototherapy through surveys, in-depth interviews and focus group discussions with CHWs, mothers, and grandparents. Mothers and family members found home phototherapy worked well, saved them money, and was convenient and easy to operate. CHWs found it feasible to deploy home phototherapy and identified hands-on training, mHealth job aids, a manageable workload, and prenatal education as facilitating factors for implementation. Feasibility and acceptability concerns were limited amongst parents and included: a lack of confidence in CHWs’ skills, fear of putting newborn infants in a phototherapy device, and unreliable home power supply. CHW-led home phototherapy was acceptable to families and CHWs in rural Bangladesh. Further investigation should be done to determine the impact of home phototherapy on treatment rates and on preventing morbidity associated with neonatal hyperbilirubinemia. Clinical Trial (CT) registration ID: NCT03933423, full protocol can be accessed at https://gatesopenresearch.org/articles/7-58 Name of the trial registry: clinicaltrials.gov Clinical Trial (CT) registration Date: 01/05/2019
“…[ 11 12 13 14 ] For instance, Sardari et al . [ 15 ] revealed that at-home phototherapy can be a suitable alternative to the treatment of neonatal jaundice, reducing parental stress and preventing hospitalization of infants. [ 16 ] Some researchers designed home-care programs for a number of children with physical disabilities and chronic conditions and their families through several studies.…”
Background:
Home care service is considered as comprehensive care for children with chronic disease or COVID-19. This study aimed to investigate the factors affecting the implementation of a home care nursing program for such children in 2019–2020.
Materials and Methods:
A descriptive-analytical study was conducted with 198 nurses working in pediatric wards of selective hospitals of Isfahan University of Medical Sciences. The data were collected through an author-administered questionnaire with 44 questions. The questionnaire was designed in two parts. Part one involved gathering the demographic data of the participants. Facilitating and barrier factors of the implementation of the care were prioritized and examined in part two by using the Likert scale in both the individual and the organizational domains. The data were analyzed using the mean frequency and paired
t
test.
Results:
The mean (SD) score of individual and organizational facilitating factors were 65.65 (16.24) and 65.98 (11.29), respectively, and the mean (SD) score of the organizational barriers was 82.04 (14.36), which was significantly higher than the mean score (SD) of the individual barriers of 57.94 (14.82) (
t
197
= 21.32,
p
< 0.05). The most important individual facilitating factor (53.82%) was “respectful communication with the family,” and the most important organizational facilitator (80.40%) was “Physicians’ support of the nurses.”
Conclusions:
Organizational factors were the most significant barriers. Therefore, the findings of this study will help policymakers in the program implementation.
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