The effect of home-based phototherapy on parental stress in mothers of infants with neonatal jaundice

Namnabati, Mahboobeh; Mohammadizadeh, Majid; Sardari, Saba

doi:10.1016/j.jnn.2018.09.001

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…The nine studies involved 58–323 samples and were conducted in six different countries. Four studies (44.4%) were RCTs [ 14 , 27 – 29 ] and five (55.6%) were cohort studies[ 16 , 24 – 26 , 30 ]. The studies assessed HPT efficacy via primary or secondary outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…The RoB [ 21 ] determined that two trials [ 27 , 29 ]had a high risk of bias, where each study had between one and two of the seven possible sources of bias. Participant and staff blinding was most often subject to bias, followed by outcome evaluation blinding and random sequence creation.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies [ 14 , 27 ] (211 neonates) compared parental stress scales after HPT or IPT. There was no significant heterogeneity between the groups ( I 2 = 0%, P = 0.45).…”

Section: Resultsmentioning

confidence: 99%

“…However, two of the included RCTs used different parental stress scales and measurement times. The scale of Namnabati et al was derived from the Haidari, Hassanpour, and Fouladifrom scales [ 27 , 36 ]. After the intervention, the mothers completed the questionnaires.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of home phototherapy versus inpatient phototherapy for neonatal hyperbilirubinemia: a systematic review and meta-analysis

Li,

Yan

et al. 2024

Ital J Pediatr

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Background Home phototherapy (HPT) remains a contentious alternative to inpatient phototherapy (IPT) for neonatal hyperbilirubinemia. To guide evidence-based clinical decision-making, we conducted a meta-analysis of randomized clinical trials (RCTs) and cohort studies and assessed the comparative risks and benefits of HPT and IPT. Methods PubMed, Embase, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure Database, Wanfang Database, Chinese Science and Technique Journals Database, ClinicalTrials.gov, and International Clinical Trial Registry Platform trial were searched from inception until June 2, 2023. We included RCTs and cohort studies and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Study quality was assessed with the Cochrane Collaboration Risk of Bias tool and the Newcastle–Ottawa scale. The outcome measures were phototherapy duration, daily bilirubin level reduction, exchange transfusion, hospital readmission, parental stress scale, and complications. We used fixed- or random-effects meta-analysis models, assessed heterogeneity (I2), conducted subgroup analyses, evaluated publication bias, and graded evidence quality. Results Nine studies (998 patients) were included (four RCTs, five cohort studies). HPT was associated with longer phototherapy duration (SMD = 0.55, 95% CI: 0.06–1.04, P = 0.03). Cohort study subgroup analysis yielded consistent results (SMD = 0.90; 95% CI: 0.69 to 1.11, P < 0.001, I2 = 39%); the RCTs were not significantly different (SMD = -0.04; 95% CI: -0.15 to 0.08, P = 0.54, I2 = 0%). Hospital readmission was higher with HPT (RR = 4.61; 95% CI: 1.43–14.86, P = 0.01). Daily bilirubin reduction (WMD = -0.12, 95% CI: -0.68 to 0.44, P = 0.68) or complications were not significantly different (RR = 2.29; 95% CI: 0.31–16.60, P = 0.41). The evidence quality was very low. HPT was associated with lower parental stress (SMD = -0.44, 95% CI: -0.71 to -0.16, P = 0.002). None of three included studies reported exchange transfusion. Conclusions The current evidence does not strongly support HPT efficacy for neonatal hyperbilirubinemia, as high-quality data on long-term outcomes are scarce. Future research should prioritize well-designed, large-scale, high-quality RCTs to comprehensively assess HPT risks and benefits.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Two studies [ 14 , 27 ] (211 neonates) compared parental stress scales after HPT or IPT. There was no significant heterogeneity between the groups ( I 2 = 0%, P = 0.45).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of home phototherapy versus inpatient phototherapy for neonatal hyperbilirubinemia: a systematic review and meta-analysis

Li,

Yan

et al. 2024

Ital J Pediatr

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“…[ 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. These programs were not received well by the health care system.…”

Section: Introductionmentioning

confidence: 99%

Effective factors on implementation of pediatric home care program amid COVID 19 pandemic: Facilitators and barriers

Behjeh

Mehraban

Namnabati

2022

Iranian J Nursing Midwifery Res

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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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Intermittent phototherapy versus continuous phototherapy for neonatal jaundice

Gottimukkala

Lobo

Gautham

et al. 2023

Cochrane Database of Systematic Reviews

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The effect of home-based phototherapy on parental stress in mothers of infants with neonatal jaundice

Cited by 9 publications

References 19 publications

Efficacy of home phototherapy versus inpatient phototherapy for neonatal hyperbilirubinemia: a systematic review and meta-analysis

Efficacy of home phototherapy versus inpatient phototherapy for neonatal hyperbilirubinemia: a systematic review and meta-analysis

Effective factors on implementation of pediatric home care program amid COVID 19 pandemic: Facilitators and barriers

Intermittent phototherapy versus continuous phototherapy for neonatal jaundice

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