按摩和沐浴对高胆红素血症新生儿胆红素水平的影响：随机对照试验的系统回顾和荟萃分析

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2024-06-06 DOI:10.1016/j.jnn.2024.06.004

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引用次数: 0

摘要

本研究通过随机对照试验（RCT）来评估按摩和沐浴对降低胆红素水平的效果。方法本系统综述荟萃分析型研究通过随机对照试验来评估按摩和沐浴干预对黄疸婴儿的影响。研究人员检索了 CINAHL、Cochrane Central、Web of Science、PubMed、Scopus、Science Direct、Eric 和 OVID 数据库中 2000 年至 2021 年间发表的文章。符合纳入标准的 10 项全文研究被纳入系统综述和荟萃分析。结果发现，干预组在第二天和第三天的干预效果良好，干预组的 "胆红素水平 "值普遍较低（z = -3.90，p = 0.000；z = -3.74，p = 0.000；z = -1.97，p = 0.05）。然而，干预组在第二天、第三天和第四天的 "排便 "次数普遍高于干预组（z = 3.16，p = 0.000；z = 2.97，p = 0.000；z = 3.69，p = 0.05）。同时，按摩和沐浴没有副作用。

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The effect of massage and bathing on bilirubin levels in newborns with hyperbilirubinemia: A systematic review and meta-analysis of randomized controlled trials

Objective

This study was carried out to examine randomized controlled trials (RCT) to evaluate the effectiveness of massage and bathing in reducing bilirubin levels.

Method

This systematic review, meta-analysis type study was carried out with RCT to evaluate the effects of massage and bathing interventions on infants with jaundice. The articles published between 2000 and 2021 and indexed in CINAHL, Cochrane Central, Web of Science, PubMed, Scopus, Science Direct, Eric, and OVID databases were searched. Ten full-text studies that met the inclusion criteria were included in the systematic review and meta-analyses. The total sample number consisted of 726 newborns.

Results

As a result, the intervention was determined to have a positive effect on the second and third days in the intervention group, and the “bilirubin level" values were generally lower in the intervention group (z = −3.90, p = 0.000; z = −3.74, p = 0.000; z = −1.97, p = 0.05). However, the interventions were determined to have a positive effect on the second, third and fourth days in the intervention group, and the number of “defecations” was higher in the intervention in general (z = 3.16, p = 0.000; z = 2.97, p = 0.000; z = 3.69, p = 0.05).

Conclusion

Based on these results, it can be said that massage and bathing positively contribute to care by increasing the meconium pass and lowing the bilirubin level in managing jaundice in newborns. At the same time, no side effects of massage and bath were reported.

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.