Boo N Y, Gan C Y, Gian Y W, Lim K S L, Lim M W, Krishna-Kumar H
Department of Paediatrics, Clinical School, International Medical University, Seremban, Negeri Sembilan, Malaysia.
Med J Malaysia. 2011 Aug;66(3):239-43.
This study aimed to determine the gaps of knowledge and practices of care of neonatal jaundice among Malaysian mothers. It was a cross sectional study of 400 mothers who attended the obstetric clinics or were admitted to the obstetric wards of a general hospital. They were surveyed with a structured set of questionnaire. The results showed that a majority (93.8%) of them knew about neonatal jaundice, and 71.7% knew that jaundice lasting more than 2 weeks was abnormal. However, only 34.3% of them were aware that jaundice appearing during the first 36 hours of life was abnormal. Less than 20% knew about glucose-6-phosphate dehydrogenase deficiency and that fetal-maternal blood group differences could cause jaundice. Although 71.7% and 69.7%, respectively, of the mothers knew that severe jaundice could cause death and brain damage, only 38.4% of them were aware that severe jaundice could result in hearing impairment. A very low proportion (27.1%) of them was aware that putting jaundiced infants under the direct sun could result in dehydration and worsening of jaundice. Out of a maximum score of 15, the mean maternal knowledge score was 7.4 (95% confidence intervals: 7.1, 7.7). Majority (83.1%) of the multiparous mothers with a past history of having children developing neonatal jaundice (n = 154) practiced placing their infants under the direct sun. This study revealed that there was a wide knowledge gap among Malaysian mothers on care of neonatal jaundice. Placing infants under the direct sun was still a common practice.
本研究旨在确定马来西亚母亲在新生儿黄疸护理方面的知识和实践差距。这是一项对400名在产科诊所就诊或入住综合医院产科病房的母亲进行的横断面研究。她们接受了一套结构化问卷的调查。结果显示，其中大多数（93.8%）了解新生儿黄疸，71.7%知道黄疸持续超过2周是异常的。然而，只有34.3%的人意识到出生后36小时内出现黄疸是异常的。不到20%的人了解葡萄糖-6-磷酸脱氢酶缺乏症以及胎儿与母亲血型差异可导致黄疸。尽管分别有71.7%和69.7%的母亲知道严重黄疸可导致死亡和脑损伤，但只有38.4%的人意识到严重黄疸可能导致听力障碍。只有极低比例（27.1%）的人意识到将黄疸婴儿置于直射阳光下会导致脱水和黄疸加重。在满分15分的情况下，母亲的平均知识得分为7.4分（95%置信区间：7.1，7.7）。大多数（83.1%）有孩子患新生儿黄疸病史的经产妇（n = 154）仍会将婴儿置于直射阳光下。这项研究表明，马来西亚母亲在新生儿黄疸护理方面存在很大的知识差距。将婴儿置于直射阳光下仍是一种常见做法。
