Aprillia Zesi, Gayatri Dewi, Waluyanti Fajar Tri
a Faculty of Nursing , Universitas Indonesia, Jalan Bahder Djohan Campus , Depok , Indonesia.
Compr Child Adolesc Nurs. 2017;40(sup1):88-94. doi: 10.1080/24694193.2017.1386975.
Neonatal jaundice often occurs in the first week after birth. Early detection of neonatal jaundice can prevent kernicterus as a complication of high levels of bilirubin in neonates. Visual assessment is one of the examinations introduced by Kramer to assess the presence of neonatal jaundice. The purpose of this study was to determine the sensitivity, specificity, and accuracy of Kramer's visual assessment in the examination of neonatal jaundice. This study used cross-sectional design to examine 102 infants, with the sample selected by the convenience sampling method. A 2 × 2 table diagnostic test was employed in this study to analyze the data. The results of this study showed that visual assessment of neonatal jaundice obtained a sensitivity value of 76.92%, a specificity value of 89.47%, and an accuracy value of 86.27%. This research can contribute to the development of other non-invasive methods for assessing neonatal jaundice, and thereby contribute to a decrease in neonatal morbidity.
新生儿黄疸通常在出生后的第一周出现。早期发现新生儿黄疸可预防核黄疸，这是新生儿胆红素水平过高引发的一种并发症。视觉评估是克莱默提出的用于评估新生儿黄疸的检查方法之一。本研究的目的是确定克莱默视觉评估在新生儿黄疸检查中的敏感性、特异性和准确性。本研究采用横断面设计，对102名婴儿进行检查，样本采用方便抽样法选取。本研究采用2×2表诊断试验分析数据。本研究结果显示，新生儿黄疸视觉评估的敏感性值为76.92%，特异性值为89.47%，准确性值为86.27%。本研究可为开发其他评估新生儿黄疸的非侵入性方法做出贡献，从而有助于降低新生儿发病率。
