Gözen Duygu, Yılmaz Özge Eda, Dur Şadiye, Çağlayan Sabiha, Taştekin Ayhan
Department of Pediatric Nursing, Florence Nightingale, Faculty of Nursing, University of Istanbul-Cerrahpaşa, Istanbul, Turkey.
Department of Neonatology, Medipol University Hospital, Istanbul, Turkey.
J Spec Pediatr Nurs. 2019 Apr;24(2):e12237. doi: 10.1111/jspn.12237. Epub 2019 Feb 28.
This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels of newborn infants.
The sample group consisted of 90 newborn infants (experimental group: 44; control group: 46) who were followed in a university hospital after birth between March and August 2017. The data were collected using an Information Form, Observation Form, and Transcutaneous Bilirubin Level Meter. Bilirubin levels were measured 1 hr after the first breastfeeding in both groups. The abdominal massage was performed for 5 min in each session, was continued in three sessions per day; was completed in totally six sessions for 2 days in infants in the experimental group. The second bilirubin measurements were repeated at the 48th hour after the birth and bilirubin levels were compared in two groups. The Student t test was used to evaluate the normally distributed data and the Mann-Whitney U test was used to carry out statistics in nonnormal distribution of quantitative data.
The bilirubin levels of the groups (experimental group: 1.06 ± 0.92; control group: 1.01 ± 0.98) were statistically similar before abdominal massage, t(88) = 0.25, p = 0.803. The difference of the bilirubin levels was compared in the groups before and after abdominal massage. The increase of bilirubin levels in the experimental group (1.96 ± 1.69 mg/dl) was statistically significantly lower compared with the control group (2.80 ± 2.30 mg/dl), t(88) = -1.974, p = 0.048.
Abdominal massage is effective to reduce bilirubin levels of newborn infants.
本研究设计为一项随机对照试验，以确定腹部按摩对新生儿胆红素水平的影响。
样本组由90名新生儿组成（实验组：44名；对照组：46名），这些新生儿于2017年3月至8月在一家大学医院出生后接受随访。数据通过信息表、观察表和经皮胆红素水平测量仪收集。两组均在首次母乳喂养1小时后测量胆红素水平。实验组每次腹部按摩5分钟，每天进行3次，共持续2天，总计6次。在出生后第48小时重复进行第二次胆红素测量，并比较两组的胆红素水平。采用学生t检验评估正态分布数据，采用曼-惠特尼U检验对定量数据的非正态分布进行统计分析。
腹部按摩前两组的胆红素水平（实验组：1.06±0.92；对照组：1.01±0.98）在统计学上相似，t(88)=0.25，p=0.803。比较腹部按摩前后两组的胆红素水平差异。实验组胆红素水平的升高（1.96±1.69mg/dl）在统计学上显著低于对照组（2.80±2.30mg/dl），t(88)=-1.974，p=0.048。
腹部按摩对降低新生儿胆红素水平有效。
