Köse Selmin, Gözen Duygu, Karadağ Aytemiz Özge Eda, Çağlayan Sabiha
Department of Nursing, Faculty of Health Science, Biruni University, Istanbul, Turkiye (Assoc Prof Köse); Faculty of Nursing, Koç University, Istanbul, Turkiye (Prof Gözen); Faculty of Nursing, Koç University, Istanbul, Turkiye (Dr Karadağ Aytemiz); and Medipol University Hospital, Istanbul, Turkiye (Ms Çağlayan).
Adv Neonatal Care. 2024 Jun 1;24(3):E40-E46. doi: 10.1097/ANC.0000000000001149. Epub 2024 May 30.
The incidence of neonatal hyperbilirubinemia in Europe and the United States is estimated to be 3.2 and 4.4 per 10,000 live births, respectively. Abdominal massage for hyperbilirubinemia is considered a safe complementary treatment for infants that may increase number of defecations and decrease bilirubin levels.
This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy.
The sample consisted of 43 term newborns (intervention group: 23; control group: 20) who received phototherapy in a university hospital between June 2019 and February 2021. Information and observation forms were used for data collection. The intervention group received 6 abdominal massages over 2 days, performed 3 times a day, 6 hours apart, and lasting 5 minutes each.
Transcutaneous bilirubin levels and heart rate were significantly lower in the intervention group than in the control group at 48 hours (P = .015 and P = .033, respectively). Number of defecations was higher in the intervention group at 24 hours (P = .007) but there was no significant difference at 48 hours. The decrease in serum bilirubin between 24 and 48 hours was significantly greater in the intervention group (P = .005).
Abdominal massage was effective in reducing bilirubin levels and may increase the number of defecations. Providing massage training to the parents of infants who are discharged early could be a protective approach to prevent the rise in bilirubin levels.
据估计，欧洲和美国新生儿高胆红素血症的发病率分别为每10000例活产3.2例和4.4例。腹部按摩治疗高胆红素血症被认为是一种安全的辅助治疗方法，可能会增加婴儿排便次数并降低胆红素水平。
本研究设计为一项随机对照试验，以确定腹部按摩对接受光疗的足月儿胆红素水平的影响。
样本包括2019年6月至2021年2月在一家大学医院接受光疗的43名足月儿（干预组：23名；对照组：20名）。使用信息和观察表格收集数据。干预组在2天内接受6次腹部按摩，每天进行3次，每次间隔6小时，每次持续5分钟。
干预组在48小时时经皮胆红素水平和心率显著低于对照组（分别为P = 0.015和P = 0.033）。干预组在24小时时排便次数更多（P = 0.007），但在48小时时无显著差异。干预组在24至48小时期间血清胆红素的下降幅度显著更大（P = 0.005）。
腹部按摩在降低胆红素水平方面有效，并且可能增加排便次数。为早出院婴儿的父母提供按摩培训可能是预防胆红素水平升高的一种保护措施。
