椰子油与葵花籽油对新生儿重症监护病房婴儿皮肤完整性及体重增加影响的比较
Comparison of Coconut and Sunflower Seed Oils in Improving the Skin Integrity and Weight Gain of Infants in the Neonatal ICU.
作者信息
Tiryaki Öznur, Zengin Hamide, Çınar Nursan, Karabay Meltem, Caner İbrahim, Güçlü Ertuğrul
机构信息
Öznur Tiryaki, PhD, RN, is Associate Professor, Faculty of Health Sciences, Department of Midwifery, Sakarya University, Sakarya, Turkey. Hamide Zengin, PhD, RN, is Associate Professor, Faculty of Health Science, Department of Pediatric Nursing, Eskişehir Osmangazi University, Eskişehir, Turkey. Also at Sakarya University, Nursan Çınar, PhD, RN, is Professor, Faculty of Health Sciences, Department of Pediatric Nursing; Meltem Karabay, MD, is Associate Professor, Faculty of Medicine, Research and Training Hospital of Sakarya, Division of Neonatology, Department of Pediatrics; İbrahim Caner, MD, is Professor, Faculty of Medicine, Research and Training Hospital of Sakarya, Division of Neonatology, Department of Pediatrics; and Ertuğrul Güçlü, MD, is Professor, Faculty of Medicine, Department of Infectious Diseases and Clinical Microbiology.
出版信息
Adv Skin Wound Care. 2024;37(11&12):1-8. doi: 10.1097/ASW.0000000000000241.
OBJECTIVE
To determine the effects of sunflower seed oil and coconut oil on the skin integrity and weight gain of preterm infants in the neonatal ICU.
METHODS
In this randomized controlled trial, 66 preterm neonates (34-37 weeks' gestation) in the neonatal ICU of a training and research hospital were equally divided into three groups: sunflower seed oil, coconut oil, and control. The weights of neonates in all three groups were measured at admission to the neonatal ICU, at discharge, and at 1 month postdischarge. Their skin conditions were evaluated using the Neonatal Skin Condition Score and the Revised Northampton Neonatal Skin Assessment Tool at the same three time points.
RESULTS
At 1 month postdischarge, neonates in the sunflower seed oil and coconut oil groups weighed significantly more than those in the control group (P = .004). Mean Neonatal Skin Condition Score scores were significantly higher in the control group at 1 month postdischarge than in the sunflower seed oil and coconut oil groups (P = .000).
CONCLUSIONS
Skin care with coconut oil and sunflower seed oil was effective in maintaining the skin integrity and weight of neonates at 1 month postdischarge. The authors recommend that randomized controlled trials on skin care in preterm infants using sunflower, coconut, and other oils be conducted with larger sample sizes.
目的
确定葵花籽油和椰子油对新生儿重症监护病房（NICU）早产儿皮肤完整性和体重增加的影响。
方法
在这项随机对照试验中，一家培训和研究医院NICU的66名早产新生儿（孕34 - 37周）被平均分为三组：葵花籽油组、椰子油组和对照组。在新生儿入住NICU时、出院时以及出院后1个月测量三组新生儿的体重。在相同的三个时间点，使用新生儿皮肤状况评分和修订后的北安普顿新生儿皮肤评估工具评估他们的皮肤状况。
结果
出院后1个月，葵花籽油组和椰子油组的新生儿体重显著高于对照组（P = 0.004）。出院后1个月时，对照组的平均新生儿皮肤状况评分显著高于葵花籽油组和椰子油组（P = 0.000）。
结论
出院后1个月，使用椰子油和葵花籽油进行皮肤护理对维持新生儿的皮肤完整性和体重有效。作者建议对使用葵花籽油、椰子油和其他油类对早产儿进行皮肤护理的随机对照试验采用更大的样本量。
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