嬰兒按摩對照光治療中新生兒黃疸之影響

The Effect of Infant Massage for Newborn with Jaundice under Phototherapy

楊秀娟(Hsiu-Chuan Yang)

指導教授 ： 嚴金恩

朝陽科技大學/人文暨社會學院/幼兒保育系/碩士(2014年)

摘要

研究背景：新生兒黃疸為新生兒出生面對的一個常見的疾病，在臨床上也發現新生兒於出院後兩週再入院，以高膽紅素血症為主要原因，而「照光治療」為新生兒黃疸主要處置方式。由文獻得知，嬰兒按摩能緩和新生兒生理性黃疸，故本研究目的為探討嬰兒按摩對接受照光治療之黃疸新生兒的影響。
研究方法：本研究共募集56位黃疸新生兒，採實驗設計隨機分派，實驗組為接受嬰兒按摩（27位），對照組為未接受嬰兒按摩（29位）。實驗組的按摩介入於兩餐攝食之間進行，一天按摩2次，每次15分鐘，連續執行按摩活動3天，共6次。兩組在住院期間，均接受一般常規護理照護和照光治療，並採足跟血0.5毫升監測住院第一天、第二天及第三天血清總膽紅素值，收集每日總攝食量、排便次數、體重、總照光治療時間及住院天數。
研究結果：本研究結果顯示，接受嬰兒按摩的新生兒第三天的排便次數顯著高於未接受嬰兒按摩的新生兒（p=0.045），排除靜脈輸液干擾因素，接受嬰兒按摩的新生兒第三天血清總膽紅素值顯著低於未接受嬰兒按摩的新生兒（p=0.03）。而在每日總攝食量、體重、總照光治療時間及住院天數，兩組則無顯著差異。
結論：嬰兒按摩能使黃疸新生兒排便次數增加，降低血清總膽紅素值。

關鍵字

嬰兒按摩 ； 照光治療 ； 黃疸 ； 高膽紅素血症

並列摘要

Background：Neonatal jaundice is a common problem affecting newborns. Neonatal readmission, typically caused by hyperbilirubinemia, occurs within 2 weeks after birth, and phototherapy, a major neonatal jaundice treatment, is subsequently administered. A study reported that baby massages are beneficial for ameliorating neonatal hyperbilirubinemia in full-term infants undergoing phototherapy. This study explored the effect of massages on newborns with jaundice undergoing phototherapy.
Methods：A experimental design and purposive selection sampling of 56 infants with jaundice (total serum bilirubin levels above 15 mg/dL) were admitted for phototherapy, and the infants were randomly assigned to a control group (n = 29) and an experimental group (n = 27). The participants in the massage group received 15-minute infant massages twice daily for 3 days. The participants in the control group did not receive massages. During the study period, the 2 groups received the same nursing routine care and phototherapy. On Day 1, Day 2, and Day 3, 0.5 mL of blood was drawn from a clinical heelstick blood sample. Infants’ medical records, which included total feeding amount, stool frequency, body weight, microbilirubin data, total phototherapy duration, and hospital days.
Results：The results of this study suggested that the stool frequency of the massaged infants on Day 3 was significantly higher than that of the infants in the control group (p = 0.045). The serum total bilirubin levels on the third day significantly decreased in the massage group compared with the control group (p = 0.03), excluding intravenous infusion. No significant differences between the 2 groups in feeding amount, body weight, total phototherapy duration, and length of hospital stay were observed.
Conclusions：Infant massage can reduce the serum total bilirubin level and increase the stool frequency of newborns with jaundice.

並列關鍵字

phototherapy ； jaundice ； infant massage ； hyperbilirubinemia

參考文獻

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