Abstract：
BACKGROUND: 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.
OBJECTIVE: This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy.
METHODS: 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.
RESULTS: 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).
UNASSIGNED: 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.
OBJECTIVE: This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy.
METHODS: 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.
RESULTS: 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).
UNASSIGNED: 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.
摘要：
背景：在欧洲和美国，新生儿高胆红素血症的发病率估计为每10,000例活产3.2和4.4，分别。高胆红素血症的腹部按摩被认为是婴儿安全的补充治疗方法，可能会增加排便次数并降低胆红素水平。
目的：本研究是一项随机对照试验，旨在确定腹部按摩对接受光疗的足月儿胆红素水平的影响。
方法：样本包括2019年6月至2021年2月在大学医院接受光疗的43名足月新生儿（干预组：23;对照组：20）。信息和观察表格用于数据收集。干预组在2天内接受6次腹部按摩,一天做3次,相隔6小时,每个持续5分钟。
结果：48小时时，干预组的经皮胆红素水平和心率明显低于对照组（分别为P=0.015和P=0.033）。干预组24小时排便次数较多（P=0.007），但48小时无显著差异。干预组24～48小时血清胆红素下降幅度显著（P=0.005）。
■腹部按摩可有效降低胆红素水平，并可能增加排便次数。为提前出院的婴儿父母提供按摩培训可能是防止胆红素水平上升的一种保护性方法。
目的：本研究是一项随机对照试验，旨在确定腹部按摩对接受光疗的足月儿胆红素水平的影响。
方法：样本包括2019年6月至2021年2月在大学医院接受光疗的43名足月新生儿（干预组：23;对照组：20）。信息和观察表格用于数据收集。干预组在2天内接受6次腹部按摩,一天做3次,相隔6小时,每个持续5分钟。
结果：48小时时，干预组的经皮胆红素水平和心率明显低于对照组（分别为P=0.015和P=0.033）。干预组24小时排便次数较多（P=0.007），但48小时无显著差异。干预组24～48小时血清胆红素下降幅度显著（P=0.005）。
■腹部按摩可有效降低胆红素水平，并可能增加排便次数。为提前出院的婴儿父母提供按摩培训可能是防止胆红素水平上升的一种保护性方法。
