Mothers' Experiences of Babies’ Diaper Dermatitis After Discharge from Neonatal Intensive Care Unit

Abstract

Background: Diaper dermatitis (DD) is a prevalent issue among neonates discharged from neonatal intensive care units (NICU) due to their sensitive skin and high vulnerability. Objectives: This study aimed to investigate the experiences and contributing factors of DD as reported by the mothers of NICU graduates. Methods: The retrospective, comparative, and correlational study included 180 mothers. Data were collected using the “Sociodemographic and Clinical Characteristics of Newborns Data Form” and the “Sociodemographic Characteristics of Mothers and Diaper Care Practices Form.” Descriptive statistics and chi-square analysis were applied for data interpretation. Results: The findings revealed that 78.3% of neonates developed DD post-discharge. A significant reduction in DD incidence was observed in infants whose diaper care involved wipes containing pure water. Conversely, a notable increase in DD was linked to infections and diarrhea (p<0.05). Conclusion: The incidence of DD was high among infants discharged from the NICU. While the use of wipes containing pure water for diaper care was associated with lower DD rates, post-discharge infections and diarrhea were associated with higher DD rates. During the discharge process of high-risk neonates, it is recommended to provide mothers with information regarding diaper care and DD. In the post-discharge period, follow-up with mothers through phone calls or home visits by nurses, regular monitoring of the infants, and repetition of education when necessary are also advised.

Keywords

• Infants
• diaper rash
• neonatal intensive care unit
• mothers
• skin care

Yenidoğan Yoğun Bakım Ünitesinden Taburcu Olan Bebeklerin Annelerinin Taburculuk Sonrasında Diyaper Dermatit Deneyimleri

Abstract

Giriş: Diyaper dermatiti (DD), yenidoğan yoğun bakım ünitesinden (YYBÜ) taburcu edilen bebeklerde hassas cilt yapıları ve yüksek risk grubu olmaları nedeniyle yaygın bir sorundur. Amaç: Bu çalışma, bir üniversite hastanesinin YYBÜ’den taburcu olan bebeklerin annelerinin taburculuk sonrası süreçte, diyaper dermatit deneyimlerinin ve ilişkili faktörlerin belirlenmesi amacıyla yapılmıştır. Yöntem: Retrospektif, karşılaştırmalı ve ilişkisel olarak tasarlanan çalışmaya 180 anne dahil edilmiştir. Veriler, “Yenidoğanların Sosyodemografik ve Klinik Özellikleri Veri Formu” ile “Annelerin Sosyodemografik Özellikleri ve Diyaper Bakımı Uygulamaları Formu” kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve ki-kare testi uygulanmıştır. Bulgular: Bu çalışmada, bebeklerin taburculuk sonrasında DD insidansı %78.3 olarak bulunmuştur. Saf su içeren mendillerle yapılan bez bakımının DD sıklığını anlamlı ölçüde azalttığı görülmüştür. Buna karşılık, enfeksiyon ve diyare öyküsü olan bebeklerde DD gelişme oranında anlamlı bir artış tespit edilmiştir (p<0,05). Sonuç: YYBÜ’nden taburcu olan bebeklerde DD görülme sıklığının yüksek olduğu belirlenmiştir. Bebeklerin alt bakımında saf su içeren mendil kullanımı düşük DD oranları ile ilişkiliyken, taburculuk sonrası enfeksiyon geçirme ve diyare olma durumları daha yüksek DD oranları ile ilişkili bulunmuştur. Yüksek riskli yenidoğanların taburculuk sürecinde, annelere alt bakımı ve DD ile ilgili bilgi verilmesi; taburculuk sonrası dönemde hemşirelerin telefon görüşmeleri veya ev ziyaretleri yoluyla anneleri takip etmesi, bebeklerin düzenli izlenmesi ve gerekirse eğitimin yinelenmesi önerilmektedir.

Keywords

• Bebekler
• diyaper dermatit
• yenidoğan yoğun bakım
• anneler
• cilt bakımı

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