The Effect of Phototherapy Devices and Bathing in Neonatal Jaundice: Review Article

Öz

Jaundice is one of the most common clinical findings that require medical attention in newborn babies without any other health problem. It is seen in approximately 30-50% of term and 70-80% of preterm infants. It is one of the most common causes of hospitalization in the first weeks; although, it is generally a temporary condition, after birth and causes permanent neuro-developmental problems in the newborn if left untreated. The treatment methods used in neonatal jaundice are phototherapy and exchange transfusion. Phototherapy treatment, which is one of the first and most effective applications, is carried out in clinics with devices with different efficacy. These devices are known to reduce neonatal jaundice while also causing some side effects. Benefit from different types of bathing practices in reducing side effects and reducing bilirubin. Newborn bathing can be performed in different ways in neonatal intensive care units. Knowing the rate of decrease in the level of jaundşce can contribute to clinical applications in cases where phototherapy devices and the type of bath are different. Therefore; in this review, it is aimed to examine the literature on different types of phototherapy devices and bath applications used to reduce bilirubin levels in neonatal jaundice.

Anahtar Kelimeler

• Baths
• bilirubin
• newborn
• phototherapy
• skin care.

Yenidoğan Sarılığında Fototerapi Cihazlarının ve Banyonun Etkisi: Derleme Makale

Öz

Yenidoğan bebeklerde başka bir sağlık sorunu olmadan tıbbi yaklaşım gerektiren en sık klinik bulgulardan biri sarılıktır. Sarılık, term bebeklerin yaklaşık %30-50’sinde, preterm bebeklerin ise yaklaşık %70-80’inde görülür. Bu genel olarak geçici bir durum olmasına rağmen, doğumdan sonra ilk haftalarda hastaneye yatışların en sık nedenlerinden birisidir ve tedavi edilmediğinde yenidoğanda kalıcı nöro-gelişimsel problemlere neden olmaktadır. Yenidoğan sarılığında kullanılan tedavi yöntemleri fototerapi ve kan değişimidir. İlk ve etkin uygulamalardan biri olan fototerapi tedavisi kliniklerde farklı etkinliklere sahip cihazlar ile gerçekleştirilmektedir. Bu cihazların yenidoğan sarılığını azaltırken bazı yan etkileri de ortaya çıkardığı bilinmektedir. Yan etkilerin azaltılmasında ve bilirubinin düşürülmesinde hemşireler farklı tipteki banyo uygulamalarından yararlanmaktadır. Fototerapi cihazlarının ve banyo şeklinin farklı olduğu durumlarda sarılık düzeyinin düşme hızının bilinmesi klinik uygulamalara katkı sağlayabilir. Bu nedenle; bu derleme ile yenidoğan sarılığında bilirubin düzeyinin azaltılmasında kullanılan farklı tipteki fototerapi cihazlarına ve banyo uygulamalarına yönelik literatürün incelenmesi amaçlanmıştır.

Anahtar Kelimeler

• Banyo
• bilirubin
• cilt bakımı
• fototerapi
• yenidoğan

Kaynakça

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