The Effect of Education Given to Mothers to Prevent Neonatal Jaundice on the Knowledge Level and Frequency of Jaundice Development
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 78
- 试验地点
- 1
- 主要终点
- Change in neonatal jaundice knowledge scores of the trained group after the training
研究概览
简要总结
This study was a randomised controlled trial conducted to determine the effect of the training given to mothers who gave birth by caesarean section in the obstetrics and gynaecology service clinic of Sultanbeyli State Hospital on the level of knowledge and the frequency of jaundice development. All participants who fulfil the inclusion criteria (86 in total) will be included in the study. The 'maternal data collection form' and 'information form on neonatal jaundice' will be applied to the pregnant women as a pre-test. Training will be planned for the participants in the intervention group in 2 sessions. Mothers in the control group will not receive this planned training. On the day of discharge, the 'neonatal jaundice information form' will be filled in again by the participants and the information scores will be recorded. After the intervention group is discharged, they will be called by telephone and jaundice symptoms will be questioned. After 1 month, the 'information form on neonatal jaundice' and 'neonatal follow-up form' will be filled in both groups and the information will be recorded.
详细描述
Jaundice, or hyperbilirubinemia, is a condition in which the sclera, skin and mucous membranes appear yellow with an increase in bilirubin level in the blood. Neonatal jaundice is one of the main reasons for hospitalisation and it is still an important health problem in Turkey. In a study, it was reported that 6.4% of hospitalised infants had severe hyperbilirubinemia.
Neonatal jaundice is observed in 80% of preterm babies and 60% of term babies. Jaundice becomes visible when the total bilirubin level is above 5 mg/dl. Jaundice is visible in 60% of newborns born on time. The course of the disease is mild, disappears spontaneously in the third week in preterm newborns and in the second week in term newborns without the need for any treatment.
Although neonatal jaundice is generally seen as a temporary and harmless condition, it can seriously harm the baby's health when left untreated. When high bilirubin levels are not intervened, serious neurological damage occurs. In order to prevent possible damage, close monitoring of the newborn is of great importance for early diagnosis and treatment of neonatal jaundice. Neonatal jaundice usually reaches its peak on the 5th and 7th days of the baby. While most term babies without any problems are discharged before these time periods, most neonatal jaundice is seen at home. Mothers who care for discharged babies are the first to observe jaundice. When each newborn is discharged, appropriate follow-up for jaundice should be performed considering the risk factors for hyperbilirubinemia, and families should be given information and written guidelines about jaundice.
It is possible to prevent neonatal jaundice by early diagnosis and application of appropriate intervention methods. In this direction, it is of great importance that mothers have sufficient knowledge about jaundice. Early recognition of jaundice symptoms by mothers reduces the risk of serious complications that may develop in the newborn by enabling them to apply to healthcare institutions without delay. However, scientific studies have revealed that the majority of mothers have a widespread lack of knowledge about neonatal jaundice. Implementation of planned and comprehensive training programmes for mothers by healthcare professionals stands out as an effective strategy in the fight against neonatal jaundice. Such trainings improve the knowledge level of mothers, enabling them to recognise the symptoms of jaundice in a timely manner and take necessary precautions.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
research and control group
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Mothers who gave birth by planned cesarean section,
- •Mothers who did not receive planned training on neonatal jaundice,
- •Having been hospitalized for at least 2 days and having attended training at least 2 times until the day of discharge,
- •Being willing and willing to participate in the study,
- •Mothers who have the ability to read, write and understand Turkish,
- •Not having a psychological or mental disability
排除标准
- •Mothers who did not attend the training or were discharged before 2 days,
- •Mothers who were admitted to the ward with an emergency cesarean section,
- •Having a risky pregnancy,
- •The baby being admitted to the intensive care unit during the hospitalization period (within 48 hours),
- •The baby being admitted to the intensive care unit with a diagnosis other than neonatal jaundice after discharge,
- •Not being able to contact during the training process,
- •Mothers who did not attend the final test 1 month after the training
结局指标
主要结局
Change in neonatal jaundice knowledge scores of the trained group after the training
时间窗: Measurements will be made before the training, at discharge and 1 month after the training
After the planned 2-day training, the mothers' knowledge level about neonatal jaundice was determined with the "Neonatal jaundice knowledge form". The increase in the knowledge score indicates that the mothers' knowledge level about jaundice increased. The total score range of the 30-item scale varies between 0 and 30. The lowest score that can be obtained from the scale is "0" and the highest score is "30".
次要结局
- Change in jaundice status of newborns after the education(1 month after education)
研究者
Gülzade Uysal
Associate Professor, PhD
Okan University