Use of reflective materials during phototherapy for newborn infants with unconjugated hyperbilirubinaemia

Rostenberghe, Hans Van; Ho, Jacqueline J; Lim, Choo Hau; Hamid, Intan Juliana Abd

doi:10.1002/14651858.cd012011.pub2

Cited by 8 publications

(7 citation statements)

References 31 publications

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“…Four Cochrane reviews (Horn et al., 2021; Lai et al., 2017; Okwundu et al., 2012; Van Rostenberghe et al., 2020) identified nursing interventions shown to be effective for preventing or treating jaundice with positive outcomes ( n = 10) having moderate to very low certainty of evidence. The use of prophylactic phototherapy in preterm or low birth weight infants identified three outcomes with moderate certainty of evidence, indicating a reduction in exchange transfusion rates, slight improvement in neurodevelopmental impairment rates and lower rates unconjugated serum bilirubin >10 and >15 mg/dL (normal value < 15 mg/dL).…”

Section: Resultsmentioning

confidence: 99%

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Scoping review of systematic reviews of nursing interventions in a neonatal intensive care unit or special care nursery

Foster,

Pathrose,

Briguglio

et al. 2024

Journal of Clinical Nursing

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Aim(s)To identify, synthesise and map systematic reviews of the effectiveness of nursing interventions undertaken in a neonatal intensive care unit or special care nursery.DesignThis scoping review was conducted according to the JBI scoping review framework.MethodsReview included systematic reviews that evaluated any nurse‐initiated interventions that were undertaken in an NICU or SCN setting. Studies that reported one or more positive outcomes related to the nursing interventions were only considered for this review. Each outcome for nursing interventions was rated a ‘certainty (quality) of evidence’ according to the Grading of Recommendations, Assessment, Development and Evaluations criteria.Data SourcesSystematic reviews were sourced from the Cochrane Database of Systematic Reviews and Joanna Briggs Institute Evidence Synthesis for reviews published until February 2023.ResultsA total of 428 articles were identified; following screening, 81 reviews underwent full‐text screening, and 34 articles met the inclusion criteria and were included in this review. Multiple nursing interventions reporting positive outcomes were identified and were grouped into seven categories. Respiratory 7/34 (20%) and Nutrition 8/34 (23%) outcomes were the most reported categories. Developmental care was the next most reported category 5/34 (15%) followed by Thermoregulation, 5/34 (15%) Jaundice 4/34 (12%), Pain 4/34 (12%) and Infection 1/34 (3%).ConclusionsThis review has identified nursing interventions that have a direct positive impact on neonatal outcomes. However, further applied research is needed to transfer this empirical knowledge into clinical practice.Implications for the profession and/or patient careImplementing up‐to‐date evidence on effective nursing interventions has the potential to significantly improving neonatal outcomes.Patient or public contributionNo patient or public involvement in this scoping review.

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Section: Resultsmentioning

confidence: 99%

“…Phototherapy with reflective curtains compared to phototherapy alone (Van Rostenberghe et al., 2020)…”

Section: Resultsmentioning

confidence: 99%

Scoping review of systematic reviews of nursing interventions in a neonatal intensive care unit or special care nursery

Foster,

Pathrose,

Briguglio

et al. 2024

Journal of Clinical Nursing

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“…[6][7][8] Studies have shown that increasing light intensity will increase efficacy of phototherapy. 9 The concept of using reflecting curtains with a single unit phototherapy has been described by various authors. 10,11 It can increase the irradiance and shorten the duration of phototherapy.…”

Section: Discussionmentioning

confidence: 99%

Single surface phototherapy with reflecting curtains versus double surface phototherapy in unconjugated neonatal hyperbilirubinemia in a tertiary care NICU

Malla,

Pan,

Bhandari

et al. 2023

Nep. Mediciti Med. J.

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BACKGROUND Neonatal hyperbilirubinemia is treated with different modalities like single, double surface phototherapy and biliblankets. Reflecting curtains with single surface phototherapy is a cheaper and easy modality . So, this study was designed to compare the efficacy of single surface phototherapy with reflecting curtains [SSPRC] versus double surface phototherapy [DSP]. METHODS A prospective comparative study in 120 term neonates with unconjugated hyperbilirubinemia was conducted from July 2021 – Jan 2022 in Neonatal intensive care unit of College of Medical Sciences, Bharatpur. The study population was randomized to either SSPRC or DSP. The primary outcome was mean decrease and rate of decrease of bilirubin in subsequent 6 and 12 hours. Secondary outcome were duration of phototherapy and complications. The analysis was done using SPSS version 18.0. RESULTS Mean bilirubin level at 6 hours after starting phototherapy was 16.27 mg/dL vs 16.71 mg/dL, p=0.542 and at 12 hours 14.61 mg/dLvs 14.70 mg/dL, p= 0.428. Mean rate of decrease in SSPRC vs DSP was 1.63 mg/dL vs 1.81 mg/dL, p=0.154 at 6 hours, 3.29 mg/dL vs 3.82 mg/dL, p=0.39 at 12 hours. Mean duration of phototherapy was significantly lower in SSPRC 3.8 Vs 4.2 days, p=0.031.Complications were skin rashes 11.7% vs 16.7%, p=0.432 and change in frequency of stool 10.0% vs 8.3%, p=0.752. CONCLUSION Single surface phototherapy with reflecting curtain as double surface phototherapy is equally effective, reliable and successful in decreasing bilirubin in less duration with minimum complications. Therefore this technique can be of help where DSP is unavailable or unaffordable.

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“…Aluminum foil and white fabric are examples of bright surfaces that can reflect scattered phototherapy light. Because they are reflecting, curtains made of reflective materials are typically put around the baby's cot and attached to the phototherapy unit to collect light that may otherwise be distributed away from neonates and reflect it onto them (Rostenberghe et al, 2020). Using surfaces that reflect light, like aluminum foil, can increase the amount of body surface exposed to sunlight, which lowers total serum bilirubin in phototherapy protocols (Basiri et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Routine Phototherapy Vs Aluminum Foil Associated Phototherapy : Effect on Neonatal Hyperbilirubinemia

Mohmmed

2024

Menoufia Nursing Journal

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Background: Using reflective material such as aluminum foil increases light intensity on infants' bodies, which could influence hyperbilirubinemia. Purpose: To assess the effect of phototherapy alone versus in combination with reflective aluminum foil on newborns with unconjugated hyperbilirubinemia. Methods: A quasiexperimental research design was utilized. Setting: It was conducted in El-Khartoum Teaching Hospital at Neonatal Intensive Care Unit (NICU), Sudan. Sample: It involved a purposive sample of 60 newborns assigned to the study and control groups (30 newborns in each). Instruments: Two instruments were used for data collection (Characteristics of neonates structured questionnaire and neonatal outcomes structured questionnaire). Results: On admission, the level of bilirubin was 15.93 ± 2.97 among neonates in the study group and 15.67 ± 2.19 among neonates in the control group, while on discharge, the level of bilirubin was 9.03 ± 1.65 among neonates in the study group and 12.90 ± 1.79 among neonates in the control group. The mean difference in reduction of bilirubin level was very highly significant (P=0.00). The hospital stay of neonates in the study group was significantly shorter (5.77 ± .568 versus 11.60 ± .675, p=0.000) than in the control group. Conclusion: Phototherapy with aluminum foil reflectors for newborns with hyperbilirubinemia has a beneficial effect on reducing bilirubin levels and earlier discharge from the hospital. Recommendations: Nurses in hospitals should receive training on the use of phototherapy with an aluminum foil reflector as part of their standard care.

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Use of reflective materials during phototherapy for newborn infants with unconjugated hyperbilirubinaemia

Cited by 8 publications

References 31 publications

Scoping review of systematic reviews of nursing interventions in a neonatal intensive care unit or special care nursery

Scoping review of systematic reviews of nursing interventions in a neonatal intensive care unit or special care nursery

Single surface phototherapy with reflecting curtains versus double surface phototherapy in unconjugated neonatal hyperbilirubinemia in a tertiary care NICU

Routine Phototherapy Vs Aluminum Foil Associated Phototherapy : Effect on Neonatal Hyperbilirubinemia

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