Effect of Tub Bathing on Skin and Bilirubin Levels in Infants Undergoing Tunnel and LED of Phototherapy

Study Overview
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Brief Summary
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The study was conducted as a randomized controlled study to determine effect of tube bathing on skin and bilirubin levels in infants undergoing tunnel and LED of phototherapy. The population of the study consisted of term babies with the diagnosis of hyperbilirubinemia in Gaziantep Cengiz Gökçek Maternity and Pediatrics Hospital and Kilis State Hospital Neonatal Intensive Care Units (NICU) among November 2019-September 2020. The sample size was composed of a total of 140 babies, which were determined according to Power Analysis and met the case selection criteria. Accordingly, Thirty-five babies were randomly assigned to each group (Tunnel Group = experiment and control; LED Group = experiment and control). The babies in the experimental groups were given a tube bath at 6 and 12 hours after phototherapy started. On the other hand, the babies in the control groups were given routine cares in the units. Data were gathered 'Information and Registration Form', Neonatal Skin Risk Assessment Scale (NSRAS) and Neonatal Skin Condition Score (NSCS).

Official Title
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Effect of Tub Bathing on Skin and Bilirubin Levels in Infants Undergoing Tunnel and LED of Phototherapy

Conditions
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Newborn Jaundice

Intervention / Treatment
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* Other: TUBE BATH


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The baby is receiving phototherapy due to physiological hyperbilirubinemia, Being a term newborn, Monitoring of the LED group in the incubator and the tunnel group in the tunnel phototherapy device, Parents' consent to participate in the study. Exclusion Criteria: Rh incompatibility between mother and baby, Finding ABO non-compliance, Positive direct Coombs test, Presence of congenital anomaly or syndrome, Any surgical intervention has been or will be made, Having any skin lesions, The need for mechanical ventilation.

Ages Eligible for Study
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Minimum Age: 0 Days
Maximum Age: 1 Month

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tunnel group Tube bath during the phototherapy<br> | Other: TUBE BATH<br>* Wrap Tube Baht (immersion)<br>|
| No Intervention: Tunnel group rutin care<br> | |
| Experimental: LED group Tube bath during the phototherapy<br> | Other: TUBE BATH<br>* Wrap Tube Baht (immersion)<br>|
| No Intervention: LED group rutine care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sample size | The sample size was composed of a total of 140 babies, which were determined according to Power Analysis and met the case selection criteria. | 1-2 month | 
| Divided groups | Thirty-five babies were randomly assigned to each group (Tunnel Group = experiment and control; LED Group = experiment and control). | 1 month | 
| Experiment difining and time | The babies in the experimental groups were given a tube bath at 6 and 12 hours after phototherapy started. On the other hand, the babies in the control groups were given routine cares in the units. | 12 month | 
| Measurement | Data were gathered 'Information and Registration Form', Neonatal Skin Risk Assessment Scale (NSRAS) and Neonatal Skin Condition Score (NSCS). | First, 6-12-24 hours for each nerwborn | 
| Biochemical measurement | Total serum bilirubin values obtained from patient files. | First, 6-12-24 hours for each nerwborn | 
| TSB Findings | When differences regarding decrease in 24-hour total serum bilirubin (TSB) levels were compared in all relevant experimental groups, statistically differences were observed (p˂ .001). In particular, the levels of bilirubin were listed as LED-trial, Tunnel-trial, Tunnel-control and LED-control, respectively. It is worthy to utter herein that the decline in TSB was more notable in bathing groups. | 10 month | 
| Skin care findings | Skin integrity and moisture balance were better in bathing groups than control groups, the best was in the Tunnel-experimental group and the worst was in the Tunnel-control group (p˂ .001). | 10 month | 
| Conclusion | Tube bath is suggested that decreasing total serum bilirubin level and maintaining skin integrity and moisture balance. | 12 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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tube bath, skin care, phototherapy