Open Access
Jayasmini Mohanty
Mamata Acharya
- Head of the Department Department Pediatric Nursing, College of Nursing, Berhampur Odisha India
- Lecturer Department of Child Health Nursing, College of Nursing Odisha India
Abstract
A pre-experimental approach, one group pre-test and post-test design was undertaken among GNM intern students, school of nursing, Berhampur, Ganjam, Odisha, with the objectives to assess the effectiveness of information booklet regarding care of neonate with hyperbilirubinemia among GNM intern students who were selected by using simple random sampling technique. Data were collected by using structured questionnaire schedule from 23.04.2015 to 03-05 2015. The theoretical framework selected for the study was based on the Kings Goal Attainment theory. The reliability score was tested by using split half method. (r=0.78). The collected data were analyzed by using descriptive and inferential statistics. Findings revealed that highest percentage (78%) of the GNM intern students belongs to age group of 20–22 years, 100% of staff GNM intern students were of female gender, 90% of GNM intern students were unmarried, 96% of students belong to Hindu religion and 42% got previous source of knowledge from books and journals. The overall mean knowledge score in pre-test was 26.12±2.58 which is 52.24%, revealing average knowledge whereas in post–test, it was 37±2.21 which is 92.5% revealing very good knowledge and effectiveness was 40.26%. Area-wise assessment shows that during post-test, the highest mean percentage (94.57%) was obtained for the area of “concept and types of neonatal hyperbilirubinemia and the lowest mean score (86%) was obtained for the area “cause and diagnosis of neonatal hyperbilirubinemia”. Effectiveness of booklet was from 15.67 to 31.8%. Further, highly significant (p<0.01) difference was found between pre- and post-test knowledge scores and no significant association was found between post-test knowledge scores and all the demographic variables of the GNM intern students, when compared to their age, marital status, religion and previous source of knowledge.
Keywords: Hyperbilirubinemia level, neonate, knowledge, care, information
[This article belongs to International Journal of Obstetrics, Perinatal and Neonatal Nursing(ijopnn)]
Browse Figures
References
1. Basavanthapa BT. Nursing Theories. New Delhi: Jaypee Brothers; 2007.
2. Dutta Parul. Pediatric Nursing. 3rd Edn. New Delhi: Jaypee Brothers Medical Publishers P Ltd.; 2014.
3. Marlow Dorothy R, Redding Babana A. Textbook of Pediatrics Nursing. 6th Edn. New Delhi: Elesevier India Pvt. Ltd.; 2004.
4. Behrman Richard. Nelsons Textbook of Pediatrics. 16th Edn. Philadelphia: Saunders Company; 2008.
5. Wong Donna L. Nursing Care of Infants and Children. 6th Edn. Missouri: Mosby Publication; 2005.
6. Gupta SP. Statistical Methods. 41th Edn. New Delhi: Sultan Chand and Sons; 2007.
7. Gupta R, et al. Neonatal Surgical Jaundice Revisited. Indian J Peadiatr. 2005; 72(5): 415–23p.
8. Ghai OP. Essential Pediatrics. 8th Edn. New Delhi: CBS Publishers and Distributions; 2013.
9. Hockenberry MJ, Wilson D. Wong’s Nursing Care of Infants and Children. 8th Edn. New Delhi: Mosby; 2009.
10. Joshua Aderinsola Owa, Ogunlesi Titus A. Exchange Transfusion for Neonatal Jaundice in Nigeria. World J Pediatr. 2009; 5(1): 51–5p.
11. Santhosh Kumar A. Manual of Nursing Care. New Delhi: Paras Medical Publisher; 2008.
12. Kothari CR. “Research Methodology” Methods and Techniques. 2nd Edn. New Delhi: Gupta KK; 2003.
13. Dorothy Marlow R, Barbara Redding A. Textbook of Pediatric Nursing. 6th Edn. Tokyo: WB Saunders Company; 1998.
14. Manoj Yadav. A Manual of Child Health Nursing. New Delhi: Emperial Offset; 2011.
15. Nelson. Text Book of Pediatrics. 17th Edn. Philadelphia: Elsevier; 2006.
16. Polit DF, Hungler BP. Essentials of Nursing Research: Method, Appraisal and Utilization. 2nd Edn. Philadelphia: Lippincott Publishers; 1995.
17. Polit DF, Hungler BP. Nursing Research: Research Principles and Methods. New Delhi: Lippincott Publishers; 2009.
18. Sharma S. Nursing Research and Statistics. Philadelphia: Elsevier; 2012.
19. Singh Meherban. Care of the Newborn. 7th Edn. New Delhi: Sagar Publications; 2010.
20. AIIMS Protocol. Updated Neonatal Resuscitation Guidelines 2015: Major Changes. 2015. [Online] Available from https://www.indianpediatrics.net/may2016/403.pdf
21. Sudha R. Nursing Education. New Delhi: Jaypee Brothers Medical Publishers(P) Ltd.; 2013.
22. Vargeshsusamma. Textbook of Pediatrics. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2012.
23. Potter Palricia A, Anne Griffin Perry. Fundamentals of Nursing. 6th Edn. Missouri: Mosby Publisher; 2005.
24. Agarwal V, Singh V, Goel SP, et al. Maternal and Neonatal Factors Affecting Physiological Jaundice in Western U.P. Indian J Physiol Pharmacol. 2007; 51(2): 203–6p.
25. Amirshai A, Ghabli K, Shoja MM, et al. Neonatal Jaundice: Knowledge and Practice of Iranian Mothers with Icteric Newborns. Pak J Biol Sci. 2008; 11(6).
26. World Health Organisation. A Systemic Review of Interconnections between Maternal and Newborn Health, Family Care International. 2012. [Online] Available from https://www.who.int/pmnch/media/news/2012/201204_fci_pub_interconnections_mnh/en/
27. Bhutani VK, Johnson L, Sivieri EM. Predictive Ability of a Predischarge Hour-Specific Serum Bilirubin for Subsequent Significant Hyperbilirubinemia in Healthy Term and Near-Term Newborns. J Pediatr. 1999; 103(1): 6–14p.
28. Bhutani VK, Johnson Lois H, Jeffrey Maisels, et al. Kernicterus: Epidemiological Strategies for Its Prevention through Systems Based Approaches. J Perinatol. 2004; 24(10): 650–62p.
29. Bhatt YR, Rao A. Transcutaneous Bilirubin in Predicting Hyprebilirubinea in Terms of Neonates. Indian J Pediatr. Feb 2008; 75(2): 119–23p.
30. Boyd S. Treatment of Physiological and Pathological Neonatal Jaundice. Nursing Times. 2004; 100(13): 40–43p.
31. Brown AK, Damus K, Kim MH, et al. Factors Relating to Readmission of Term and Near-Term Neonates in the First Two Weeks of Life. Early Discharge Survey Group of the Health Professional Advisory Board of the Greater New York Chapter of the March of Dimes. J Perinat Med. 1999; 27(4): 263–75p.
32. Brewster DH, Tucker JS, Fleming M, et al. Risk of Skin Cancer after Neonatal Phototherapy: Retrospective Cohort Study. Arch Dis Child. 2010; 95(10): 826–31p.
33. Burke BL, et al. Trends in Hospitalizations for Neonatal Jaundice and Kernicterus in the United States. Pediatrics. 2009; 123(2): 524–32p.
34. David Evans. Neonatal Jaundice. 2007. [Online] Available from https://pubmed.ncbi.nlm.nih.gov/19454091/
35. Jophin Joseph, Jyothy George. A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Neonatal Jaundice among Staff Nurses in Selected Hospital, Bangalore. Int J Sci Res. 2015; 4(12): 1913–1917p.
36. Kumar D, Verma A, Sehgal VK. Neonatal Mortality in India. Rural Remote Health. 2007; 7: 833p.
37. Behrman Richard. Nelsons Textbook of Pediatrics. 16th Edn. Philadelphia: Saunders Company; 2008.
38. Anu Thukral, Ashok Deorari. Phototherapy Lights for Neonatal Jaundice. 2008. [Online] Available from https://www.newbornwhocc.org/news_nov.html
39. Hande G, Filiz, Hasan K. Effect of Feeding Type on the Efficacy of Phototherapy. Indian Pediatric Journal. 2006; 44: 32–36p.
40. Sutherland James M (MD), Keller William H (BS). Novobiocin and Neonatal Hyperbilirubinemia: An Investigation of the Relationship in an Epidemic of Neonatal Hyperbilirubinemia. Am J Dis Child. 1961; 101(4): 447–453p.
41. Joshua Aderinsola Owa, Ogunlesi Titus A. Exchange Transfusion for Neonatal Jaundice in Nigeria. World J Pediatr. 2009; 5(1): 51–5p.
42. Kedar PS, Warang P, Colah RB, Mohanty D. Red Cell Pyruvate Kinase Deficiency in Neonatal Jaundice Cases in India. Indian J Pediatr. 2006; 73(11): 985–8p.
43. Kareem Jamal Hamad, Haroon Muhammad Khali. Assessment of Knowledge of Neonatal Jaundice among Mothers Attending Maternal and Pediatric Hospital in Soran City. Polytechnic journal. 2019. 9(1): 32-36
44. Lee Kyong-Soon, Perlman Max, Ballantyne Marilyn, Elliott Irene, To Teresa. Association between Duration of Neonatal Hospital Stay and Readmission Rate. J Pediatr. 1995; 127(5): 758–766p.
45. Fok TF, Lau SP, Hui CW. Neonatal Jaundice: Its Prevalence in Chinese Babies and Associating Factors. Aust Paediatr J. 1986; 22(3): 215–219p.
46. Sgro M, Campbell D, Shah V. Incidence and Causes of Severe Neonatal Hyperbilirubinemia in Canada. CMAJ. 2006; 175(6): 587–90p.
47. Mohammed Ahmed Muzaffer. Neonatal Screening of Glucose-6-Phosphate Dehydrogenase Deficiency in Yanbu, Saudi Arabia. J Med Screen. 2005; 12(4): 170–1p.
48. Moerschel Sarah K, Cianciaruso Lauren B, Tracy Lloyd R, et al. A Practical Approach to Neonatal Jaundice. Am Fam Physician. 2008; 77(9): 1255–62p.
49. Monica Sari, Sourabh Dutta, et al. Randomized Controlled Trial of Compact Fluorescent Lamp Versus Standard Phototherapy for the Treatment of Neonatal Hyperbilirubinemia. Indian J Pediatr. 2006; 17(43): 583–585p.
50. Jophin Joseph, Jyothy George. A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Prevention of Upper Respiratory Tract Infection Among Mothers of Toddler in Selected Hospital, Bangalore. 2015;4(12).
51. Ogunfowora OB, Daniel OJ. Neonatal Jaundice and Its Management, Knowledge, Attitude and Practice of Community Health Workers in Nigeria. BMC Public Health; 2006. [Online] Available from https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-6-19
52. Ossamu Osaku N, Silvero Lopes H. Annual Conference on Phototherapy of the Newborn; Predictive Model for the Outcome. Conference Proceedings IEEE Engineering in Medicine and Biology Society, Shanghai, China, Canada. 2005, Jan 17–18.
53. Olusanya BO, Somefun AO. Sensorineural Hearing Loss in Infants with Neonatal Jaundice in Lagos: A Community Based on Study. Ann Trop Paediatr. 2009; 29(2): 119–28p.
54. Nasrin Khalesi, Fatemeh Rakhshani. Knowledge, Attitude and Behaviour of Mothers on Neonatal Jaundice. J Pak Med Assoc. 2008; 58(12): 671–4p.
55. Petrova A, Mehta R, Birchwood G, et al. Management of Neonatal Hyperbilirubinemia: Pediatricians’ Practices and Educational Needs. BMC Pediatr. 2006; 117(6): 6p.
56. Fu WP, Liu Y. Role of Genetic Factors in Occurrence of Neonatal Jaundice in Guangxi Region. Zhonghua Er Ke Za Zhi. 2005; 43(10): 743–7p.
57. Satish Mishra, Ramesh Agarwal, et al. Jaundice in the newborn babies. Indian J Pediatr. 2008;75(2):157-63.
58. Ranjankumar Pejaver, Janaki Viswanath. An Audit of Phototherapy Units. Indian J Pediatr. 2000; 67(12): 883–4p.
59. Ramesh A, Deorari AK. Unconjugated Hyperbilirubinemia in Newborns: Current Perspective. Indian Pediatric Journal. 2002; 17(39): 30–40p.
60. Rajesh K, Anil N, et al. Phenobarbitone Prophylaxis for Neonatal Jaundice in Babies with Birth Weight 1000-1499 grams. Indian Pediatric Journal. 2002; 17(39): 945–949p.
61. Rosenfeld W, Sadhev S, Brunot V, et al. Phototherapy Effect on the Incidence of Patent Ductusarteriosus in Premature Infants: Prevention with Chest Shielding. Pediatrics. Jul 1986; 78(1): 10–4.
62. Keren R, et al. Visual Assessment of Jaundice in Term and Late Preterm Infants. Arch Dis Child Fetal Neonatal Ed. Sep 2009; 94(5): 317–22p.
63. Reilly O. NICU House Staff. [online] Available from https://medlineplus.gov/ency/article/007241.htm.
64. Thor Willy Ruud Hansen. Phototherapy for Neonatal Jaundice-Therapeutic Effects on more than One Level? Semin Perinatol. 2010; 34(3): 231–4p.
65. Swarna Rekha Bhat, et al. Dehydration and Hypernatremia in Term Healthy Neonates. S Afr Med J. Sep 2006; 96(9): 819–24p.
66. Shah I, Bhatnagar S. Clinical Profile of Chronic Hepatobiliary Disorders in Children of Western India. Trop Gastroenterol. 2010; 31(2): 108–10p.
67. Mrs. Rajashree B., Prof. Vaishali R., et al. A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge and Practice Regarding Phototherapy Application among 3rd year R.G.N.M. Nursing Students at School of Nursing, Krishna Hospital, Karad. IJHSR.
68. Hasen Thor WR. Neonatal Jaundice. 2010. [Online] Available from https://emedicine.medscape.com/article/974786-overview
69. Tikmani SS, Warraich HJ, Abbasi F. Incidence of Neonatal Hyperbilirubinemia, Pakistan. Trop Med Int Health. 2010; 15(5): 502–7p.
70. Yaseen H, Khalaf M. Does Prophylactic Phototherapy Prevent Hyperbilirubinemia in Neonates with ABO Incompatibility and Positive Coomb’s Test? J Perinatol. 2005; 25(9): 590–4p.
| Volume | 7 |
| Issue | 1 |
| Received | January 16, 2021 |
| Accepted | March 9, 2021 |
| Published | January 9, 2023 |