Turkiye Klinikleri Journal of Pediatrics

.: REVIEW
Yenidoğan Bebeklerde Masajın Bilirubin Düzeyine Etkisi
The Effect of Massage on Bilirubin Level in New Born Infants
Gönül KILIÇa, Hatice BAL YILMAZb
aÇiğli Bölge Eğitim Hastanesi, İç Hastalıkları Kliniği, İzmir, TÜRKİYE
bEge Üniversitesi Hemşirelik Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, İzmir, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2021;30(1):84-7
doi: 10.5336/pediatr.2020-79011
Article Language: TR
Full Text
ÖZET
 Yenidoğan döneminde hastaneye tekrarlayan yatışların sık görülen nedenlerden biri olan sarılık (hiperbilirubinemi), doğumdan sonraki yaşamın ilk haftasında term bebeklerin %60'ında, prematüre bebeklerin ise %80'inde görülür. Ülkemizde yenidoğan bebeklerde, sarılık sıklığı ile ilgili net veriler yoktur. Sarılık, doğumdan sonraki ilk haftada hastaneye yatışların %75'inin ve yenidoğan döneminde hastaneye tekrarlayan yatışların sık görülen nedenlerinden biridir. Hiperbilirubinemiye bağlı gelişebilecek ölüm ve ciddi sekeller, erken tanı ve tedaviyle engellenebilmektedir. Günümüzde yenidoğanlarda sarılık tedavisini destekleyerek, hastanede kalış süresini kısaltan farklı uygulamalar üzerine çalışmalar yapılmaktadır. Bu uygulamalardan biri de bebek masajıdır. Son yıllarda bebek masajının etkileri üzerine birçok çalışma yayımlanmaktadır. Bu çalışmalarda, masajın kilo alımını artırma, sindirimi kolaylaştırma, vücut sıcaklığını artırma, hastanede kalış süresini kısaltma, kortizol seviyelerini düşürme, beslenme intoleransını azaltma, bağışıklık sistemini güçlendirme ve bilirubin düzeylerinde azalma gibi birçok faydası olduğu bildirilmiştir. Masaj uygulaması, bilirubin seviyelerinin azaltılmasında yeni ve cazip bir stratejidir. Masaj, yenidoğan bebeklerde bilirubin düzeyini azaltmak için kullanılabilecek uygulamalardan biridir. Literatürde, term ve preterm bebeklerde yapılan çalışmalarda, bebek masajının bilirubin düzeylerini düşürdüğü ve dışkılama sıklığını anlamlı derecede artırdığı bildirilmiştir. Bebek masajı, lenf ve kan dolaşımını da artırarak, bilirubin atılımına yardımcı olur. Ayrıca enterohepatik dolaşımı azaltarak, bağırsak hareketlerini ve bilirubin atılımını kolaylaştırır. Bilirubin atılımı ile hiperbilirubineminin hızı ve şiddeti azalır. Bu derlemenin, yenidoğan yoğun bakım hemşireliği alanında literatüre katkı sağlaması amaçlanmıştır.

Anahtar Kelimeler: Yenidoğan sarılığı; masaj; bilirubin
ABSTRACT
 Jaundice (hyperbilirubinemia), one of the common causes of recurrent hospitalizations in the neonatal period, is a physiological condition seen in 60% of term infants and 80% of premature infants in the first week of life after birth. In our country, there are no clear data on the prevalence of jaundice in newborn infants. Jaundice is one of the common causes of 75% of hospitalizations in the first week after birth and recurrent hospitalizations in the neonatal period. Death and serious sequelae that may develop due to hyperbilirubinemia can be prevented with early diagnosis and treatment. Today, studies are carried out on different practices that support jaundice treatment in newborns and shorten the duration of hospital stay. One of these interventions is infant massage. Many studies have been published on the effects of infant massage in recent years. In these studies, it has been reported that massage has many benefits such as increasing weight gain, facilitating digestion, increasing body temperature, shortening the length of hospital stay, reducing cortisol levels, reducing nutritional intolerance, strengthening the immune system and decreasing bilirubin levels. Massage intervention application is a new and attractive strategy in reducing bilirubin levels. Massage is one of the interventions that can be used to reduce the bilirubin level in newborn infants. In studies conducted in term and preterm infants in the literature, it has been reported that infant massage decreases bilirubin levels and increases the frequency of defecation significantly. Infant massage also increases lymph and blood circulation and helps excretion of bilirubin. It also facilitates bowel movements and excretion of bilirubin by reducing enterohepatic circulation. The speed and severity of hyperbilirubinemia decrease with the excretion of bilirubin. This review is intended to contribute to the literature in the field of neonatal intensive care nursing.

Keywords: Neonatal jaundice; massage; bilirubin
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Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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