BACKGROUND: Jaundice refers to the yellow color of the skin and whites of eyes that happens when there is too much bilirubin in the blood. It is a benign transient physiological event in the majority of newborns but can cause irreversible brain damage and kernicterus in infants if the serum bilirubin levels are very high. Phototherapy and massage is used for the treatment when serum bilirubin levels exceed physiological limits. AIM: Aim of the study is to assess the effectiveness of photo therapy v/s photo therapy and Massage on reducing bilirubin level in neonates with jaundice admitted in NICU, GGSCM&H, Faridkot, Punjab. METHODS: A Quasi-experimental research design was used to conduct the present study. Convenient sampling was used to select 70 neonates having jaundice (35 were in photo therapy group and 35 were in photo therapy and massage group) and randomly allocated in both groups. Sociodemographic profile and Lab Investigations was used to collect the data. RESULTS: The present study results revealed that pre intervention mean baseline total serum bilirubin level in photo therapy group was 14.960±2.1868 and 16.043±2.8421 in photo therapy and massage group respectively. Post intervention mean baseline total serum bilirubin level in photo therapy group was 11.991±2.4042 and 10.180±2.4096 in photo therapy and massage group respectively. Paired t-test was applied for statistical analysis. Results showed t value 3.148 at df 68 with p value .002 which is found to be significant at p<0.05. It proved that there is significant difference in baseline mean of reduction in total serum bilirubin level more rapidly in photo therapy and massage than photo therapy alone. CONCLUSIONS: The study concluded that Photo Therapy and Massage is more effective in reducing bilirubin level rapidly in neonates than Photo Therapy alone.
Neonatal Jaundice, Neonates, Phototherapy, Massage, Lab Investigations.
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