Ayşe Gürol

Effect of abdomen massage for prevention of feeding intolerance in preterm infants

BackgroundThe aim of this study was to evaluate the efficacy of abdominal massage on feeding tolerance in stable preterm infants fed minimal enteral nutrition.MethodsThe study was conducted on a control-grouped pre-test, post-test quasi-experimental design at the neonatal intensive care unit of a university hospital in Turkey between March and July 2012. Abdominal massage was applied to the massage group subjects for 15 minutes, 2 times daily, before the subject was fed starting in the 5-day study period.ResultsThe study was conducted with 27 subjects, 14 in the massage group and 13 in the control group. When frequency of defecation measurements were analysed, the difference between the first day and last day of the study was not statistically significant in the massage group. However, when daily weight gain, frequency of vomiting, abdominal circumference and gastric residual volume excess measurements were analysed, the differences between the first day and last day of the study were statistically significant in the massage group.ConclusionsIn accordance with the results of the study, we suggest that nurses should apply abdominal massage twice a day as an intervention helping to prevent gastric residual volume excess and abdominal distension in enterally fed preterm infants.

Effects of massage therapy on pain and anxiety arising from intrathecal therapy or bone marrow aspiration in children with cancer

Cancer and its treatment are stressful and reduce the quality of life in children. The aim of this study was to investigate the effect of massage therapy on pain and anxiety arising from intrathecal therapy or bone marrow aspiration in children with cancer. We conducted a controlled pretest/posttest quasi-experimental study at a paediatric oncology unit in Turkey. Twenty-five children were enrolled in this study. Their pain and anxiety were determined using a visual analogue scale. When the pretest and posttest pain and anxiety levels of the groups were compared, no statistically significant difference was found (P > 0.05). It was determined that pain and anxiety levels in the experimental group decreased significantly. This study provides preliminary evidence for the effectiveness in children of massage in reducing pain and anxiety arising from intrathecal therapy or bone marrow aspiration.

Hand hygiene compliance of nurses: A 5‐unit observational study in North‐Eastern Anatolia

In five neonatal intensive care units (NICUs) in two cities, the hand hygiene applications of 72 nurses included in this observational study have been investigated. The research was conducted between February and June 2007. It was found that before entering the NICUs, majority of nurses have washed their hands but used much less alcohol-based antiseptics; more than half of the nurses did not use gloves, and 50 of them did not wash their hands before care and one-third of the nurses did not wash their hands after care after neonatal treatments. The results obtained from our research showed that most of the nurses paid more attention to hand washing before applying medical treatment.

PO-0625 Effects Of Phototherapy On Antioxidant Status Of Preterm And Term Neonates With Jaundice

Background and aim Phototherapy is generally considered as a safe and well-tolerated therapy in neonatal jaundice. Recently phototherapy has been shown to be related to oxidative stress. In this study we aimed to investigate the effects of phototherapy on antioxidant status of neonates with jaundice. Methods We conducted a control-grouped pre-test, post-test quasi-experimental design at the newborn unit of a university hospital in Turkey from December 2012 to 2013. Term, very preterm (28 to <32 weeks), and late preterm (32 to <37 weeks) newborns hospitalised for significant jaundice requiring phototherapy in the 1–9 days of life were enrolled. A total of 56 newborns were included in this study. The study was approved by the local Research Ethics Committee and informed consent was obtained from the parents. Venous blood sampling was performed from a peripheral vein. Levels of malondialdehyde (MDA), superoxide dismutase (SOD), reduced glutathione (GSH), and catalase (CAT) were measured before and 24 h after phototherapy. Statistical analyses were conducted using the SPSS version 20.0. Statistical significance was accepted at p < 0.05. Results The levels of CAT increased after phototherapy in the all groups; however, this increased was not statistically significant (p > 0.05). The levels of GSH in the very preterm group were also found to be decreased significantly after phototherapy. It was observed that levels of MDA were elevated significantly in term neonates as compared to very preterm and late preterm neonates. Conclusions Phototherapy did increase the oxidative stress in the term, very preterm, and late preterm newborns with jaundice.