THE EFFECT OF IMPLEMENTING MASSAGE ON INDIRECT BILIRUBIN LEVEL FOR PHYSIOLOGICAL JAUNDICED NEONATAL UNDERGOING PHOTOTHERAPY))

Al-Muhammad Abdullah*, Murhaf Aldugiem, Hassan, Hanade

ABSTRACT

Background: Exaggerated physiological jaundice is physiological jaundice that persists for longer period more than usual. Phototherapy is the first line of treatment for physiological jaundice but it has many adverse reactions. Recently, field massage has become increasingly used as complementary therapy for treating hyperbilirubinemia. Some studies have pointed out that massage therapy improves neonatal jaundice by either reducing enterohepatic bilirubin cycle or inhibiting its production. Aim of the Study: The current study aimed to evaluate the effect of applying massage on the level of bilirubin in neonates with physiological jaundice undergoing phototherapy in Idleb university in the hospital of Al amal in Azzaz city. Methods according to the experimental method, the study was applied to arandome sample that include 100 in term (38- 42) gestational week from neonates with jaundice of both sex in the NICU department in Alamal hospital in Azzaz city in northern of Syria who undergoing phototherapy in the incubator. they were devided into two groups the one is experimental group consists of 50 neonates who received phototherapy and massage care, the control group consists of 50 of neonates with physiological jaundice how received phototherapy with out massage, the level of indirect bilirubine, sgot, sgpt, and hymoglobine were evaluated between the two groups. The vital signs (temperature, pulse, breathing, blood pressure, intestinal movement and the digestive elimination) were evaluated between the two groups within 4 days. Results: The deference between the total bilirubin in the first day of hospitalization and discharge was highly significant at p <0,001, the deference's between control group and experiment group with connecting to indirect bilirubin were significant from the third day morning and in the fourth day of the experiment at p< 0,05 the frequency of intestinal defecation was statistically significant at p <0,001 from the first day tell the fourth day and the deference's between control group and experiment group with connecting to bowel movements were significant at p<0,001 from the first day evening tell the fourth day, the deference's between control group and experiment group with connecting to the level of hemoglobin was significant at p < 0,05 in the third day morning. Conclusion: The results of this study revealed that massage therapy could reduce the level of indirect bilirubin and increase the bowel movements and intestinal defecation and blood hemoglobin.

Keywords: Massage, phototherapy, hyperbilirubinemia, jaundice.