KNOWLEDGE AND ATTITUDE OF NURSES ABOUT NEONATAL HYPERBILIRUBINEMIA IN DUHOK GOVERNORATE: CROSS SECTIONAL STUDY

  • WADYAN JUNDI MIRZA Dept.of pediatricNursing, College of Nursing, University of Duhok, KurdistanRegion-Iraq
  • AKREM MOHAMMAD ATRUSHI Dept.of Pediatric,College of Nursing, University of Duhok, Kurdistan Region-Iraq
Keywords: KEY WORDS: Knowledge, Attitude, Nurses, Neonatal hyperbilirubinemia Abbreviations: TSB: Total serum bilirubin G6PD: Glucose 6-phosphate dehydrogenase deficiency NICU: Neonatal Intensive Care Unit Hrs: Hours BIND: Bilirubin-induced neurologic dysfunction

Abstract

ABSTRACT

Background and objectives: Neonatal hyperbilirubinemia is the most common medical condition in the neonates. About 60% of term and 80% of preterm infants develop jaundice during 1st week of life. The objectives of the study were to assess knowledge and attitude of nurses toward hyperbilirubinemia , and to find out whether there were any relationships between nurses knowledge and attitude with socio-demographic data.

Subjects and methods: A descriptive, cross sectional study was done all nurses (n=166) working in the neonatal intensive care units and different departments in governmental hospitals in Duhok governorate  has been recruited to the study during the period started from 1st May to 1st August 2019.

Results: The study revealed that the majority of nurses had fair knowledge about concepts, definition of phototherapy 98 (59%), causes 78 (47%), Intervention of bilirubin level and steps of management 125 (75.3%), side effects 106 (63.9). While 98.8% of nurses had good knowledge regarding clinical manifestations 164 (98.8%), Investigations 137 (82.5%), complications 78 (47.0%) and Nursing care 159 (95.8%). It also found that there was a significant relationship between demographic data and nurses’ knowledge. Moreover, 145 (87.3%) of nurses held neutral attitude toward neonatal hyperbilirubinemia. Finally, the study found a significant relationship between attitude and demographic factors.   

Conclusions: The study concludes that nurses working in Neonatal intensive care unit (NICU) and pediatric wards had fair knowledge regarding concepts, causes, steps of management, side effects of phototherapy and good knowledge regarding clinical manifestations, investigations, complications and nursing care. Furthermore, nurses held neutral attitude towards neonatal hyperbilirubinemia.

Downloads

Download data is not yet available.

References

REFERENCES
Adebami OJ (2015). Assessment of knowledge on causes and care of neonatal jaundice at the Nigerian primary and secondary health institutions. Inpternational Journal of Research in Medical Sciences. 3(10): 2605-2612.
DOI: 10.18203/2320-6012.ijrms20150799
Ahmed M & Hani M (2017). Assessment of Nurse's Knowledge and Practice Working in District Hospitals at Minia Governorate about Neonatal Hyperbilirubinemia. IOSR Journal of Nursing and Health Science. 6(2):09-16.
DOI: 10.9790/1959-0602080916
Alemu S, Berhe DF, Palani S & Joseph NM (2011). Knowledge, attitude and perception towards jaundice among ayder referral hospital health workers. International research journal of pharmacy. 2 (12), 191-195. Available from: https://pdfs.semanticscholar.org/847c/82ddf9e772c9142ee66852e500877807587f.pdf
Ashor GM, Khalifa MI, El-Gendy FM & Younis JR (2016) . Effect of a Designed Nursing Care Protocol on Clinical Outcomes of Neonates with Hyperbilirubinemia. International Journal of Novel Research in Healthcare and Nursing. 3(3): pp: (62-76). Avaiable from: www.noveltyjournals.com
Begum NA & Afroze S (2018). An Overview of Neonatal Unconjugated Hyperbilirubinemia and Its Management. Bangladesh Journal of Child Health. 42(1), pp.30-37. DOI.org/10.3329/bjch.v42i1.37048
Bhutani VK, Maisels MJ, Stark AR & Buonocore G (2008). Management of jaundice and prevention of severe neonatal hyperbilirubinemia in infants≥ 35 weeks’ gestation. Neonatology. 94(1): 63-67.
DOI.org/10.1159/000113463
Bhutani VK, Zipursky A, Blencowe H, Khanna R, Sgro M, Ebbesen F, et al (2013). Neonatal hyperbilirubinemia and Rhesus disease of the newborn: incidence and impairment estimates for 2010 at regional and global levels. Pediatric research. 74(S1), p.86.
DOI.org/10.1038/pr.2013.208
Burke BL, Robbins JM, Mac Bird T, Hobbs CA, Nesmith C & Tilford JM (2009). Trends in hospitalizations for neonatal jaundice and kernicterus in the United States1988–2005. Pediatrics. 123(2): 524-532.
Christensen RD & Yaish HM (2015). Hemolytic disorders causing severe neonatal hyperbilirubinemia. Clinics in perinatology. 42(3):515-527. DOI: 10.1016/j.clp.2015.04.007
Duan ZJ, Li LL, Ju J, Gao ZH & He GH (2006).Treatment of hyperbilirubinemia with blood purification in China. World journal of gastroenterology: WJG. 12(46): 7467.
DOI: 10.3748/wjg.v12.i46.7467
Fayoumi S (2018). Neonatal Jaundice Knowledge, Attitude and Practice among Nurses Working in Neonatal Intensive Care Units and Pediatric Wards.Deanship of Graduate Studies Al-Quds University. 26(18): 1-108.
Field E, Horst HM, Rubinfeld IS, Copeland CF, Waheed U, Jordan J, et al (2008). Hyperbilirubinemia: a risk factor for infection in the surgical intensive care unit. The American Journal of Surgery. 195(3): 304-307.
DOI.org/10.1016/j.amjsurg.2007.12.010
Hussein HS & Aziz AR (2016). Assessment of Mothers' Knowledge and Beliefs toward Care of Neonatal Jaundice in Pediatric Teaching Hospital in Holy Karbala City. International Journal of Scientific and Research Publications. 6(9): 2250-3153.
Issa SS, Madwah KJA & Al Mosawi HS (2018). Evaluation of Nurse's Knowledge in Management of Premature Baby in Neonatal Units. American Journal of Nursing. 6(5), pp.291-295.
DOI: 10.12691/ajnr-6-5-10
Karale MR, Mohite VR, Patil MS, Kadam MS & Karale MB (2018). A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge and Practice Regarding Phototherapy Application among 3 rd year RGNM Nursing Students at School of Nursing, Krishna Hospital, Karad. International Journal of Health Sciences & Research (www.ijhsr.org). 8(9): 148-153.
Khudhair AS (2018). Assessment of Nurses Knowledge Regarding Jaundice in Basra Hospitals. Int.J.Curr.Microbiol.App.Sci. 7(09): 2248-2254.
DOI.org/10.20546/ijcmas.2018.709.278
Mojtahedi SY, Izadi A, Seirafi G, Khedmat L & Tavakolizadeh R (2018) . Risk Factors Associated with Neonatal Jaundice: A Cross-Sectional Study from Iran. Open access Macedonian journal of medical sciences. 6(8): 1387.
DOI: 10.3889/oamjms.2018.319
Pathirana J, Munoz FM, Abbing-Karahagopian V, Bhat N, Harris T, Kapoor A, et al (2016). Neonatal death: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine. 34(49): 6027-6037.
DOI:10.1016/j.vaccine.2016.03.040
Shaked O & Peña BM (2012). Evaluation of jaundice caused by unconjugated hyperbilirubinemia in children. UpToDate. Waltham, MA: UpToDate. Available from: https://www.uptodate.com/contents/evaluation-of-jaundice-caused-by-unconjugated-hyperbilirubinemia-in-children.
Watchko JF (2009). Identification of neonates at risk for hazardous hyperbilirubinemia: emerging clinical insights. Paediatric Clinics. 56(3):671-687.
DOI: https://doi.org/10.1016/j.pcl.2009.04.005
Watson RL (2009). Hyperbilirubinemia. Critical care nursing clinics of North America. 21(1):97-120. DOI.org/10.1016/j.ccell.2008.11.001
Wolff M, Schinasi DA, Lavelle J, Boorstein N & Zorc JJ (2012). Management of neonates with hyperbilirubinemia: improving timeliness of care using a clinical pathway. Pediatrics-English Edition. 130(6): 1688.
DOI:10.1542/peds.2012-1156
Published
2020-06-07
How to Cite
MIRZA, W. J., & ATRUSHI, A. M. (2020). KNOWLEDGE AND ATTITUDE OF NURSES ABOUT NEONATAL HYPERBILIRUBINEMIA IN DUHOK GOVERNORATE: CROSS SECTIONAL STUDY. Journal of Duhok University, 22(2), 219-228. https://doi.org/10.26682/sjuod.2019.22.2.25
Section
Pure and Engineering Sciences