Effects of providing knowledge on caring for newborns with jaundice by using online teaching media to caregivers of newborns with jaundice receiving phototherapy at Nakornping Hospital
Keywords:
knowledge of care, jaundice, online teaching media, newbornAbstract
This research is a simple randomized controlled trial to study the effects of providing education on caring for newborns with jaundice by using online teaching media. The study was conducted among caregivers of newborns with jaundice receiving phototherapy in the special pediatric and obstetrics ward at Nakornping Hospital from October 2022 to January 2023. The sample consisted of 10 persons in a study group and 10 persons in a control group. Both groups were provided standard knowledge on caring for newborns with jaundice, the control group received normal care and the study group received knowledge using online teaching media. Both groups were assessed on knowledge of caregivers' caring behaviors before and after receiving the knowledge using a questionnaire on caregivers' care behavior of newborns with jaundice receiving phototherapy. Data were analyzed using frequency distribution, percentage, mean, standard deviation, and t-test.
Results: There were 20 caregivers and 19 biological parents (95%). The study group characteristics were age between 26-35 years old (50%), had experience caring for newborn (50%), had education level lower than a bachelor’s degree (50%), civil servants/state enterprise employees (50%), and all had a marital status. While the control group had age between 15-25 years old (50%), had experience caring for newborn (30%), had an education level lower than a bachelor's degree (40%), were civil servants/state enterprise employees (40%), and had a marital status (90%). The study group had caregivers care behavior mean scores of pre-test 102.2±5.13 and post-test 113.5 ± 2.41 (p< 0.001), while the control group had pre-test mean scores 98.5±6.38 and post-test mean score 101.0 ± 6.32 (p=0.390). The study group had significantly higher scores than the control group and higher than pre-test (p <0.001). For the average of bilirubin level before and after the experiment, both groups were not different (p=0.565), with bilirubin levels decreased by 2.62±1.41mg./dl. in the study group and 3.27±3.21 mg./dl. in the control group.
Conclusion: In summary, this study shows that providing knowledge through online teaching media has resulted in caregivers gaining learning experiences and acquiring skills to ensure appropriate, accurate, and suitable care for jaundiced newborns.
References
Kaewprapai S, Kitcharoen S, Sithithaworn J. Evaluation of guideline for assessment of jaundice in newborns at Khlong Luang Hospital, PathumThani Province. Thai Science and Technology Journal. 2016;24(1):139-53. [In Thai]
Kanchanaphattanakul W. Neonatal Jaundice. In: Singkalavanich S, Kanchanapongkul S, Channuwat S, editors. Pocket book of pediatrics. Bangkok: Queen Sirikit National Institute of Child Health; 2011. p. 441. [In Thai]
Ruangwong A. Concerning the effective care of infants with jaundice [research report]. Nakhon Si Thammarat: Nakhon Si Thammarat Health Promoting Hospital. [In Thai]
Wusthoff CJ, Loe IM. Impact of bilirubin-induced neurologic dysfunction on neurodevelopmental outcomes. Semin Fetal Neonatal Med. 2015;20(1):52-7. doi: 10.1016/j.siny.2014.12.003.
Maneenil K. Jaundice in newborns. In: Wechawanitchanong P, Anantaseree W, editors. Pediatrics. Songkhla: Department of Pediatrics Faculty of Medicine Prince of Songkla University; 2016. p. 103-4. [In Thai]
Nakornping Hospital, Policy and planning group. Statistical information on newborn jaundice patients of Nakornping Hospital. Chiang Mai: Nakornping Hospital; 2021. [In Thai]
Attharos T, Arpaichiratana C. Model of continuing care for chronically Ill children. Thai Journal of Nursing Council. 2011;26(special issue):112-25. [In Thai]
Bungrathok B, Rongtonggul R, Srikanjanaprert S, Namjaitaharn S. Maternal stress and coping in neonatal jaundice treated with phototherapy at Srinagarind Hospital. Srinagarind Medical Journal. 2007;22(2):133-8. [In Thai]
Kraikul S. The relationship between parental stress and the relationship between parents and sick children treated in the intensive care unit [Thesis]. Chonburi: Burapha University; 2009. [In Thai]
Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of practice. 6th ed. St. Louis: Mosby; 2001.
Panchaiwong J. Guidelines for increasing the potential of mothers in caring for jaundiced newborns. Sakon Nakhon: Ratchaphruek Ward Wanonniwat Hospital; 2016. [In Thai]
Buajama P. Development of Internet video to support the public volunteer for bachelor degree students in major of educational technology and communications at Rajamangala University of Technology Thanyaburi [Thesis]. Pathum Thani: Rajamangala University of Technology Thanyaburi; 2012. [In Thai]
Paprom W. Effects of the supportive program and application towards care behavior of caregivers of newborns with neonatal hyperbilirubinemia undergoing phototherapy. Songklanagarind Journal of Nursing. 2018;38(3):167-78. [In Thai]
Kalasin J, Siripul P, Thannadee SK. Effect of a maternal perceived self-efficacy enhancement program on perceived self-efficacy, caring behavior for preterm infants with hyperbilirubinemia, receiving phototherapy and infants’ serum bilirubin levels. Journal of Nursing and Health Care. 2020;38(3):129-38. [In Thai]
Boonchuduang S, Juthasantikul W, Chantarokorn A, Wasinwong W. Effects of using video guided about deep-breathing exercise for patient preparation before receiving general anesthesia. Srinagarind Medical Journal. 2012;27(2):139-46. [In Thai]
Nakanakupt M, Jaichaun P. Impact of interactive delivery-demonstration video on undergraduate nursing students’ knowledge, confidence, delivery skills, and satisfaction with the video. Journal of Thailand Nursing and Midwifery Council. 2022;37(2):81-94. [In Thai]
Dunyavijak N, Yoochadchawal P, Kongart C. Effect of structured informational program and maternal involvement in maternal role practices in caring of term newborn with phototherapy, Bang Bua Tong hospital, Nonthaburi. Journal of Sakon Nakhon Hospital. 2020;23(3):92-103. [In Thai]
Pungsawang N. Effect of an educational program on caregivers’ knowledge and ability enhancement regarding neonatal jaundice undergoing phototherapy. Journal of The Royal Thai Army Nurses. 2022;23(3):486-93. [In Thai]
Supaporn J, Klunklin P, Urharmnuay M. Maternal participation in caring for neonates with jaundice receiving phototherapy and related factors. Nursing Journal. 2013;40(1):115-26. [In Thai]
Kornsittikul K. Effects of using guidelines for caring for infants with jaundice on the rate of readmission to the hospital, severe jaundice and hospital costs. Royal Thai Army Medical Journal. 2008;61(4):185-92. [In Thai]
Maisels MJ, Kring E. Length of stay, jaundice, and hospital readmission. Pediatrics. 1998;101(6):995-8. doi: 10.1542/peds.101.6.995.
Rahat F, Shirin M, Hossain M. Prediction of hyperbilirubinemia in preterm newborns admitted in a tertiary care teaching hospital. Bangladesh Journal of Child Health. 2013;37(2):85-99. doi: 10.3329/bjch.v37i2.17265.
Ketsuwan S, Pongjaturawit Y, Chaimongkol N. Predictors of mother’s participation in caring for neonates with jaundice receiving phototherapy. Thai Red Cross Nursing Journal. 2018;11(2):100-16. [In Thai]
Sirisawat M, Sakunsin A, Chomdee P. The effect of using the newborn jaundice pocket book and the newborn jaundice application on knowledge and behaviors of caregivers of newborns who had jaundice upon discharged from the hospital. Journal of Sakon Nakhon Hospital. 2023;26(1):1-11. [In Thai]
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