Hydration and pH of the Stratum Corneum in High-risk Newborns in the First 2 Weeks of Life
Child Health Nursing Research
;
: 345-352, 2018.
Article
in English
| WPRIM
| ID: wpr-715843
ABSTRACT
PURPOSE:
The study was conducted to measure stratum corneum hydration (SCH) and pH (SCP) in high-risk newborns in the early postnatal period and to explore the features related to patterns of change in those parameters.METHODS:
SCH and SCP were measured on the dorsal hand in 99 hospitalized newborns during the first 14 days of life and the results were analyzed using a general linear model.RESULTS:
The mean hydration was 42.9% on day 1, which decreased to 34.6% by 2 weeks (F=15.61, p= < .001). An association was observed between SCH and prematurity (F=21.12, p < .001), as well as for their interaction (F=8.11, p < .001). The mean SCP was 6.2±0.3 on day 1, and decreased to 5.7±0.2 (F=95.75, p < .001), with no association with prematurity. After adjusting for birth weight, SCH was higher in newborns with vaginal delivery (F=9.07, p=.023) and who received phototherapy (F=11.81, p=.011). For SCP, only delivery type had a significant influence (F=6.40, p=.044).CONCLUSION:
This study suggests that SCH is typically in the 30% range during the early postnatal period, and that an acid mantle on the SC surface is very unlikely to form; these findings could be applied to the nursing process for promoting skin integrity in high-risk neonates.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Phototherapy
/
Skin
/
Birth Weight
/
Intensive Care Units, Neonatal
/
Linear Models
/
Skin Care
/
Hand
/
Hydrogen-Ion Concentration
/
Nursing Process
Type of study:
Etiology study
/
Prognostic study
Limits:
Humans
/
Infant, Newborn
Language:
English
Journal:
Child Health Nursing Research
Year:
2018
Type:
Article
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