Is home phototherapy in the term neonate with physiological jaundice a feasible practice? A systematic literature review
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- 作者：Janine Snook ; MSc BSc RSCN RCN janinesnook@yahoo.co.uk (Southampton Neonatal Home Team Lead)
- 关键词：Home phototherapy ; Neonatal jaundice ; Physiological jaundice ; Hyperbilirubinemia ; Neonatal community care
- 刊名：Journal of Neonatal Nursing
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：23
- 期：1
- 页码：28-39
- 全文大小：203 K
- 卷排序：23
文摘
Home phototherapy programmes are being developed internationally despite concerns of their safety and feasibility. The NICE guideline on Neonatal Jaundice published in 2010 does not acknowledge these practices. However, a drive towards early hospital discharge with increasing financial pressures to move care into the community has raised an important question of “Is home phototherapy in the term neonate with physiological jaundice a feasible practice?”MethodsA 3-stage literature review was carried out. Stage 1 selected inclusion criteria. Stage 2 assessed the evidence for methodological quality. Stage 3 extracted and synthesised data, grouping it into ten themes applicable to the measurement of feasibility of home phototherapy.ResultsThere was no high quality research available to support or refute home phototherapy. There are many differing and personal practices reported.ConclusionPractice is currently building an evidence base in the field of home phototherapy. Further research is required in context of newer technologies and guidelines. An awareness of the known risks and benefits within the limited evidence begins to determine the feasibility of home phototherapy in local areas.Reference: National Institute for Health and Clinical Excellence (NICE), 2010. Neonatal Jaundice. NICE, London.