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Nursing diagnosis neonatal hyperbilirubinemia: A survival analysis

Anna Virginia V C Dantas1, Nirla G Guedes1, Leonardo A da Silva1

  • 1Department of Nursing, Federal University of Ceará, Fortaleza, Brazil.

International Journal of Nursing Knowledge
|July 24, 2021
PubMed

Insights

Neonatal hyperbilirubinemia rapidly affects hospitalized newborns within 7 days. Clinical signs like yellow skin, mucous membranes, sclera, and female gender increase the risk for this common diagnosis.

Area of Science:

  • Neonatal care
  • Nursing diagnostics
  • Pediatric health

Background:

  • Neonatal hyperbilirubinemia is a common condition requiring medical attention.
  • Early identification and management are crucial for preventing complications.

Purpose of the Study:

  • To analyze the short-term survival of neonatal hyperbilirubinemia nursing diagnosis.
  • To assess the incidence within the first 7 days of life in hospitalized neonates.

Main Methods:

  • Prospective open cohort study with a longitudinal design.
  • 120 newborns were monitored during the first 24 hours of life and for 7 days.
  • Survival rate analysis for the nursing diagnosis of neonatal hyperbilirubinemia.

Main Results:

  • 82 new cases of neonatal hyperbilirubinemia were diagnosed (90.1% incidence).
  • The median diagnostic survival time was 2 days.
  • Clinical indicators like yellow skin (RR=8.08), mucous membranes (RR=2.05), sclera (RR=1.99), and female gender (RR=1.36) showed increased risk.

Conclusions:

  • Neonatal hyperbilirubinemia rapidly impacts hospitalized neonates.
  • Specific clinical indicators are associated with an elevated risk for this diagnosis.
  • Prognostic capacity of clinical indicators aids nurses in clinical reasoning and decision-making.
Abstract

Keywords:
neonatal hyperbilirubinemianeonatal jaundicenew bornnursing diagnosissurvival analysis

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