고위험신생아의 생후 초기 표피 pH, 온 · 습도와 산성덮개 형성 요인

Title
고위험신생아의 생후 초기 표피 pH, 온 · 습도와 산성덮개 형성 요인
Other Titles
pH, Temperature, Hydration of the Stratum Corneum of the Dorsal Hand and the Cord Area, and Acid Mantle Formation during Early Days of Life in High-risk Newborns
Authors
손민; 안영미
Keywords
Newborns, Skin, Umbilical cord, Hand, Acid
Issue Date
2013
Publisher
JOURNAL OF KOREAN ACADEMY OF NURSING
Series/Report no.
JOURNAL OF KOREAN ACADEMY OF NURSING ; Vol43 no.1 Startpage 30 Endpage 38
Abstract
Purpose: The study was done to explore variations in physiologic parameters of the stratum corneum (SC) of the dorsal hand and cord area during early days of life in high-risk newborns. Methods: In this longitudinal study, a total of 77 high-risk newborns were assessed for pH, temperature and hydration of the SC of the dorsal hand and the cord area on the 1st, 2nd, 3rd, 5th and 7th days of life. Results: Results showed that an acid mantle (AM) was formed in 57.1% for dorsal hand and 35.1% for cord area, implying significant delay regardless of decrease in pH (F=103.60, p<.001), and hydration (F=4.00, p=.003) across days in both areas. Peripheral hypothermia with low hydration level was also observed in both areas. There was a positive relation between hydration and temperature (.14<r<.27, p<.010), and negative relation between hydration and pH in both areas (-.23<r< -.15, p<.010). Antibiotics may play a positive role in AM formation. Conclusion: High-risk newborns may experience delay in acid mantle formation on SC, hypothermia and decreases in hydration on peripheral sites during the first 7 days of life.
URI
http://dx.doi.org/10.4040/jkan.2013.43.1.30
http://dspace.inha.ac.kr/handle/10505/33301
ISSN
2005-3673
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Nursing (간호학) > Local Access Journal Papers, Reports(간호학 논문, 보고서)

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