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Fulltext Effect of hanging white bedsheet around phototherapy unit on TSB level in neonatal jaundice: a comparative study

Chong Li Tsu, Shalin Lee Wan Fei, Chan Kim Geok, Saloma Pawi, Feryante Rintika, Drina Dalie

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):22-0.
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Introduction: Phototherapy is the primary treatment for neonatal jaundice and is evaluated via total serum bilirubin (TSB) level. Hanging white material around phototherapy unit can multiply energy delivery by many folds. This study is to evaluate the effect of hanging white bedsheet around phototherapy unit on the reduction of TSB level. Methods: Comparative interventional study was conducted in two public hospitals. 200 eligible neonates with hyperbiliru- binemia were recruited and assigned to intervention (n=100) and control group (n=100). Neonates assigned into intervention group were nursed under phototherapy with the addition of white bedsheet hanging around the unit while the control group were nursed under phototherapy with non-white curtains. Results: Mothers’ blood group (x = 3.75, p = .29), neonates’ blood group (x = 2.87, p = .41), birth weight (t = 1.41, p = .16), baseline total serum bilirubin (TSB) level (p = .08), baseline irradiance of phototherapy prior to the hanging of curtains (p = .13) and hours of phototherapy (p = .53). The mean for TSB level in intervention and control group at 24 hours was 235.82µmol/L and 208.67µmol/L respectively. The mean difference in TSB level between intervention and control group was sta- tistically significant at 24 hours (x = 27.15, t = 4.56, p < .001) and 48 hours (x = 19.27, t = 2.32, p = .02) after initi- ation of phototherapy. Conclusion: The baseline and demographic characteristics of the neonates and mothers were comparable between the intervention and control group. The TSB level at 24 hours and 48 hours were significantly lower in control group if compared to the intervention group. Therefore, hanging white bedsheet did not significantly hasten the reduction of TSB level when compared to ordinary non-white curtains.
The Relationship Between Psychological Distress and Religious Practices and Coping in Malaysian Parents of Children with Thalassemia

Chong LT, Chong MC, Tang LY, Ramoo V, Chui PL, Hmwe NTT

J Pediatr Nurs, 2019 06 15;48:e15-e20.
PMID: 31213340 DOI: 10.1016/j.pedn.2019.05.016

STUDY PURPOSE: This study was conducted to examine the relationship between religious practice, religious coping methods and psychological distress among parents caring for children with transfusion-dependent thalassemia.
DESIGN AND METHODS: This is a cross-sectional survey. Data were collected on 162 parents of children diagnosed with thalassemia aged 12 years and younger in thalassemia day care centers of three public hospitals in Sabah, Malaysia. Data were collected using questionnaires, including General Health Questionaire-12 (GHQ-12), Duke University Religion Index (DUREL) and Brief RCOPE.
RESULTS: Forty-two percent of parents had psychological distress with GHQ score ≥ 3 (mean score of 2.85 ± 3.17). Ninety-five percent of parents used positive religious coping methods (mean P-COPE score 22.35 ± 2.33) more than negative religious coping methods (mean N-COPE score was 12.19 ± 5.23). They used Organized Religious Activities (mean ORA score of 4.20 ± 1.27), and Non-Organized Religious Activities (NORA, the mean was 4.17 ± 1.37). Positive and negative religious coping methods were significantly related to parents' psychological distress (P-COPE and GHQ-12 scores (rs (df) = 0.19, p 
The effect of work setting and demographic factors on caring behaviour among nurses in the public hospitals and public health services, Sabah, Malaysia

Arsat N, Lah NASN, Thomas DC, Soong SF, Chong LT, Sawatan W, et al.

BMC Nurs, 2023 Jun 08;22(1):194.
PMID: 37291559 DOI: 10.1186/s12912-023-01359-w

BACKGROUND: The nursing profession's uniqueness contributes to the development of knowledge, experience, age, education, economy, and position, as well as a unique gender role. Thus, the development and advancement of demographic characteristics of nurses while in this profession influences their caring behavior.
OBJECTIVE: The purpose of this study was to determine the effect of work setting and demographic factors on nurses' caring behaviour, as well as the differences in nurses' caring behaviour based on demographic factors between nurses in public hospitals and nurses in public health services in Sabah, Malaysia.
METHODS: This research is a cross-sectional study using the survey method. Data were collected from 3,532 nurses (88.3% response rate) in public hospitals and public health services within Sabah, Malaysia. Data were analysed using two-way ANOVA.
RESULTS: The two-way ANOVA test revealed no significant impact of the work setting on CB, nor was there a notable interaction between the work setting and demographic factors influencing nurses' CB. However, demographic factors such as gender, age, education, economic status, position, and experience had a significant effect on CB.
CONCLUSION: The present research has provided convergent evidence on the effect of demographic factors on nurses caring behavior and the differences in caring behavior based on demographic factors among nurses in public hospitals and public health services in Sabah, Malaysia.

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