{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T06:48:47Z","timestamp":1765954127511,"version":"3.48.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Neonatal jaundice is a common condition affecting many newborns and often requires phototherapy to manage elevated bilirubin levels. This study aimed to evaluate the impact of optimized nursing care during phototherapy on treatment outcomes, investigating common nursing challenges and assessing whether enhanced interventions could accelerate recovery and improve overall effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 106 neonates with jaundice who underwent phototherapy between January 1 and December 1, 2023, were randomly assigned to a control group and an intervention group, with 53 cases in each. The control group received standard nursing care, while the intervention group received targeted nursing interventions addressing phototherapy-related issues. Relevant clinical and laboratory data were collected from hospital records and nursing assessments, and treatment outcomes were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group exhibited significantly shorter times for symptom resolution, complete blood count recovery, first defecation, and meconium transition to yellow compared to the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Moreover, total and indirect bilirubin levels were significantly lower in the intervention group than in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), while direct bilirubin showed no significant difference. The rate of adverse nursing events was significantly lower in the intervention group (1.89%) compared to the control group (13.21%) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Additionally, the quality-of-care score for the intervention group was significantly higher than that of the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Enhancing nursing interventions for phototherapy-related issues in neonatal jaundice significantly improves therapeutic outcomes, accelerates recovery, and optimizes the effectiveness of phototherapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2025.1652188","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T06:44:14Z","timestamp":1765953854000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing nursing care in phototherapy to improve treatment outcomes in neonatal jaundice management"],"prefix":"10.3389","volume":"13","author":[{"given":"Qian","family":"Dong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"23779608231220257","DOI":"10.1177\/23779608231220257","article-title":"Neonatal jaundice management: improving clinical knowledge of jaundice for improved attitudes and practices to enhance neonatal care","volume":"9","author":"Dzantor","year":"2023","journal-title":"SAGE Open Nurs"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e15617","DOI":"10.1111\/ped.15617","article-title":"Current status of neonatal jaundice management in Japan","volume":"65","author":"Honbe","year":"2023","journal-title":"Pediatr 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Pediatr"},{"key":"B10","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1001\/jamapediatrics.2024.0558","article-title":"Neonatal phototherapy-the need to measure and document","volume":"178","author":"Goldenhersh","year":"2024","journal-title":"JAMA Pediatr"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e6","DOI":"10.1016\/j.pedn.2017.12.001","article-title":"Nursing diagnosis of neonatal jaundice: study of clinical indicators","volume":"39","author":"Dantas","year":"2018","journal-title":"J Pediatr Nurs"},{"key":"B12","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/01.JAA.0000000000000120","article-title":"Managing neonatal hyperbilirubinemia: an updated guideline","volume":"37","author":"Chastain","year":"2024","journal-title":"Jaapa"},{"key":"B13","doi-asserted-by":"publisher","first-page":"328","DOI":"10.4269\/ajtmh.21-0588","article-title":"Neonatal jaundice: knowledge and practices of healthcare providers and trainees in southwest Nigeria","volume":"107","author":"Barclay","year":"2022","journal-title":"Am J Trop Med Hyg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e0251846","DOI":"10.1371\/journal.pone.0251846","article-title":"Knowledge, attitudes and practices regarding neonatal jaundice among caregivers in a tertiary health facility in Ghana","volume":"16","author":"Salia","year":"2021","journal-title":"PLoS One"},{"key":"B15","doi-asserted-by":"publisher","first-page":"2430649","DOI":"10.1080\/14767058.2024.2430649","article-title":"Meta-analysis of the efficacy of different blue light therapy methods for neonatal jaundice","volume":"38","author":"Wu","year":"2025","journal-title":"J Matern Fetal Neonatal Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1186\/s12887-022-03615-5","article-title":"Understanding the risk factors for adverse events during exchange transfusion in neonatal hyperbilirubinemia using explainable artificial 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cross-sectional study","volume":"16","author":"Ijioma","year":"2024","journal-title":"Cureus"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1652188\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T06:44:15Z","timestamp":1765953855000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1652188\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,17]]},"references-count":19,"alternative-id":["10.3389\/fped.2025.1652188"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1652188","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,17]]},"article-number":"1652188"}}