Purpose
Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of high-risk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia.
Methods
A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth.
Results
A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia.
Conclusion
Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.

Citations

• Hypothermia in Extremely Low-Birth-Weight Infants After NICU Admission
  Seungjin Lee, Young Hwa Jung, Sun-Mi Chae
  Journal of Obstetric, Gynecologic, & Neonatal Nurs.2026;[Epub]     CrossRef
• Using a Plastic Drape to Reduce Hypothermia in Premature Neonates During Peripherally Inserted Central Catheter Placement
  Huong (Kelle) T. Phan, Teresa M. McIntyre
  Advances in Neonatal Care.2022; 22(3): 193.     CrossRef

PURPOSE
Study purposes were to exam effects of self-care education for children with type 1 diabetes on their diabetes management behaviors and to explore the relationship among diabetes management behaviors, knowledge, self-efficacy and clinical variables.
METHODS
This study was a one group quasi-experimental study. Study participants were children with type 1 diabetes and attended a four hour self-care education of a diabetes camp. Data were collected using structured questionnaires including Diabetes Management Behavior Scale (DMBS), Michigan Diabetes Research and Training Center's Brief Diabetes Knowledge Test and Self-Efficacy for Diabetes Self-Management.
RESULTS
The mean age of the participants was 12 (+/-2.3) years. After the education, their DMBS and knowledge improved, but the improvement was not statistically significant (t=1.758, p=.101; t=0.528, p=.606). Two areas of DMBS, daily prevention behaviors and modification of care plan, were associated with study variables. Daily prevention behaviors were associated with duration of diabetes (r=.653, p=.008), HbA1c (r=.563, p=.038) and having a complication (r=-2.788, p=.015). Modification of care plan was associated with age at diagnosis (r=-.552, p=.033).
CONCLUSION
Children with type 1 diabetes could improve some parts of their diabetes management behaviors even after a short diabetes camp.

Citations

• Tecnologias educacionais para familiares e crianças com diabetes tipo 1: revisão de escopo
  Patricia Carli Morgado, Liliane Faria da Silva, Rosane Cordeiro Burla de Aguiar, Juliana Rezende Montenegro Medeiros de Moraes, Tatiane Marinz de Souza Luquez, Euzeli da Silva Brandão, Michelle Darezzo Rodrigues Nunes, Isabelle de Freitas Lopes, Débora Câ
  Revista da Escola de Enfermagem da USP.2024;[Epub]     CrossRef
• Educational technologies for families and children with type 1 diabetes: a scoping review
  Patricia Carli Morgado, Liliane Faria da Silva, Rosane Cordeiro Burla de Aguiar, Juliana Rezende Montenegro Medeiros de Moraes, Tatiane Marinz de Souza Luquez, Euzeli da Silva Brandão, Michelle Darezzo Rodrigues Nunes, Isabelle de Freitas Lopes, Débora Câ
  Revista da Escola de Enfermagem da USP.2024;[Epub]     CrossRef
• Effects of Virtual Reality Program on Glycated Hemoglobin, Static and Dynamic Balancing Ability, and Falls Efficacy for Diabetic Patients: A Systematic Review and Meta-Analysis
  Yi-Rang Yim, Myung-Haeng Hur
  Journal of Korean Academy of Fundamentals of Nursi.2023; 30(2): 155.     CrossRef
• Illness Experiences of Adolescents with Type 1 Diabetes
  Ji Eun Kim, Ilaria Campesi
  Journal of Diabetes Research.2022; 2022: 1.     CrossRef
• Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
  Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
  Child Health Nursing Research.2019; 25(2): 234.     CrossRef
• Blood Glucose Control and Related Factors at a Camp for Korean Children and Adolescents with Type 1 Diabetes
  Narae Kang, Jieun Lee, Dong-Ho Park, Soo-Kyung Lee, So-Young Nam, Sanghyun Lee, Mincheol Kim, Heesook Kang, Euiyeon Kim, Misoon Kim, Min Sohn
  Comprehensive Child and Adolescent Nursing.2018; 41(1): 58.     CrossRef
• School Nurses’ Management for Children and Adolescents with Diabetes
  Heesook Kang, Youngmee Ahn, Ji Eun Lee, Min Sohn
  Child Health Nursing Research.2015; 21(2): 176.     CrossRef