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Original Article
Assessment of Hydration on the Stratum Corneum and the Influencing Factors in Neonates
Youngmee Ahn, Eunjin Shin
Journal of Korean Academy of Nursing 2007;37(5):781-789.
DOI: https://doi.org/10.4040/jkan.2007.37.5.781
Published online: March 28, 2017

1Department of Nursing, College of Medicine Inha University, Korea.

2CNP Dermatology, Korea.

aym@inha.ac.kr

Copyright © 2007 Korean Society of Nursing Science

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  • Purpose
    The study was conducted to investigate the skin hydration level in various body sites and identify the influencing factors in neonates.
  • Methods
    An exploratory comparison study was designed to measure the stratum corneum hydration, using a National DM-R2 on the forehead, abdomen, buttocks, and the back of the hands and feet of 198 neonates including 92 premature infants.
  • Results
    The results showed 32.7%-36.5% of stratum corneum hydration for all sites. Premature infants revealed a higher hydration level on the peripheral sites (dorsal hand and feet) than those of the full-term infants, possibly resulting from therapeutic regimens including an incubator or radiant warmer. Infants in an incubator showed a higher hydration level than those in radiant warmers, suggesting more attention to fluid management for infants in the open environment. In addition, all stratum corneum hydration measurements except one, from the forehead, showed a positive correlation with postnatal age in full-term infants while showing no relation to any measurements in premature infants.
  • Conclusion
    The study demonstrated the very low skin hydration levels in hospitalized neonates, particularly in premature neonates with more susceptible skin hydration instability despite therapeutic interventions for fluid balance. More vigilant fluid management is imperative in neonates, particularly those in the open environment.

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    Citations to this article as recorded by  
    • Changes in diaper rash of newborn at the time of hospital discharge and one month checkup
      Yuka MAJIMA, Yasue KOBAYASHI
      Journal of Japan Academy of Midwifery.2015; 29(1): 48.     CrossRef
    • 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
      Youngmee Ahn, Min Sohn, Sangmi Lee, Mijin Lee
      Journal of Korean Academy of Nursing.2013; 43(1): 30.     CrossRef

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      Assessment of Hydration on the Stratum Corneum and the Influencing Factors in Neonates
      Journal of Korean Academy of Nursing. 2007;37(5):781-789.   Published online March 28, 2017
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