Effects of sugar scrub skin care On low birth weight infants in NICU -- Enhanced barrier function --

The skin of low birth weight infants (LBWIs) admitted to the neonatal infant care unit (NICU) has a very thin keratinous layer and is vulnerable to external irritation due to sparse connective tissues, which causes skin disorder easily. A bath using sugar scrub (formulation made of beet sugar and essential oil) has the mildest impact on babies, keeps the skin clean, increases the sebum content, and is expected to enhance the barrier function. The purposes of this study were to clarify the effectiveness of sugar scrub skin care on newborns by comparing a baby soap group and sugar scrub group, and to consider better skin care methods. The subjects were newborns who are born lighter than 2,500 g in NICU & GCU, having a conceptual age of 36 weeks or older. Baby soap was used for control group of six and sugar scrub for experimental group of eight. All were given a bath in the same manner. Data on the sebum content of the chest was collected by a Sebumeter (Sebumeter(R) SM 815; Courage + Khazaka) before and ten minutes after the bath for comparison. The sebum content of the soap group was 3.27+-3.18 (mean+-SD) before the care and 2.30+-2.75 after the care. That of the sugar group was 7.37+-10.77 before the care and 61.60+-15.83 after the care. A significant increase was identified. The difference in sebum content before and after the care was -97+-0.49 for the soap group and 54.23+-21.75 for the sugar group. The sugar group showed a significant increase. The sugar scrub skin care will contribute to an enhanced barrier function by increasing the sebum content