The Efficacy of a Protocolized Nursing Care on Nasal Skin Breakdown in Preterm Neonates Receiving Nasal Continuous Positive Airway Pressure
The Efficacy of a Protocolized Nursing Care on Nasal Skin Breakdown in Preterm Neonates Receiving Nasal Continuous Positive Airway Pressure
نویسندگان: محمد ارشدی بستان آباد , مهناز جبرئیلی , مجید محله ای , اصغر محمدپوراصل
کلمات کلیدی: Nasal continuous positive airway pressure, Nasal skin breakdown, Preterm neonate
Protocolized nasal skin care
نشریه: 0 , 1 , 5 , 2017
| نویسنده ثبت کننده مقاله |
محمد ارشدی بستان آباد |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
دانشکده پرستاری و مامائی |
| کد مقاله |
61988 |
| عنوان فارسی مقاله |
The Efficacy of a Protocolized Nursing Care on Nasal Skin Breakdown in Preterm Neonates Receiving Nasal Continuous Positive Airway Pressure |
| عنوان لاتین مقاله |
The Efficacy of a Protocolized Nursing Care on Nasal Skin Breakdown in Preterm Neonates Receiving Nasal Continuous Positive Airway Pressure |
| ناشر |
7 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
International Journal of Pediatrics |
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
http://ijp.mums.ac.ir/article_7875_46d59459cdfb76d0a9b05e6453b9c583.pdf |
| Background: Nasal continuous positive airway pressure (NCPAP) is an effective method of
ventilation in newborns with respiratory distress syndrome (RDS). Using an appropriate nasal skin
care protocol is identical to prevention or reduction of nasal skin breakdown in those who receive
NCPAP. This study aimed to investigate the effectiveness of an evidence-based clinical care protocol
on nasal skin integrity in preterm newborns who receive NCPAP.
Materials and Methods: A Randomized Controlled Trial was used to conduct the study. A cohort of
110 preterm newborns with a gestational age (GA) of 25 to 36 weeks, receiving nasal continuous
positive airway pressure (NCPAP) for RDS in the neonatal intensive care unit of a university teaching
hospital were selected to perform the study. They were randomly assigned to a protocolized nasal skin
care (group A) or to a group receiving the routine care (group B). Nasal skin integrity of the preterm
neonates, were measured on a daily basis for 10 days using the Neonatal Skin Condition Scale
(NSCS) 24 hours after placement of NCPAPs in both groups.
Results: Each intervention and control group included 55 neonates. 65.50% of neonates in the control
group and 47.30% of neonates in the intervention group were male. Repeated measures analysis
showed that NSCS scores were significantly lower in intervention group receiving nasal skin care in
accordance with the protocol than the control group receiving the routine nasal skin care (P=0.000).
Conclusion: In this study, the protocolized care reduced nasal skin breakdown in the preterm
newborns receiving NCPAP. Therefore, it can be used as an effective method in nasal skin care in
neonates who are treated by NCPAP. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| IJP_Volume 5_Issue 1_Pages 4217-4225.pdf | 1396/09/29 | 375336 | دانلود |