Research Article
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Effect of Evidence-Based Skin Care and Hydrocolloid Dressing in the Prevention of Nasogastric Tube Related Pressure Injuries: A Randomized Controlled Trial Protocol

Year 2023, Volume: 3 Issue: 3, 113 - 125, 31.12.2023

Abstract

Objective: The study aimed to determine the effect of evidence-based skin care and hydrocolloid dressing in preventing nasogastric tube (NG) tube-related pressure injuries.
Method: The research was conducted in the anesthesiology and reanimation intensive care unit of a university hospital between 2020 to 2022. The sample of the research consisted of 102 patients. Each group (Hydrocolloid, skin care, control) was assigned to 34 patients by randomization. Data collecting researcher and patients were blinded to group assignment. Patients in the control group received routine care in the clinic. A translucent hydrocolloid dressing was applied to patients in the hydrocolloid dressing group after the NG tube insertion and the tube was fixed with this dressing. Evidence-based skin care interventions included in the guidelines were applied twice a day to the patients in the skin care group. In patients who developed pressure injuries, the follow-up ended on the day the injury occurred, and in those who did not develop an injury, on the 18th day. Necessary ethics committee and institutional permissions were obtained before the study.
Usage in Practice: The study is pioneering research to provide evidence-based knowledge regarding the effectiveness of hydrocolloid dressing preventing of NG tube-related pressure injuries.

Project Number

20149003

References

  • Acorda, D. E. (2015). Nursing and respiratory collaboration prevents BiPAP-related pressure ulcers. Journal of Pediatric Nursing, 30(4), 620–623. https://doi.org/10.1016/j.pedn.2015.04.001
  • Alves, P., Eberhardt, T., Soares, R., Pinto, M., Pinto, C., et al. (2017). Differential diagnosis in pressure ulcers and medical devices. Ceska a Slovenska Neurologie a Neurochirurgie, 80, 29–35. https://doi.org/10.14735/amcsnn2017S29
  • Apold, J., & Rydrych, D. (2012). Preventing device-related pressure ulcers: Using data to guide statewide change. Journal of Nursing Care Quality, 27(1), 28–34. https://doi.org/10.1097/NCQ.0b013e31822b1fd9
  • Arundel, L., Irani, E., & Barkema, G. (2021). Reducing the incidence of medical device-related pressure injuries from use of CPAP/BiPAP masks: A quality improvement project. Journal of Wound, Ostomy and Continence Nursing, 48(2), 108–114. https://doi.org/10.1097/WON.0000000000000742.
  • Bishopp, A., Oakes, A., Antoine-Pitterson, P., Chakraborty, B., Comer, D., et al. (2019). The preventative effect of hydrocolloid dressings on nasal bridge pressure ulceration in acute non-invasive ventilation. In Ulster Med J, 88(1), 17-20. http://www.ums.ac.uk
  • Black, J., & Kalowes, P. (2016). Medical device-related pressure ulcers. Chronic Wound Care Management and Research, 3, 91–99. https://doi.org/10.2147/cwcmr.s82370.
  • Boutron, I., Altman, D.G., Moher, D., Schulz, K.F., Ravaud, P. (2017). CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Annals of Internal Medicine, 67(1), 40-7. https://doi.org/10.7326/M17-0046
  • Cai, J. Y., Zha, M. L., & Chen, H. L. (2019). Use of a hydrocolloid dressing in the prevention of device-related pressure ulcers during noninvasive ventilation: A meta-analysis of randomized controlled trials. Wound Management and Prevention, 65(2), 30–38. https://doi.org/10.25270/wmp.2019.2.3038
  • Cao, S., Gu, M., Feng, M., Jia, Y., Zhao, Y., et al. (2022). Implementation of evidence in preventing medical device-related pressure injury in ICU patients using the i-PARIHS framework. Journal of Nursing Management, 30(1), 318–327. https://doi.org/10.1111/jonm.13458
  • Celik, S., Taskin Yilmaz, F., & Altas, G. (2022). Medical device-related pressure injuries in adult intensive care units. Journal of Clinical Nursing, 1–11. https://doi.org/10.1111/jocn.16516
  • Chan, A. W., Tetzlaff, J. M., Gotzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., Dickersin, K., Hrobjartsson, A., Schulz, K. F., Parulekar, W. R., Krleza-Jeric, K., Laupacis, A., & Moher, D. (2013). SPIRIT 2013 explanation and elaboration: Guidance for protocols of clinical trials. BMJ, 346, e7586. https://doi.org/10.1136/bmj.e7586
  • Coyer, F. M., Stotts, N. A., & Blackman, V. S. (2014). A prospective window into medical device-related pressure ulcers in intensive care. International Wound Journal, 11(6), 656–664. https://doi.org/10.1111/iwj.12026
  • Duerst, K. J., Clark, A. W., Hudson, D. G. B., & Struwe, L. A. (2022). Preventing medical device–related pressure injuries due to noninvasive ventilation masks and nasal cannulas. Critical Care Nurse, 42(5), 14–21. https://doi.org/10.4037/ccn2022783
  • European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance (EPUAP, NPIAP, PPPIA). (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide. Emily Haesler (Ed.). EPUAP/NPIAP/PPPIA. https://www.internationalguideline.com/static/pdfs/Quick_Reference_Guide-10Mar2019.pdf
  • Hanonu, S., Karadag, A. (2016). A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 62(2),12–22.
  • Johnson MB, Lai M, Wand T, Li M, White K, et.al. (2019). The incidence and prevalence of medical device-related pressure ulcers in intensive care: A systematic review. Journal of Wound Care, 28(8), 512-521. https://doi.org/10.12968/jowc.2019.28.8.512
  • Nan, R., Su, Y., Pei, J., Chen, H., He, L., et. al. (2022). Characteristics and risk factors of nasal mucosal pressure injury in intensive care units. Journal of Clinical Nursing. 00,1-11. https://doi.org/10.1111/jocn.16193
  • National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance (NPUAP, EPUAP, PPPIA). (2014). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Australia. https://www.epuap.org/wp-content/uploads/2010/10/NPIAP-EPUAP-PPPIA-Quick-Reference-Guide-2014-DIGITAL.pdf.
  • Saibertová, S., Klugarová, J., Klugar, M., & Pokorná, A. (2022). Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: A best practice implementation project. International Journal of Evidence-Based Healthcare, 20(S1), 32–40. https://doi.org/10.1097/xeb.0000000000000318
  • Schroeder, J., & Sitzer, V. (2019). Nursing care guidelines for reducing hospital-acquired: Nasogastric tube–related pressure injuries. Critical Care Nurse, 39(6), 54–63. https://doi.org/10.4037/ccn2019872
  • Shapira-Galitz, Y., Karp, G., Cohen, O., Halperin, D., Lahav, Y., et al. (2018). Evaluation and predictors for nasogastric tube associated pressure ulcers in critically ill patients. The Israel Medical Association journal : IMAJ, 20(12), 731–736. PMID: 30550000. https://pubmed.ncbi.nlm.nih.gov/30550000/
  • Sumphaongern, T. (2020). Risk factors for ala nasi pressure sores after general anesthesia with nasotracheal intubation. Heliyon, 6(1). https://doi.org/10.1016/j.heliyon.2019.e03069
  • Weber, P., Weaver, L., & Miller, C. (2022). Risk factors for the development of medical device related pressure injuries in the adult intensive care patient; A case-control study. Journal of Tissue Viability, 31(4), 601-605. https://doi.org/10.1016/j.jtv.2022.09.002
  • Zakaria, A. Y., Taema, K. M., Ismael, M. S., & Elhabashy, S. (2018). Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients. Central European Journal of Nursing and Midwifery, 9(4), 924–931. https://doi.org/10.15452/CEJNM.2018.09.0025
  • Zhang, Y. bin, Gou, L., Pei, J. H., Nan, R. L., Shen, X. P., et al. (2021). Development of a nomogram for predicting nasogastric tube-associated pressure injuries in intensive care unit patients. Journal of Tissue Viability, 30(3), 324–330. https://doi.org/10.1016/j.jtv.2021.06.008

Nazogastrik Tüp Kaynaklı Basınç Yaralanmalarının Önlenmesinde Kanıt Temelli Deri Bakımı ve Hidrokolloid Örtünün Etkisi: Randomize Kontrollü Çalışma Protokolü

Year 2023, Volume: 3 Issue: 3, 113 - 125, 31.12.2023

Abstract

Amaç: Nazogastrik tüp (NG) kaynaklı basınç yaralanmaları, NG tüpün oluşturduğu basıncın etkisiyle burun mukozasında, burun derisinde, deri altı dokuda veya tüp tespit materyali altında gelişen lokalize doku hasarıdır. Bu araştırmada, kritik hastalarda NG tüp kaynaklı basınç yaralanmalarını önlemede kanıt temelli deri bakımı ve hidrokolloid örtünün etkisini belirlemek amacıyla planlandı.
Yöntem: Prospektif paralel, üç gruplu (hidrokolloid, kanıt temelli deri bakımı, kontrol) randomize kontrollü tipteki bu araştırmanın protokolü SPIRIT 2013’e (Standard Protocol Items: Recommendations for Interventional Trials) göre oluşturuldu. Araştırma Konya’da bir üniversite hastanesinin anesteziyoloji ve reanimasyon yoğun bakım ünitesinde Eylül 2020-Haziran 2022 tarihleri arasında yürütülecektir. Araştırmanın örneklemini, NG tüp takılan, 18 yaş üzeri 102 hasta oluşturacaktır. Randomizasyonla her gruba 34 hasta atanacak, veri toplayan araştırmacı ve hastalar grup atamasına körlenecektir. Kontrol grubundaki hastalar klinikteki rutin bakımı alacaktır. Hidrokolloid örtü grubundaki hastaların burun mukozasına ve burun kanadına NG tüp takıldıktan sonra yarı saydam hidrokolloid örtü uygulanacak ve tüp bu örtü ile tespit edilecektir. Deri bakım grubundaki hastalara rehberlerde yer alan kanıt temelli deri bakım girişimleri günde iki kez uygulanacaktır. Basınç yaralanması gelişen hastalarda takip yaralanmanın geliştiği gün, yaralanma gelişmeyen hastalarda ise 18. günde sonlandırılacaktır. Veri analizinde, tanımlayıcı istatistikler, Ki-Kare testleri, Bağımsız Örneklem t testi veya Mann-Whitney U testi, Tek Yönlü Varyans Analizi veya Kruskal-Wallis testi, regresyon analizi kullanılacaktır.
Uygulamada kullanım: Araştırma, NG tüp kaynaklı basınç yaralanmalarının önlenmesinde hidrokolloid örtünün etkinliğine yönelik kanıt temelli bilgi sağlayacak ilk araştırma olma özelliği taşımaktadır. Araştırmadan elde edilecek bulguların NG tüp kaynaklı basınç yaralanmalarını önleme protokollerinin oluşturulmasına rehberlik etme potansiyeli vardır.

Supporting Institution

Necmettin Erbakan Üniversitesi Bilimsel Araştırmalar Projeleri Kordinatörlüğü

Project Number

20149003

References

  • Acorda, D. E. (2015). Nursing and respiratory collaboration prevents BiPAP-related pressure ulcers. Journal of Pediatric Nursing, 30(4), 620–623. https://doi.org/10.1016/j.pedn.2015.04.001
  • Alves, P., Eberhardt, T., Soares, R., Pinto, M., Pinto, C., et al. (2017). Differential diagnosis in pressure ulcers and medical devices. Ceska a Slovenska Neurologie a Neurochirurgie, 80, 29–35. https://doi.org/10.14735/amcsnn2017S29
  • Apold, J., & Rydrych, D. (2012). Preventing device-related pressure ulcers: Using data to guide statewide change. Journal of Nursing Care Quality, 27(1), 28–34. https://doi.org/10.1097/NCQ.0b013e31822b1fd9
  • Arundel, L., Irani, E., & Barkema, G. (2021). Reducing the incidence of medical device-related pressure injuries from use of CPAP/BiPAP masks: A quality improvement project. Journal of Wound, Ostomy and Continence Nursing, 48(2), 108–114. https://doi.org/10.1097/WON.0000000000000742.
  • Bishopp, A., Oakes, A., Antoine-Pitterson, P., Chakraborty, B., Comer, D., et al. (2019). The preventative effect of hydrocolloid dressings on nasal bridge pressure ulceration in acute non-invasive ventilation. In Ulster Med J, 88(1), 17-20. http://www.ums.ac.uk
  • Black, J., & Kalowes, P. (2016). Medical device-related pressure ulcers. Chronic Wound Care Management and Research, 3, 91–99. https://doi.org/10.2147/cwcmr.s82370.
  • Boutron, I., Altman, D.G., Moher, D., Schulz, K.F., Ravaud, P. (2017). CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Annals of Internal Medicine, 67(1), 40-7. https://doi.org/10.7326/M17-0046
  • Cai, J. Y., Zha, M. L., & Chen, H. L. (2019). Use of a hydrocolloid dressing in the prevention of device-related pressure ulcers during noninvasive ventilation: A meta-analysis of randomized controlled trials. Wound Management and Prevention, 65(2), 30–38. https://doi.org/10.25270/wmp.2019.2.3038
  • Cao, S., Gu, M., Feng, M., Jia, Y., Zhao, Y., et al. (2022). Implementation of evidence in preventing medical device-related pressure injury in ICU patients using the i-PARIHS framework. Journal of Nursing Management, 30(1), 318–327. https://doi.org/10.1111/jonm.13458
  • Celik, S., Taskin Yilmaz, F., & Altas, G. (2022). Medical device-related pressure injuries in adult intensive care units. Journal of Clinical Nursing, 1–11. https://doi.org/10.1111/jocn.16516
  • Chan, A. W., Tetzlaff, J. M., Gotzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., Dickersin, K., Hrobjartsson, A., Schulz, K. F., Parulekar, W. R., Krleza-Jeric, K., Laupacis, A., & Moher, D. (2013). SPIRIT 2013 explanation and elaboration: Guidance for protocols of clinical trials. BMJ, 346, e7586. https://doi.org/10.1136/bmj.e7586
  • Coyer, F. M., Stotts, N. A., & Blackman, V. S. (2014). A prospective window into medical device-related pressure ulcers in intensive care. International Wound Journal, 11(6), 656–664. https://doi.org/10.1111/iwj.12026
  • Duerst, K. J., Clark, A. W., Hudson, D. G. B., & Struwe, L. A. (2022). Preventing medical device–related pressure injuries due to noninvasive ventilation masks and nasal cannulas. Critical Care Nurse, 42(5), 14–21. https://doi.org/10.4037/ccn2022783
  • European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance (EPUAP, NPIAP, PPPIA). (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide. Emily Haesler (Ed.). EPUAP/NPIAP/PPPIA. https://www.internationalguideline.com/static/pdfs/Quick_Reference_Guide-10Mar2019.pdf
  • Hanonu, S., Karadag, A. (2016). A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. Ostomy Wound Manage, 62(2),12–22.
  • Johnson MB, Lai M, Wand T, Li M, White K, et.al. (2019). The incidence and prevalence of medical device-related pressure ulcers in intensive care: A systematic review. Journal of Wound Care, 28(8), 512-521. https://doi.org/10.12968/jowc.2019.28.8.512
  • Nan, R., Su, Y., Pei, J., Chen, H., He, L., et. al. (2022). Characteristics and risk factors of nasal mucosal pressure injury in intensive care units. Journal of Clinical Nursing. 00,1-11. https://doi.org/10.1111/jocn.16193
  • National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance (NPUAP, EPUAP, PPPIA). (2014). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Australia. https://www.epuap.org/wp-content/uploads/2010/10/NPIAP-EPUAP-PPPIA-Quick-Reference-Guide-2014-DIGITAL.pdf.
  • Saibertová, S., Klugarová, J., Klugar, M., & Pokorná, A. (2022). Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: A best practice implementation project. International Journal of Evidence-Based Healthcare, 20(S1), 32–40. https://doi.org/10.1097/xeb.0000000000000318
  • Schroeder, J., & Sitzer, V. (2019). Nursing care guidelines for reducing hospital-acquired: Nasogastric tube–related pressure injuries. Critical Care Nurse, 39(6), 54–63. https://doi.org/10.4037/ccn2019872
  • Shapira-Galitz, Y., Karp, G., Cohen, O., Halperin, D., Lahav, Y., et al. (2018). Evaluation and predictors for nasogastric tube associated pressure ulcers in critically ill patients. The Israel Medical Association journal : IMAJ, 20(12), 731–736. PMID: 30550000. https://pubmed.ncbi.nlm.nih.gov/30550000/
  • Sumphaongern, T. (2020). Risk factors for ala nasi pressure sores after general anesthesia with nasotracheal intubation. Heliyon, 6(1). https://doi.org/10.1016/j.heliyon.2019.e03069
  • Weber, P., Weaver, L., & Miller, C. (2022). Risk factors for the development of medical device related pressure injuries in the adult intensive care patient; A case-control study. Journal of Tissue Viability, 31(4), 601-605. https://doi.org/10.1016/j.jtv.2022.09.002
  • Zakaria, A. Y., Taema, K. M., Ismael, M. S., & Elhabashy, S. (2018). Impact of a suggested nursing protocol on the occurrence of medical device-related pressure ulcers in critically ill patients. Central European Journal of Nursing and Midwifery, 9(4), 924–931. https://doi.org/10.15452/CEJNM.2018.09.0025
  • Zhang, Y. bin, Gou, L., Pei, J. H., Nan, R. L., Shen, X. P., et al. (2021). Development of a nomogram for predicting nasogastric tube-associated pressure injuries in intensive care unit patients. Journal of Tissue Viability, 30(3), 324–330. https://doi.org/10.1016/j.jtv.2021.06.008
There are 25 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Maide Yeşilyurt

Serpil Yüksel 0000-0001-6881-8288

Alper Yosunkaya 0000-0003-4271-5306

Project Number 20149003
Early Pub Date December 29, 2023
Publication Date December 31, 2023
Published in Issue Year 2023 Volume: 3 Issue: 3

Cite

APA Yeşilyurt, M., Yüksel, S., & Yosunkaya, A. (2023). Nazogastrik Tüp Kaynaklı Basınç Yaralanmalarının Önlenmesinde Kanıt Temelli Deri Bakımı ve Hidrokolloid Örtünün Etkisi: Randomize Kontrollü Çalışma Protokolü. Güncel Hemşirelik Araştırmaları Dergisi, 3(3), 113-125.

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