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Prevention of Skin Damage Caused by Medical Adhesive Removal in Premature Infants

Year 2024, Volume: 7 Issue: 1, 1 - 10, 25.03.2024
https://doi.org/10.38108/ouhcd.1178060

Abstract

Objective: The aim of this study is to assess the effectiveness of the use of silicone tape and the use of a protective hydrocolloid dressing under silk tape in preventing skin damage due to medical adhesive removal in premature infants.
Method: A randomized controlled trial was conducted with 75 premature infants between 32 and 36 weeks gestational age to examine the effects of the following medical adhesives used for fixing equipment on skin damage: protective hydrocolloid dressing + silk tape, silicone tape, and silk tape + silicone-based solvent spray. After medical adhesives were applied to the skin of the newborn for orogastric tube fixation, the skin condition was monitored for 24 hours. The skin condition was assessed with the Neonatal Skin Condition Scale before and after adhering to the medical adhesives. The statistical tool SPSS 22 was used to examine the study's data.
Results: Neonatal skin condition scores were highest in the silk tape + silicone-based solvent spray group, while the lowest score was found in the silicone tape group. A statistically significant, moderate correlation, with a negative direction, was found between birth weight and post-application skin condition scores (r = -.432, p<0.05) in the hydrocolloid dressing + silk tape group.
Conclusion: The results of this study indicate that hydrocolloid dressings and silicone tape did not cause skin damage. Silk tape + silicone-based solvent spray increased skin condition scores.

References

  • Arslan C. (2018). Prematüre bebeklerde cilt hasarını azaltmada cilt koruyucu uygulamanın etkisi. Yüksek Lisans Tezi, Medipol Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Arslan C, Ateş NA. (2022). Prematüre bebeklerde cilt hasarını azaltmada şeffaf cilt örtüsü kullanmanın etkisi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 4(1), 21-26.
  • Behr JH, Wardell D, Rozmus CL, Casarez RL. (2020). Prevention strategies for neonatal skin injury in the NICU. Neonatal Network, 39(6), 321-329.
  • Bellini S, Beaulieu MJ. (2017). Neonatal advanced practice nursing: a case-based learning approach. Retrieved from:01.06.2019, https://books.google.com .tr
  • Boswell N, Waker CL, Dowling D. (2016). Comparing 2 adhesive methods on skin integrity in the high – risk neonate. Advances in Neonatal Care, 16(6), 449-454.
  • Çalışır H, Sarıkaya Karabudak S, Güler F, Aydın N, Kaynak Türkmen M. (2016). Validity and reliability of the Turkish version of neonatal skin condition score. Cumhuriyet Hemşirelik Dergisi, 5(1), 9-15.
  • Daloğlu T, Görak G. (2008) Temel Neonataloji ve Hemşirelik İlkeleri. Vol. 2, İstanbul, Nobel Tıp Kitabevleri, p.183-189.
  • Daloğlu T. (2000). Neonataloji. İstanbul, Nobel Tıp Kitabevleri, p.145-156.
  • Darmstadt GL, Saha SK, Ahmed ANU, Chowdhury MA, Law PA, Ahmed S, et al. (2005). Effect of topical treatment with skin barrier-enhancing emollients on nosocomial infections in preterm infants in Bangladesh: a randomized controlled trial. The Lancet, 365(9464), 1039-1045.
  • de Oliveira Marcatto J, Santos AS, Oliveira AJF, Costa ACL, Regne GRS, da Trindade RE, et al. (2021). Medical adhesive‐related skin injuries in the neonatology department of a teaching hospital. Nursing in Critical Care, 27(4), 583-588.
  • Dollison EJ, Beckstrand J. (1995). Adhesive tape vs pectin-based barrier use in preterm infants. Neonatal Network: NN, 14(4), 35-39.
  • Dumville JC, Keogh SJ, Liu Z, Stubbs N, Walker RM, Fortnam M. (2015). Alginate dressings for treating pressure ulcers. Cochrane Database of Systematic Reviews, 21(5), CD011277.
  • Grove GL, Zerweck CR, Ekholm BP, Smith GE, Koski NI. (2014). Randomized comparison of a silicone tape and a paper tape for gentleness in healthy children. Journal of Wound Ostomy and Continence Nursing, 41(1), 40- 48.
  • Habiballah L. (2017). Prevalence of neonate adhesive skin injuries in a Jordanian intensive care unit. Nursing Children and Young People, 29(10), 42-46.
  • Harpin VA, Rutter N. (1983). Barrier properties of the newborn infant's skin. The Journal of Pediatrics, 102(3), 419-425.
  • Hoath SB, Maibach HI. (2003). Neonatal skin: structure and function. Hoath SB, Maibach HI, editors. CRC Press. Retrieved from: 21.05.2019, https://books.google.com.tr
  • Hoath SB, Narendran V. (2001). Development of the epidermal barrier. NeoReviews, 2(12), e269-e281.
  • Johnson DE. (2016). Extremely preterm infant skin care: a transformation of practice aimed to prevent harm. Advances in Neonatal Care, 16, S26-S32.
  • Kuller JM. (2016). Neonatal skin care: evidence-based clinical practice guideline.
  • Lund C, Kuller J, Lane A, Lott JW, Raines DA. (1999). Neonatal skin care: the scientific basis for practice. Journal of Obstetric, Gynecologic and Neonatal Nursing, 28(3), 241-254.
  • Lund C, Kuller JM, Tobin C, Lefrak L, Franck LS. (1986). Evaluation of a pectin‐based barrier under tape to protect neonatal skin. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 15(1), 39-44.
  • Lund C. (2014). Medical adhesives in the NICU. Newborn and Infant Nursing Reviews, 14(4), 160-165.
  • Lund CH, Nonato LB, Kuller JM, Franck LS, Cullander C, Durand DK. (1997). Disruption of barrier function in neonatal skin associated with adhesive removal. The Journal of Pediatrics, 131(3), 367-372.
  • Lund CH, Osborne JW, Kuller J, Lane AT, Lott JW, Raines DA. (2001). Neonatal skin care: Clinical outcomes of the AWHONN/NANN evidence‐based clinical practice guideline. Journal of Obstetric, Gynecologic and Neonatal Nursing, 30(1), 41-51.
  • Lund CH, Osborne JW. (2004). Validity and reliability of the neonatal skin condition score. Journal of Obstetric, Gynecologic and Neonatal Nursing, 33(3), 320-327.
  • MacDonald MG, Mullett MD, Seshia MMK. (2005). Arvey’s Neonatology Pathophysiology and Management of the Newborn. USA, Lippincott Williams and Wilkins, p. 365-367.
  • Morris C, Emsley P, Marland E, Meuleneire F, White R. (2009). Use of wound dressings with soft silicone adhesive technology. Nursing Children and Young People, 21(3), 38-43.
  • O'Neil A, Schumacher B. (2014). Application of a pectin barrier for medical adhesive skin injury (epidermal stripping) in a premature infant. Journal of Wound Ostomy and Continence Nursing, 41(3), 219-221.
  • Paige DG, Gennery AR, Cant AJ. (2010). The Neonate. Book’s Textbook of Dermatology. 8th ed. Wiley-Blackwell, p:1012-1023.
  • Rutter N. (2003). Applied physiology: the newborn skin. Current Paediatrics, 13(3), 226-230. Random. Retrieved from: 16.07.2019. https://www.random.org/integers/
  • Sardesai SR, Kornacka MK, Walas W, Ramanathan R. (2011). Iatrogenic skin injury in the neonatal intensive care unit. The Journal of Maternal-Fetal and Neonatal Medicine, 24(2), 197-203.
  • Stephen-Haynes J. (2008). Skin integrity and silicone: Appeel®‘no-sting’ medical adhesive remover. British Journal of Nursing, 17(12), 792-795.
  • Tüzün Y, Kotoğyan A, Serdaroğlu S, Çokuğraş H, Tüzün B, Mat MC. (2005). Pediyatrik Dermatoloji. İstanbul, Nobel Tıp Kitabevleri, p.20-40.
  • Wang D, Xu H, Chen S, Lou X, Tan J, Xu Y. (2019). Medical adhesive-related skin injuries and associated risk factors in a pediatric intensive care unit. Advances in Skin and Wound Care, 32(4), 176-182.
  • Waziry OG, Rashwan ZI. (2018). Effect of umbilical catheter fixation using Tegaderm® versus hydrocolloid dressing and safe removal on abdominal skin condition among preterm neonates. IOSR J Nurs Health Science, 7, 44-55.

Prematüre Bebeklerde Tıbbi Yapıştırıcının Çıkartılmasının Neden Olduğu Deri Hasarlarının Önlenmesi

Year 2024, Volume: 7 Issue: 1, 1 - 10, 25.03.2024
https://doi.org/10.38108/ouhcd.1178060

Abstract

Amaç: Bu çalışmanın amacı prematüre bebeklerde ekipman sabitlemek için koruyucu hidrokolloid örtü üzerine ipek bant kullanımının ve silikon bant kullanımının tıbbi yapıştırıcı çıkarmaya bağlı cilt hasarını önlemede etkinliğini değerlendirmektir.
Yöntem: Randomize kontrollü bu çalışmada 32-36. gestasyon haftasında 75 prematüre bebek çalışmanın örneklemini oluşturmuştur. Ekipman sabitlemek için kullanılan tıbbi yapıştırıcıların cilt hasarı üzerindeki etkisi karşılaştırılmıştır. Çalışmada karşılaştırılması yapılan tıbbi yapıştırıcılar koruyucu hidrokolloid örtü + ipek bant, silikon bant, ipek bant + silikon bazlı çözücü spreydir. Tıbbi yapıştırıcılar yenidoğanın cildine orogastrik sonda sabitlemede uygulandıktan sonra cilt durumu 24 saat izlenmiştir. Tıbbi yapıştırıcıları cilde yapıştırma öncesi ve sonrası cilt durumu Yenidoğan Cilt Durum Değerlendirmesi ölçeği ile değerlendirilmiştir. Çalışmanın verileri SPSS 22 istatistik programı ile analiz edilmiştir.
Bulgular: Yenidoğan cilt durum skorları en yüksek ipek bant + silikon bazlı çözücü sprey grubunda saptanırken, en düşük silikon bant grubunda saptanmıştır. Hidrokolloid örtü + ipek bant grubunda doğum ağırlığı ile uygulama sonu cilt durum skorları arasında istatistiksel olarak anlamlı, negatif yönde, orta düzeyde ilişki saptanmıştır (r =- .432, p<0.05).
Sonuç: Bu çalışmanın sonuçları koruyucu hidrokolloid örtü ve silikon bandın cilt hasarına neden olmadığını göstermektedir. İpek bant + silikon bazlı solvent sprey, cilt durum skalası puanlarını arttırmıştır.

References

  • Arslan C. (2018). Prematüre bebeklerde cilt hasarını azaltmada cilt koruyucu uygulamanın etkisi. Yüksek Lisans Tezi, Medipol Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Arslan C, Ateş NA. (2022). Prematüre bebeklerde cilt hasarını azaltmada şeffaf cilt örtüsü kullanmanın etkisi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 4(1), 21-26.
  • Behr JH, Wardell D, Rozmus CL, Casarez RL. (2020). Prevention strategies for neonatal skin injury in the NICU. Neonatal Network, 39(6), 321-329.
  • Bellini S, Beaulieu MJ. (2017). Neonatal advanced practice nursing: a case-based learning approach. Retrieved from:01.06.2019, https://books.google.com .tr
  • Boswell N, Waker CL, Dowling D. (2016). Comparing 2 adhesive methods on skin integrity in the high – risk neonate. Advances in Neonatal Care, 16(6), 449-454.
  • Çalışır H, Sarıkaya Karabudak S, Güler F, Aydın N, Kaynak Türkmen M. (2016). Validity and reliability of the Turkish version of neonatal skin condition score. Cumhuriyet Hemşirelik Dergisi, 5(1), 9-15.
  • Daloğlu T, Görak G. (2008) Temel Neonataloji ve Hemşirelik İlkeleri. Vol. 2, İstanbul, Nobel Tıp Kitabevleri, p.183-189.
  • Daloğlu T. (2000). Neonataloji. İstanbul, Nobel Tıp Kitabevleri, p.145-156.
  • Darmstadt GL, Saha SK, Ahmed ANU, Chowdhury MA, Law PA, Ahmed S, et al. (2005). Effect of topical treatment with skin barrier-enhancing emollients on nosocomial infections in preterm infants in Bangladesh: a randomized controlled trial. The Lancet, 365(9464), 1039-1045.
  • de Oliveira Marcatto J, Santos AS, Oliveira AJF, Costa ACL, Regne GRS, da Trindade RE, et al. (2021). Medical adhesive‐related skin injuries in the neonatology department of a teaching hospital. Nursing in Critical Care, 27(4), 583-588.
  • Dollison EJ, Beckstrand J. (1995). Adhesive tape vs pectin-based barrier use in preterm infants. Neonatal Network: NN, 14(4), 35-39.
  • Dumville JC, Keogh SJ, Liu Z, Stubbs N, Walker RM, Fortnam M. (2015). Alginate dressings for treating pressure ulcers. Cochrane Database of Systematic Reviews, 21(5), CD011277.
  • Grove GL, Zerweck CR, Ekholm BP, Smith GE, Koski NI. (2014). Randomized comparison of a silicone tape and a paper tape for gentleness in healthy children. Journal of Wound Ostomy and Continence Nursing, 41(1), 40- 48.
  • Habiballah L. (2017). Prevalence of neonate adhesive skin injuries in a Jordanian intensive care unit. Nursing Children and Young People, 29(10), 42-46.
  • Harpin VA, Rutter N. (1983). Barrier properties of the newborn infant's skin. The Journal of Pediatrics, 102(3), 419-425.
  • Hoath SB, Maibach HI. (2003). Neonatal skin: structure and function. Hoath SB, Maibach HI, editors. CRC Press. Retrieved from: 21.05.2019, https://books.google.com.tr
  • Hoath SB, Narendran V. (2001). Development of the epidermal barrier. NeoReviews, 2(12), e269-e281.
  • Johnson DE. (2016). Extremely preterm infant skin care: a transformation of practice aimed to prevent harm. Advances in Neonatal Care, 16, S26-S32.
  • Kuller JM. (2016). Neonatal skin care: evidence-based clinical practice guideline.
  • Lund C, Kuller J, Lane A, Lott JW, Raines DA. (1999). Neonatal skin care: the scientific basis for practice. Journal of Obstetric, Gynecologic and Neonatal Nursing, 28(3), 241-254.
  • Lund C, Kuller JM, Tobin C, Lefrak L, Franck LS. (1986). Evaluation of a pectin‐based barrier under tape to protect neonatal skin. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 15(1), 39-44.
  • Lund C. (2014). Medical adhesives in the NICU. Newborn and Infant Nursing Reviews, 14(4), 160-165.
  • Lund CH, Nonato LB, Kuller JM, Franck LS, Cullander C, Durand DK. (1997). Disruption of barrier function in neonatal skin associated with adhesive removal. The Journal of Pediatrics, 131(3), 367-372.
  • Lund CH, Osborne JW, Kuller J, Lane AT, Lott JW, Raines DA. (2001). Neonatal skin care: Clinical outcomes of the AWHONN/NANN evidence‐based clinical practice guideline. Journal of Obstetric, Gynecologic and Neonatal Nursing, 30(1), 41-51.
  • Lund CH, Osborne JW. (2004). Validity and reliability of the neonatal skin condition score. Journal of Obstetric, Gynecologic and Neonatal Nursing, 33(3), 320-327.
  • MacDonald MG, Mullett MD, Seshia MMK. (2005). Arvey’s Neonatology Pathophysiology and Management of the Newborn. USA, Lippincott Williams and Wilkins, p. 365-367.
  • Morris C, Emsley P, Marland E, Meuleneire F, White R. (2009). Use of wound dressings with soft silicone adhesive technology. Nursing Children and Young People, 21(3), 38-43.
  • O'Neil A, Schumacher B. (2014). Application of a pectin barrier for medical adhesive skin injury (epidermal stripping) in a premature infant. Journal of Wound Ostomy and Continence Nursing, 41(3), 219-221.
  • Paige DG, Gennery AR, Cant AJ. (2010). The Neonate. Book’s Textbook of Dermatology. 8th ed. Wiley-Blackwell, p:1012-1023.
  • Rutter N. (2003). Applied physiology: the newborn skin. Current Paediatrics, 13(3), 226-230. Random. Retrieved from: 16.07.2019. https://www.random.org/integers/
  • Sardesai SR, Kornacka MK, Walas W, Ramanathan R. (2011). Iatrogenic skin injury in the neonatal intensive care unit. The Journal of Maternal-Fetal and Neonatal Medicine, 24(2), 197-203.
  • Stephen-Haynes J. (2008). Skin integrity and silicone: Appeel®‘no-sting’ medical adhesive remover. British Journal of Nursing, 17(12), 792-795.
  • Tüzün Y, Kotoğyan A, Serdaroğlu S, Çokuğraş H, Tüzün B, Mat MC. (2005). Pediyatrik Dermatoloji. İstanbul, Nobel Tıp Kitabevleri, p.20-40.
  • Wang D, Xu H, Chen S, Lou X, Tan J, Xu Y. (2019). Medical adhesive-related skin injuries and associated risk factors in a pediatric intensive care unit. Advances in Skin and Wound Care, 32(4), 176-182.
  • Waziry OG, Rashwan ZI. (2018). Effect of umbilical catheter fixation using Tegaderm® versus hydrocolloid dressing and safe removal on abdominal skin condition among preterm neonates. IOSR J Nurs Health Science, 7, 44-55.
There are 35 citations in total.

Details

Primary Language English
Subjects Nursing, Pediatric Health and Illnesses Nursing
Journal Section Araştırma
Authors

Asuman Özsayın 0000-0002-6002-2936

Bengü Çetinkaya 0000-0003-0216-8520

Early Pub Date October 31, 2023
Publication Date March 25, 2024
Submission Date September 20, 2022
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Özsayın, A., & Çetinkaya, B. (2024). Prevention of Skin Damage Caused by Medical Adhesive Removal in Premature Infants. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 7(1), 1-10. https://doi.org/10.38108/ouhcd.1178060