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

Yıl 2024, Cilt: 7 Sayı: 1, 1 - 10, 25.03.2024

Asuman Özsayın Bengü Çetinkaya

https://doi.org/10.38108/ouhcd.1178060

Öz

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.

Anahtar Kelimeler

premature infant, hydrocolloid, adhesives, epidermis

Prematüre Bebeklerde Tıbbi Yapıştırıcının Çıkartılmasının Neden Olduğu Deri Hasarlarının Önlenmesi

Öz

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.

Anahtar Kelimeler

Prematüre bebek, hidrokolloid, yapıştırıcılar, epidermis

Kaynakça

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