Nazal Non-İnvaziv Mekanik Ventilasyon Uygulanan Yenidoğan Bebeklerde Cilt Hasarlanmalarının Değerlendirilmesi

Year 2024, Volume: 17 Issue: 1, 123 - 133, 15.01.2024

Sultan Güner Başara , Seher Sarıkaya Karabudak , Hüsniye Çalışır , Aylin Keleş , Münevver Kaynak Türkmen

https://doi.org/10.46483/deuhfed.1128754

Abstract

Giriş: Nazal noninvazif mekanik ventilasyon (nNİMV) uygulamasında kanül/maske kullanımına bağlı hafif, orta ve şiddetli cilt hasarlanmaları oluşmaktadır..

Amaç: Bu araştırmanın amacı, yenidoğan yoğun bakım ünitesinde yatan ve nNİMV desteği alan bebeklerde cilt durumunu değerlendirmek ve cilt hasarı gelişme oranını belirlemektir.

Yöntem: Tanımlayıcı retrospektif desende bir arşiv taraması olan bu araştırmada yenidoğan yoğun bakım ünitesinde yatan ve 24 saatten daha uzun süre nNİMV desteği alan 95 bebeğin dosyası araştırmacılar tara-fından incelendi. Hemşire gözlem formunda yer alan Yenidoğan Cilt Durum Değerlendirmesi kullanılarak veriler toplandı.

Bulgular: Araştırmaya alınan yenidoğan bebeklerin cilt durum puanları 1. gün 3.61±0.68, 2. gün 3.82±0.66, 3. gün 3.92±0.70 ve 4. gün 4.08±0.57 idi. Bebeklerin doğum ağırlığına ve doğum şekline göre cilt durum puanları arasında istatistiksel olarak anlamlı fark bulundu (sırasıyla; p=.002, p=.010). Bebeklerin cilt durum puanları incelendiğinde; 1. gün %50.5, 2. gün %67.7, 3. gün %74.1 ve 4. gün %90 oranında ciltte hasarlanma olduğu ve buna göre nNİMV desteği alma süresi arttıkça cilt hasarlanmasının arttığı saptandı.

Sonuç: Bu araştırmada nNİMV uygulanan yenidoğan bebeklerin yatış süresi arttıkça cilt durum puanlarının ve cilt hasarlanmasının arttığı saptandı. Nazal NİMV uygulanan yenidoğan bebeklerde cilt yaralanmalarının önlenmesi ile ilgili rehber geliştirilmesi önerilir.

Keywords

Yenidoğan, Nazal Noninvazif Mekanik Ventilasyon, Cilt Durum Değerlendirmesi, Cilt Hasarı

Evaluation of Skin Injuries in Newborn Infants Undergoing Nasal Non-Invasive Mechanical Ventilation

Abstract

Background: In nasal noninvasive mechanical ventilation (nNIMV) application, mild, moderate and severe skin injuries occur due to the use of prongs/mask.

Objective: The aim of this study is to determine the skin condition and rate of skin damage in hospitalized infants in the neonatal intensive care unit and receiving nNIMV support.

Methods: In this research, which employed a descriptive retrospective design with an archival review, the records of 95 infants who received nNIMV support for more than 24 hours were examined by the researchers. Data were collected using the Newborn Skin Condition Score included in the nurse observation form.

Results: Skin condition scores of newborns in the study were 3.61±0.68 on the 1st day, 3.82±0.66 on the 2nd day, 3.92±0.70 on the 3rd day and 4.08±0.57 on the 4th day. A statistically significant difference was found between the skin condition scores of the babies according to birth weight and delivery type (respectively, p=.002, p=.010). According to the skin condition scores of infants, there was 50.5% skin damage on the 1st day, 67.7% on the 2nd day, 74.1% on the 3rd day and 90% on the 4th day; accordingly, it was determined that skin damage increased as the length of stay increased.

Conclusion: In this study, it was determined that as the duration of noninvasive mechanical ventilation applied to newborns increased, both skin condition scores and skin damage increased. It is recommended to develop a guideline for the prevention of skin injuries in newborn infants who underwent nasal NIMV.

Keywords

Newborn, Nasal Noninvasive Mechanical Ventilation, Skin Condition Score, Skin Injury

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