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