Efektivitas Penggunaan Nirs Bundle dan Double Skin Barrier Hydrocolloid terhadap Penurunan Nasal Injury pada Bayi Prematur dengan NCPAP
Abstract
This study aims to analyze the effectiveness of using the NIRS Bundle and Double Skin Barrier Hydrocolloid to reduce nasal injury in premature infants using NCPAP. The method used is Quasy Experimental Design with Posttest-Only Control Design. The results showed that the p-value in the NIRS Bundle treatment group was p = 0.001 and p = 0.01 in the Double Hydrocolloid treatment. In conclusion, the NIRS Bundle intervention and the installation of Double Skin Barrier Hydrocolloid had a significant effect on reducing nasal injury in premature infants with NCPAP.
Keywords: Hydrocolloid, Nasal Injury, NCPAP, Neonate, NIRS Bundle
References
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Dawson, S. N., Chiu, Y., Klein, A. A., Earwaker, M., & Villar, S. S. (2022). Effect of High-Flow Nasal Therapy on Patient-Centred Outcomes in Patients At High Risk of Postoperative Pulmonary Complications After Cardiac Surgery: A Statistical Analysis Plan for NOTACS, A Multicentre Adaptive Randomised Controlled trial. Trials, 23(1), 1-8. https://doi.org/10.1186/s13063-022-06607-z
Egesa, W. I., & Waibi, W. M. (2020). Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings. International Journal of Pediatrics, 2020, 1-10. https://doi.org/10.1155/2020/8871980
Haymes, E. (2020). The Effects of Continuous Positive Airway Thepressure (CPAP) on Nasal Skin Breakdown. Journal of Neonatal Nursing, 26(1), 37–42. https://doi.org/10.1016/j.jnn.2019.09.007
Li, H., Li, L., Kong, L., Li, P., Zeng, Y., Li, K., Xie, W., Shu, Y., Liu, X., & Peng, D. (2021). Frequency-Specific Regional Homogeneity Alterations and Cognitive Function in Obstructive Sleep Apnea Before and After Short-Term Continuous Positive Airway Pressure Treatment. Nature and Science of Sleep, 13, 2221–2238. https://doi.org/10.2147/NSS.S344842
Magalhães, P. A. F., D’Amorim, A. C. G., Oliveira, E. F. A. L., Ramos, M. E. A., Mendes, A. P. D. A., Barbosa, J. F. S., & Reinaux, C. M. A. (2022). Rotating Nasal Masks with Nasal Prongs Reduces the Incidence of Moderate to Severe Nasal Injury in Preterm Infants Supported By Noninvasive Ventilation. Revista Brasileira de Terapia Intensiva, 34(2), 247–254. https://doi.org/10.5935/0103-507x.20220022-en
Malakian, A., Aramesh, M. R., Agahin, M., & Dehdashtian, M. (2021). Non-Invasive Duo Positive Airway Pressure Ventilation Versus Nasal Continuous Positive Airway Pressure in Preterm Infants with Respiratory Distress Syndrome: A Randomized Controlled Trial. BMC Pediatrics, 21(1), 1-9. https://doi.org/10.1186/s12887-021-02741-w
Maram, S., Murki, S., Nayyar, S., Kadam, S., Oleti, T. P., Anne, R. P., Deshobhotla, S., Sharma, D., Arun, S., & Vadije, P. R. (2021). RAM Cannula with Cannulaide Versus Hudson Prongs for Delivery of Nasal Continuous Positive Airway Pressure in Preterm Infants: An RCT. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-02988-4
Milligan, P. S., & Goldstein, M. R. (2017). Implementation of an Evidence-Based Non-Invasive Respiratory Support (NIRS) Bundle in the NICU to Decrease Nasal Injury Complications. Journal of Neonatal Nursing, 23(2), 89–98. https://doi.org/10.1016/j.jnn.2016.05.003
Mutifa, J., Nurhaeni, N., & Wanda, D. (2022). The Effectiveness of the Protective Barrier of the Skin Against Medical Adhesive Related Skin Injury (Marsi) in Children Treated in Pediatric Intensive Care Units: Systematic Review. Comprehensive Nursing Journal, 8(Special Edition), 47–55. https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/380
Naha, N., Pournami, F., Prabhakar, J., & Jain, N. (2019). Nasal Injury with Continuous Positive Airway Pressure: Need for “Privileging†Nursing Staff. Indian Journal of Pediatrics, 86(7), 595–598. https://doi.org/10.1007/s12098-019-02960-1
Ngaisah, S. N., & Rustinah, Y. (2022). Hydrocolloids Reduce Nasal Injuries in Infants Receiving CPAP: A Systematic Review. JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 9(4), 263-272. https://doi.org/10.21927/jnki.2021.9(4).263-272
Novardian, N., Sulaeman, S., Purwati, N. H., & Sari, W. (2020). The Effectiveness of Skin Barrier on Medical Adhesive Related Skin Injury in Neonates at Perinatology Dr. Cipto Mangunkusumo Hospital Jakarta. Proceedings of the 1st International Conference of Indonesian National Nurses Association-ICINNA, 2018, 187–192. https://doi.org/10.5220/0008222801870192
Ribeiro, D. D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2021). Incidence and Severity of Nasal Injuries in Preterm Infants Associated to Non-Invasive Ventilation Using Short Binasal Prong. Global Pediatric Health, 8, 1-8. https://doi.org/10.1177/2333794X211010459
Ribeiro, D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2020). Nasal Prongs: Risks, Injuries Incidence and Preventive Approaches Associated with Their Use in Newborns. Journal of Multidisciplinary Healthcare, 13, 527–537. https://doi.org/10.2147/JMDH.S252017
Ribeiro, D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2020). Hydrocolloid Versus Silicone Gel for the Prevention of Nasal Injury in Newborns Submitted to Noninvasive Ventilation: A Randomized Clinical Trial. Heliyon, 6(7), 1-7. https://doi.org/10.1016/j.heliyon.2020.e04366
Shirahama, R., Tanigawa, T., Ida, Y., Fukuhisa, K., Tanaka, R., Tomooka, K., Lan, F. Y., Ikeda, A., Wada, H., & Kales, S. N. (2021). Long-Term Effect of Continuous Positive Airway Pressure Therapy on Blood Pressure in Patients with Obstructive Sleep Apnea. Scientific Reports, 11(1), 1-9. https://doi.org/10.1038/s41598-021-98553-0
Bashir, T., Murki, S., Kiran, S., Reddy, V. K., & Oleti, T. P. (2019). 'Nasal Mask' in Comparison with 'nasal prongs' or 'Rotation of Nasal Mask with Nasal Prongs' Reduce the Incidence of Nasal Injury in Preterm Neonates Supported on Nasal Continuous Positive Airway Pressure (nCPAP): A Randomized Controlled Trial. PLoS ONE, 14(1), 1-11. https://doi.org/10.1371/journal.pone.0211476
Dai, T., Lv, L., Liu, X., Chen, J., Ye, Y., & Xu, L. (2020). Nasal Pressure Injuries Due to Nasal Continuous Positive Airway Pressure Treatment in Newborns: A Prospective Observational Study. Journal of Wound, Ostomy and Continence Nursing, 47(1), 26–31. https://doi.org/10.1097/WON.0000000000000604
Dawson, S. N., Chiu, Y., Klein, A. A., Earwaker, M., & Villar, S. S. (2022). Effect of High-Flow Nasal Therapy on Patient-Centred Outcomes in Patients At High Risk of Postoperative Pulmonary Complications After Cardiac Surgery: A Statistical Analysis Plan for NOTACS, A Multicentre Adaptive Randomised Controlled trial. Trials, 23(1), 1-8. https://doi.org/10.1186/s13063-022-06607-z
Egesa, W. I., & Waibi, W. M. (2020). Bubble Nasal Continuous Positive Airway Pressure (bNCPAP): An Effective Low-Cost Intervention for Resource-Constrained Settings. International Journal of Pediatrics, 2020, 1-10. https://doi.org/10.1155/2020/8871980
Haymes, E. (2020). The Effects of Continuous Positive Airway Thepressure (CPAP) on Nasal Skin Breakdown. Journal of Neonatal Nursing, 26(1), 37–42. https://doi.org/10.1016/j.jnn.2019.09.007
Li, H., Li, L., Kong, L., Li, P., Zeng, Y., Li, K., Xie, W., Shu, Y., Liu, X., & Peng, D. (2021). Frequency-Specific Regional Homogeneity Alterations and Cognitive Function in Obstructive Sleep Apnea Before and After Short-Term Continuous Positive Airway Pressure Treatment. Nature and Science of Sleep, 13, 2221–2238. https://doi.org/10.2147/NSS.S344842
Magalhães, P. A. F., D’Amorim, A. C. G., Oliveira, E. F. A. L., Ramos, M. E. A., Mendes, A. P. D. A., Barbosa, J. F. S., & Reinaux, C. M. A. (2022). Rotating Nasal Masks with Nasal Prongs Reduces the Incidence of Moderate to Severe Nasal Injury in Preterm Infants Supported By Noninvasive Ventilation. Revista Brasileira de Terapia Intensiva, 34(2), 247–254. https://doi.org/10.5935/0103-507x.20220022-en
Malakian, A., Aramesh, M. R., Agahin, M., & Dehdashtian, M. (2021). Non-Invasive Duo Positive Airway Pressure Ventilation Versus Nasal Continuous Positive Airway Pressure in Preterm Infants with Respiratory Distress Syndrome: A Randomized Controlled Trial. BMC Pediatrics, 21(1), 1-9. https://doi.org/10.1186/s12887-021-02741-w
Maram, S., Murki, S., Nayyar, S., Kadam, S., Oleti, T. P., Anne, R. P., Deshobhotla, S., Sharma, D., Arun, S., & Vadije, P. R. (2021). RAM Cannula with Cannulaide Versus Hudson Prongs for Delivery of Nasal Continuous Positive Airway Pressure in Preterm Infants: An RCT. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-02988-4
Milligan, P. S., & Goldstein, M. R. (2017). Implementation of an Evidence-Based Non-Invasive Respiratory Support (NIRS) Bundle in the NICU to Decrease Nasal Injury Complications. Journal of Neonatal Nursing, 23(2), 89–98. https://doi.org/10.1016/j.jnn.2016.05.003
Mutifa, J., Nurhaeni, N., & Wanda, D. (2022). The Effectiveness of the Protective Barrier of the Skin Against Medical Adhesive Related Skin Injury (Marsi) in Children Treated in Pediatric Intensive Care Units: Systematic Review. Comprehensive Nursing Journal, 8(Special Edition), 47–55. https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/380
Naha, N., Pournami, F., Prabhakar, J., & Jain, N. (2019). Nasal Injury with Continuous Positive Airway Pressure: Need for “Privileging†Nursing Staff. Indian Journal of Pediatrics, 86(7), 595–598. https://doi.org/10.1007/s12098-019-02960-1
Ngaisah, S. N., & Rustinah, Y. (2022). Hydrocolloids Reduce Nasal Injuries in Infants Receiving CPAP: A Systematic Review. JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 9(4), 263-272. https://doi.org/10.21927/jnki.2021.9(4).263-272
Novardian, N., Sulaeman, S., Purwati, N. H., & Sari, W. (2020). The Effectiveness of Skin Barrier on Medical Adhesive Related Skin Injury in Neonates at Perinatology Dr. Cipto Mangunkusumo Hospital Jakarta. Proceedings of the 1st International Conference of Indonesian National Nurses Association-ICINNA, 2018, 187–192. https://doi.org/10.5220/0008222801870192
Ribeiro, D. D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2021). Incidence and Severity of Nasal Injuries in Preterm Infants Associated to Non-Invasive Ventilation Using Short Binasal Prong. Global Pediatric Health, 8, 1-8. https://doi.org/10.1177/2333794X211010459
Ribeiro, D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2020). Nasal Prongs: Risks, Injuries Incidence and Preventive Approaches Associated with Their Use in Newborns. Journal of Multidisciplinary Healthcare, 13, 527–537. https://doi.org/10.2147/JMDH.S252017
Ribeiro, D. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M., & Nohama, P. (2020). Hydrocolloid Versus Silicone Gel for the Prevention of Nasal Injury in Newborns Submitted to Noninvasive Ventilation: A Randomized Clinical Trial. Heliyon, 6(7), 1-7. https://doi.org/10.1016/j.heliyon.2020.e04366
Shirahama, R., Tanigawa, T., Ida, Y., Fukuhisa, K., Tanaka, R., Tomooka, K., Lan, F. Y., Ikeda, A., Wada, H., & Kales, S. N. (2021). Long-Term Effect of Continuous Positive Airway Pressure Therapy on Blood Pressure in Patients with Obstructive Sleep Apnea. Scientific Reports, 11(1), 1-9. https://doi.org/10.1038/s41598-021-98553-0
