Effect of Evidence-Based Skin Care and Hydrocolloid Dressing in the Prevention of Nasogastric Tube Related Pressure Injuries: A Randomized Controlled Trial Protocol

Year 2023, Volume: 3 Issue: 3, 113 - 125, 31.12.2023

Maide Yeşilyurt , Serpil Yüksel , Alper Yosunkaya

Abstract

Objective: The study aimed to determine the effect of evidence-based skin care and hydrocolloid dressing in preventing nasogastric tube (NG) tube-related pressure injuries.
Method: The research was conducted in the anesthesiology and reanimation intensive care unit of a university hospital between 2020 to 2022. The sample of the research consisted of 102 patients. Each group (Hydrocolloid, skin care, control) was assigned to 34 patients by randomization. Data collecting researcher and patients were blinded to group assignment. Patients in the control group received routine care in the clinic. A translucent hydrocolloid dressing was applied to patients in the hydrocolloid dressing group after the NG tube insertion and the tube was fixed with this dressing. Evidence-based skin care interventions included in the guidelines were applied twice a day to the patients in the skin care group. In patients who developed pressure injuries, the follow-up ended on the day the injury occurred, and in those who did not develop an injury, on the 18th day. Necessary ethics committee and institutional permissions were obtained before the study.
Usage in Practice: The study is pioneering research to provide evidence-based knowledge regarding the effectiveness of hydrocolloid dressing preventing of NG tube-related pressure injuries.

Keywords

Pressure injury, Skin care, Hydrocolloid dressing, Nasogastric tube

Project Number

20149003

Nazogastrik Tüp Kaynaklı Basınç Yaralanmalarının Önlenmesinde Kanıt Temelli Deri Bakımı ve Hidrokolloid Örtünün Etkisi: Randomize Kontrollü Çalışma Protokolü

Abstract

Amaç: Nazogastrik tüp (NG) kaynaklı basınç yaralanmaları, NG tüpün oluşturduğu basıncın etkisiyle burun mukozasında, burun derisinde, deri altı dokuda veya tüp tespit materyali altında gelişen lokalize doku hasarıdır. Bu araştırmada, kritik hastalarda NG tüp kaynaklı basınç yaralanmalarını önlemede kanıt temelli deri bakımı ve hidrokolloid örtünün etkisini belirlemek amacıyla planlandı.
Yöntem: Prospektif paralel, üç gruplu (hidrokolloid, kanıt temelli deri bakımı, kontrol) randomize kontrollü tipteki bu araştırmanın protokolü SPIRIT 2013’e (Standard Protocol Items: Recommendations for Interventional Trials) göre oluşturuldu. Araştırma Konya’da bir üniversite hastanesinin anesteziyoloji ve reanimasyon yoğun bakım ünitesinde Eylül 2020-Haziran 2022 tarihleri arasında yürütülecektir. Araştırmanın örneklemini, NG tüp takılan, 18 yaş üzeri 102 hasta oluşturacaktır. Randomizasyonla her gruba 34 hasta atanacak, veri toplayan araştırmacı ve hastalar grup atamasına körlenecektir. Kontrol grubundaki hastalar klinikteki rutin bakımı alacaktır. Hidrokolloid örtü grubundaki hastaların burun mukozasına ve burun kanadına NG tüp takıldıktan sonra yarı saydam hidrokolloid örtü uygulanacak ve tüp bu örtü ile tespit edilecektir. Deri bakım grubundaki hastalara rehberlerde yer alan kanıt temelli deri bakım girişimleri günde iki kez uygulanacaktır. Basınç yaralanması gelişen hastalarda takip yaralanmanın geliştiği gün, yaralanma gelişmeyen hastalarda ise 18. günde sonlandırılacaktır. Veri analizinde, tanımlayıcı istatistikler, Ki-Kare testleri, Bağımsız Örneklem t testi veya Mann-Whitney U testi, Tek Yönlü Varyans Analizi veya Kruskal-Wallis testi, regresyon analizi kullanılacaktır.
Uygulamada kullanım: Araştırma, NG tüp kaynaklı basınç yaralanmalarının önlenmesinde hidrokolloid örtünün etkinliğine yönelik kanıt temelli bilgi sağlayacak ilk araştırma olma özelliği taşımaktadır. Araştırmadan elde edilecek bulguların NG tüp kaynaklı basınç yaralanmalarını önleme protokollerinin oluşturulmasına rehberlik etme potansiyeli vardır.

Keywords

Basınç yaralanması, Deri bakımı, Hidrokolloid örtü, Nazogastrik tüp

Supporting Institution

Necmettin Erbakan Üniversitesi Bilimsel Araştırmalar Projeleri Kordinatörlüğü

Project Number

20149003

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