Jodi Herron Behr , Diane Wardell , Cathy L Rozmus , Rebecca L Casarez Show Affiliations »
Abstract
PURPOSE: The purpose of this article was to determine specific skin injury prevention interventions for neonates in the NICU. DESIGN: The design was a systematic review. SAMPLE: PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, and Scopus were systematically searched to identify quantitative studies identifying skin injury preventions for neonates in the NICU. OUTCOMES: The outcomes included skin integrity or skin condition. RESULTS: Nineteen studies were included in the review. Twelve studies included a randomized design. Barriers were the main interventions for the prevention of pressure injury, medical adhesive skin injury, diaper dermatitis, and general skin condition. The types of barriers included hydrocolloids, polyurethane-based dressings, film-forming skin protectant, or emollients. Nonbarrier interventions included rotation between a mask and nasal continuous positive airway pressure (NCPAP) interfaces, utilization of prescribed guidelines to decrease pressure injuries, and use of a lower concentration of chlorhexidine gluconate as a disinfectant. © Copyright 2020 Springer Publishing Company, LLC.
PURPOSE: The purpose of this article was to determine specific skin injury prevention interventions for neonates in the NICU. DESIGN: The design was a systematic review. SAMPLE: PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, and Scopus were systematically searched to identify quantitative studies identifying skin injury preventions for neonates in the NICU. OUTCOMES: The outcomes included skin integrity or skin condition. RESULTS: Nineteen studies were included in the review. Twelve studies included a randomized design. Barriers were the main interventions for the prevention of pressure injury , medical adhesive skin injury , diaper dermatitis , and general skin condition. The types of barriers included hydrocolloids, polyurethane -based dressings, film-forming skin protectant, or emollients. Nonbarrier interventions included rotation between a mask and nasal continuous positive airway pressure (NCPAP) interfaces, utilization of prescribed guidelines to decrease pressure injuries, and use of a lower concentration of chlorhexidine gluconate as a disinfectant. © Copyright 2020 Springer Publishing Company, LLC.
Entities: Chemical
Disease
Keywords:
NICU; barriers; neonate; prevention; skin injury
Year: 2020
PMID： 33318228 DOI： 10.1891/0730-0832/11-T-623
Source DB: PubMed Journal: Neonatal Netw ISSN： 0730-0832