Objective: In the Healthy Child Action Enhancement Program (2021-2025), it is proposed to ensure the safety and health of newborns and to promote high-quality development of health. Our department established risk assessment criteria for medical adhesives in neonates by applying the best evidence in the management program for the reduction of medical adhesive-associated skin injuries in neonates, in terms of the use and removal of adhesives. Methods: A systematic search and quality assessment of topics related to medical adhesive-related skin injury in neonates was conducted to summarize the best evidence and to conduct a quality review in the neonatal unit. Results: After 2 rounds of review, medical and nursing staff in the neonatal unit had a 98% compliance rate for the knowledge of neonatal medical adhesive-related skin injury and a satisfactory compliance rate for the other 9 indicators; after the application of the evidence, the incidence of neonatal medical adhesive-related skin injury was significantly lower than that before the application of the evidence, and the differences were statistically significant (P < 0.05). Conclusion: The application of the best evidence-based management program in neonatal medical adhesive-associated skin injury can reduce the incidence of neonatal medical adhesive-associated skin injury, reduce neonatal infections, and improve the integrity of the protective skin barrier in neonates.
References
[1]
McNichol, L., Lund, C., Rosen, T. and Gray, M. (2013) Medical Adhesives and Patient Safety: State of the Science: Consensus Statements for the Assessment, Prevention and Treatment of Adhesive-Related Skin Injuries. JournalofWound, Ostomy&ContinenceNursing, 40, 365-380. https://doi.org/10.1097/won.0b013e3182995516
[2]
McLane, K.M., Bookout, K., McCord, S., McCain, J. and Jefferson, L.S. (2004) The 2003 National Pediatric Pressure Ulcer and Skin Breakdown Prevalence Survey: A Multisite Study. JournalofWound, OstomyandContinenceNursing, 31, 168-178. https://doi.org/10.1097/00152192-200407000-00004
[3]
Tan, Y.J., Huang, Y.X., Fang, H.H., et al. (2016) Analysis of the Causes of Medical Adhesive-Related Skin Injury in Neonates and Preventive and Control Measures. ChinaCoalIndustryMedicalJournal, 19, 599-602.
[4]
Zhang, Y.Y. (2021) Developed a Risk Assessment Scale for Medical Adhesive-Related Skin Injury in Hospitalized Children Based on the Delphi Method and Analytic Hierarchy Process (AHP). JournalofNursesTraining, 36, 1161-1167.
[5]
Ågren, J., Sjörs, G. and Sedin, G. (2006) Ambient Humidity Influences the Rate of Skin Barrier Maturation in Extremely Preterm Infants. TheJournalofPediatrics, 148, 613-617. https://doi.org/10.1016/j.jpeds.2005.11.027
[6]
Li, L., Liu, X.D., Liu, L.Y., et al. (2016) Research Progress of Neonatal Medical Adhesive-Related Skin Injury. PLANursingMiscellanyJournal, 24, 46-49.
[7]
Chen, C., Lu, W., Wu, L., et al. (2016) A Systematic Review of the Literature on Medical Adhesive-Associated Skin Injury. NursingMisc.Journal, 31, 99-103.
[8]
LeBlanc, K. and Baranoski, S. (2011) Skin Tears: State of the Science: Consensus Statements for the Prevention, Prediction, Assessment, and Treatment of Skin Tears (c). AdvancesinSkin&WoundCare, 24, 2-15. https://doi.org/10.1097/01.asw.0000405316.99011.95
[9]
Visscher, M.O., Utturkar, R., Pickens, W.L., LaRuffa, A.A., Robinson, M., Wickett, R.R., et al. (2011) Neonatal Skin Maturation—Vernix Caseosa and Free Amino Acids. PediatricDermatology, 28, 122-132. https://doi.org/10.1111/j.1525-1470.2011.01309.x
[10]
Crescenze, I.M., Lenherr, S.M., Myers, J.B., Elliott, S.P., Welk, B., O’Dell, D., et al. (2021) Self-Reported Urological Hospitalizations or Emergency Room Visits in a Contemporary Spinal Cord Injury Cohort. JournalofUrology, 205, 477-482. https://doi.org/10.1097/ju.0000000000001386
[11]
Huang, P.P., et al. (2021) Application of the Best Evidence-Based Practice Protocol for Medical Adhesive-Associated Skin Lesions in Children in the NICU. JournalofNursing, 36, 45-48.
[12]
Huang, X.X., Zhang, L.P., Chen, Y. and Yin, Z.Q. (2019) Risk Assessment Scale for Medical Adhesive-Related Skin Injury in Neonates. Development and Reliability Test. ChineseJournalofNursing, 54, 380-384.