Effect of Umbilical Catheter Fixation UsingTegaderm versus Hydrocolloid Dressing and Safe Removal on Abdominal Skin Condition among Preterm Neonates
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Umbilical catheterization(UC) is one of the most frequent procedures that are performed in neonatal intensive care units (NICUs). Fixating such catheters on the abdominal skin of the preterm neonates usually is associated with skin damages. Usingspecial types of dressings such as Tegadermor hydrocolloid dressing as skin barrier in addition to following a safe technique in removing the adhesive materials used in umbilical cord fixation are the cornerstones in protecting the preterm neonates' skin. Objective: The aim of this study was toidentify the effect of umbilical catheter fixation using Tegaderm versus Hydrocolloid dressing and safe removal on abdominal skin condition among preterm neonates. Research Design: A quasi-experimental research design was used. Setting: The study was conducted in the Neonatal Intensive Care Unit of Maternity University Hospital at El–Shatby.Subjects: Aconvenient sample of 90 preterm neonates who were newly admitted to NICU, required umbilical catheterizationandfree from abdominal skin breakdown comprised the study subjects.Tools: One tool was used to collect necessary data namely; Neonatal Skin Condition Scale (NSCS). Results: The study revealed that 73.3% of the preterm neonates of both the Tegaderm andDuoderm groups maintained their healthy skin at catheter removal day compared to none of the preterm neonates in the control group (0.0%). On the contrary, 83.3% of the neonates of the control group developed severe skin damage at catheter removal day.The difference between neonates' abdominal skin condition of the three groups was statistically significant (P=0.000). No relation were found between the abdominal skin condition and the gestational age of the preterm neonates, the total duration and frequency of umbilical catheter change among both Tegaderm andDuoderm groups. Conclusion: It can be concluded that using both Tegaderm and hydrocolloid dressing in fixating the umbilical catheters and removing them safely was effective in minimizing the occurrence of abdominal skin breakdown among preterm neonates even those who were extremely preterm regardless the frequency of changing the UCs fixation.Recommendations: The current study recommendedthat neonatal nurses should use either Tegaderm or hydrocolloid dressing in umbilical catheter fixation and follow the appropriate technique in adhesive tape removal.
Authors and Affiliations
Omnia G. Waziry, Zouhor I. Rashwan
Keywords
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- EP ID EP437125
- DOI 10.9790/1959-0706024455.
- Views 146
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