The effect of evidence-based skin care and hydrocolloid dressing in the prevention of nasogastric tube-related pressure injury: A randomized controlled clinical trial

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dc.authoridyesilyurt, maide/0000-0003-3365-7829
dc.authoridYuksel, Serpil/0000-0001-6881-8288
dc.contributor.authorYesilyurt, Maide
dc.contributor.authorYuksel, Serpil
dc.contributor.authorYosunkaya, Alper
dc.date.accessioned2025-03-23T19:40:57Z
dc.date.available2025-03-23T19:40:57Z
dc.date.issued2024
dc.departmentSinop Üniversitesi
dc.description.abstractObjective: The aim of this study is to determine the effect of evidence-based skin care and hydrocolloid dressing in the prevention of nasogastric (NG) tube-related pressure injuries (PIs). Design: This study was a three-arm parallel-group randomized controlled clinical trial registered on Clinicaltrials. gov (NCT04682925). Methods: The study was conducted with 102 patients who underwent NG tube insertion immediately after admission to the anesthesiology and reanimation intensive care unit of a university hospital in Turkey. Patients were randomly assigned to three groups: a control arm (n = 34), a hydrocolloid dressing arm (n = 34), and a skin care arm (n = 34). Patients in the hydrocolloid dressing arm received daily application of hydrocolloid dressing to the nasal mucosa and alae nasi where the NG tube was inserted. Patients in the skin care arm received skin care interventions in preventing PIs twice daily. No interventions were administered to the control group. Results: No NG tube-related PIs occurred in any patients in the hydrocolloid dressing arm. However, PIs occurred in 97.1 % of patients in the control arm and 94.1 % of patients in the skin care arm. According to the results of regression analysis, failure to apply hydrocolloid dressing increased the risk of NG tube-related PIs by 20.3 times [OR = 20.301, 95 % CI = 6.335-65.053, p < 0.001]. Additionally, a one-unit increase in the duration of ventilation days reduced the risk of NG tube-related PIs by 17.7 % (1-0.823) [OR = 0.823 (95 % CI = 0.684-0.989), p = 0.038]. Conclusion: Results revealed that hydrocolloid dressing is effective in preventing of NG tube-related PIs, whereas skin care did not demonstrate the same effectiveness.
dc.description.sponsorshipNecmettin Erbakan University Scientific Research Projects [20149003]
dc.description.sponsorshipThis study received support from the Necmettin Erbakan University Scientific Research Projects Unit (Project No 20149003). The funder provided financial support solely for the acquisition of materials (hy-drocolloid dressing, moisturizing cream, and skin barrier spray) used in the study and had no role in the study design, implementation, data analysis, or the preparation of the manuscript.
dc.identifier.doi10.1016/j.jtv.2024.09.001
dc.identifier.endpage894
dc.identifier.issn0965-206X
dc.identifier.issn1876-4746
dc.identifier.issue4
dc.identifier.pmid39289093
dc.identifier.scopusqualityQ2
dc.identifier.startpage889
dc.identifier.urihttps://doi.org/10.1016/j.jtv.2024.09.001
dc.identifier.urihttps://hdl.handle.net/11486/6470
dc.identifier.volume33
dc.identifier.wosWOS:001375852100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Tissue Viability
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250323
dc.subjectEvidence
dc.subjectHydrocolloid dressing
dc.subjectNasogastric tube
dc.subjectPressure injury
dc.subjectSkin care
dc.titleThe effect of evidence-based skin care and hydrocolloid dressing in the prevention of nasogastric tube-related pressure injury: A randomized controlled clinical trial
dc.typeArticle

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