Application of thin foam dressing in pressure sore related to nasal wing medical devices in nasogastric feeding patients

Abstract

Objective: To evaluate the effect of thin foam dressing on pressure sore related to nasal wing medical devices in nasal feeding patients and to provide a reference for the management of nutrition tube and provide a basis for the formulation of nursing practice guidelines for medical devices. Methods: In this prospective study, 172 patients with nasogastric feeding and indwelling nutrition tube for more than 7 days were selected as the research objects. Among them, 86 were conscious and 86 were comatose. They were randomly divided into the thin foam dressing group (intervention group) and the conventional group, and then observed for 7 days. During the study period: observe and record the occurrence of skin pressure sore on the alar of the nose every day; observe and record the respiratory frequency and oxygen saturation of patients every hour; investigate the satisfaction of 86 sober patients and 52 nurses in our department on their clinical application. Results: The incidence of medical device-related pressure sore in the intervention group and the conventional group was 3.49% and 22.09%, respectively, with a statistically significant difference (P < 0.05). The mean values of respiratory frequency and oxygen saturation in the intervention group were 21 times/min and 99%, respectively, while those in the routine group were 20 times/min and 99%, respectively, with no significant difference (P > 0.05). In terms of comfort and economy, the satisfaction scores of the two groups were 93.77±2.46, 94.71±1.92, 95.67±2.04, and 94.30±2.31 respectively, with statistically significant difference (P < 0.05). In terms of aesthetics and operability, the intervention group was not lower than the conventional group, with no statistically significant difference (P > 0.05). Conclusion: Compared with the conventional group, thin foam dressing can effectively prevent the occurrence of pressure sore related to the nasal wing medical devices caused by long-term application of the nutrient tube in nasal-feeding patients. Its application has certain safety and economy and is worthy of clinical promotion.