Clinical research on two preventive measures for facial skin injury caused by endotracheal intubation and fixation

Abstract

Objective To find a safer and more effective facial care method, reduce the incidence rate of facial skin injury, and improve patients' comfort level, as well as work efficiency of nursing. Methods 90 patients with orotracheal intubation were divided into the control group, transparent dressing group and skin protecting membrane group by random number table method. The control group was conducted with basic facial nursing; the transparent dressing group was applied with protective transparent dressing on the basis of basic facial nursing; the skin protecting membrane group was applied with skin protecting membrane on the basis of basic facial nursing. This research was conducted by observing and recording the incidence rate of skin injury, severity of skin injury, patients' comfort level, duration of skin care and the results. Results The incidence rate of facial skin injury was as follows: skin protecting membrane group 6.89% (2/29)and transparent dressing group 15.15% (5/33)were better than the control group 50.00% (14/28), statistical significance was found among the three groups (χ2=16.75,P < 0.05); The times of facial skin nursing was as follows: the skin protecting membrane group (4.28±0.53) times was less than transparent dressing group (4.52±0.76) times and the control group (6.04±1.35) times, statistical significance was found among the three groups (Hc=32.65, P < 0.05). Patients' comfort level comparison were as follows: the skin protecting membrane group was better than transparent dressing group and the control group, statistical significance was found among the three groups (Hc=22.42,P < 0.05);Duration of skin care were as follows: skin protecting membrane group (10.40±1.35) minutes was less than transparent dressing group (14.09±1.27) minutes and the control group (12.35 ±1.28) minutes, statistical significance was found among the three groups (F=85.87, P< 0.05). Conclusions Skin protective membrane can effectively reduce the incidence and severity of facial skin injury on patients with orotracheal incubation, improve patients' comfort level, and greatly reduce operation time for nurses through its easer operation and less time consumption. Key words: Facial skin injury; Orotracheal incubation; Skin protective membrane; Clinical research