Clinical Study on Prevention of Nasal Injury during Continuous Positive Airway Pressure in Neonates

Abstract

To explore a nursing method which for suitable for neonatal nasal continuous positive airway pressure to prevent neonatal nasal injury. 106 newborns treated with nasal continuous positive airway pressure admitted in our hospital from January 2020 to October 2020 were selected as the study subjects and divided into observation group (n=53) and control group (n=53) according to the randomized control principle, in which the control group of neonates used U-shaped nasal plugs during transnasal continuous positive airway pressure ventilation, while the observation group cut the hydrocolloid dressing into a bunny shape, punched holes according to the size of the children’s nostrils and pasted them on the children’s nose before using the nasal congestion. Choose the appropriate nasal congestion and fix it properly. Compare the total nasal continuous positive airway pressure treatment time, nasolabial fold and septum skin damage and their incidence and parents’ satisfaction with nursing services between the two groups. There was no statistically significant difference in the time of nasal continuous positive airway pressure treatment and arterial blood gas arterial oxygen partial pressure, carbon dioxide partial pressure and pH value after 12- 24 h of nasal continuous positive airway pressure treatment between the two groups (p>0.05); compared with the control group, the incidence of nasolabial sulcus skin injury and nasal septum skin injury in the observation group was significantly lower than that in the control group and the difference was statistically significant (p<0.05). The differences were statistically significant (p<0.05). At the same time, the satisfaction rate of family members of newborns in the observation group was significantly higher than that in the control group and the difference was statistically significant (p<0.05). In newborns receiving continuous positive airway pressure through the nose, the use of hydrocolloid dressings to protect the skin of the nasal congestion fixation method can significantly reduce the incidence of skin damage to the nasolabial fold and septum and improve the satisfaction of the newborn’s family with nursing services. Improve the quality of care, worthy of promotion.