The incidence and risk factors analysis of medical adhesive related skin injury in neonates during the NICU stay

Abstract

Objective To investigate the current status analysis the risk factors of medical adhesive related skin injury(MARSI) in neonates in NICU, in order to provide guidance in prevention and nursing of the skin injury. Methods Convenience sampling five NICU in Shenyang, prospective investigate the incidence of MARSI of neonates during the NICU stay, and analysis the incidence, injury type distribution and risk factors. Results The incidence of MARSI in neonates in NICU was 12.8%(53/413); the major injury type of MARSI was epidermal stripping (47.2%,25/53) and skin tear (35.8%,19/53) in mechanical injury; Logistic analysis showed that the independent risk factors of MARSI were the use of stomach tube, dehydrate skin and blue light therapy (χ2=5.953, 9.806 and 7.568, P < 0.05). Conclusions MARSI is frequency interrupted in neonates during the NICU stay, correct selection of medical adhesive products, application of suitable paste and remove skills are helpful to reduce the incidence of MARSI in neonates during the NICU stay. Key words: Neonatal intensive care unit; Neonates; Medical adhesive related skin injury; Risk cause analysis