Study on Using Evidence-Based Care to Prevent Nasal Injuries in Preterm Babies with Non-Invasive Respiratory Support

What this Trial Is About

This research aims to evaluate how using evidence-based practices can help prevent nasal pressure injuries in preterm newborns receiving non-invasive respiratory support. The study focuses on premature infants with gestational ages between 30 and 37 weeks who require this breathing assistance. It compares standard care with a new care approach designed to reduce skin injury risks during respiratory support. Participants are randomly divided into two groups. The control group receives standard hospital care without extra interventions, while the study group receives a bundle of six evidence-based practices. These include using properly sized nasal devices, applying skin barrier products, hourly nasal checks, removing nasal devices every 12 hours for full skin exams, repositioning infants every 3 to 4 hours, and monitoring pain scores regularly. Throughout the study, neonatal data and characteristics will be collected from hospital records. Researchers will assess nasal skin condition every 3 to 6 hours and measure pain scores every 3 to 4 hours from the start of respiratory support up to 14 days. The goal is to track changes in nasal skin integrity and pain levels to understand how the care bundle affects these outcomes during treatment. The study is sponsored by Kafrelsheikh University and enrollment starts August 2024.

Effect of Implementing Evidence Based Practices on Prevention of Associated Nasal Pressure Injuries Among Preterm Neonates With Non-Invasive Respiratory Support