Application of a photoelectric magnifier to nasal injury in preterm infants receiving non-invasive ventilation: A prospective observational study. Issue 1 (February 2022)

• Record Type: Journal Article
• Authors: Wu, Yujie; Lv, Junying; Xu, Jie; Zhang, Shuanghong; Zhang, Liping; Fu, Liyan
• Is Part Of: Journal of tissue viability. Volume 31:Issue 1(2022)
• Page Start: 130
• Page End: 134
• Publication Date: 2022-02
• Subjects: Nasal injury -- Non-invasive ventilation -- Newborn -- Magnifier -- Incidence -- Risk factors; Wounds and injuries -- Periodicals; Ulcers -- Periodicals; Bedsores -- Periodicals; Bedsores; Ulcers; Wounds and injuries; Electronic journals; Periodicals; 617.1406
• DOI: 10.1016/j.jtv.2021.08.005
• Languages: English
• ISSNs: 0965-206X

Abstract

Abstract: Purpose: This study was to explore a photoelectric magnifier assessing nasal injury in preterm infants receiving non-invasive ventilation (NIV) treatment, and to describe the occurrence status and risk factors of nasal injuries. Design: A prospective observational study. Subjects: and setting: Preterm infants admitted from the Second Affiliated Hospital of Wenzhou Medical University between October 2018 and October 2019. Methods: A continuously convenient sample of 127 preterm infants was included. When the infants were receiving NIV treatment, nursing staff checked nasal skin and mucosa daily with a photoelectric magnifier to confirm whether nasal injuries occurred. Meanwhile, a self-designed questionnaire was used to collect data. The Chi-square test, t -test, univariate and multiple logistic regression model were applied. Results: A total of 127 preterm infants received 175 times NIV therapy, showing that the incidence of nasal injuries (infants number) was 27.6% (35/127) and the incidence of nasal injuries (ventilation cases) was 21.1% (37/175). Of the 37 cases of nasal injuries, 27 cases were I stage, while Ⅱ stage, Ⅲ stage and mucosa injuries appeared 2 cases, 2 cases and 6 cases. In the multivariate logistic analysis, nasal mask interface and NIV treatment more than seven days were independent risk factors affecting the occurrence of nasal injuries. Conclusions: The premature infants who received nasal NIV treatment were susceptible to nasal injuries, and clinical nurse capable of identifying risk factors and inintervening should be strengthened to prevent the occurrence and progression. Highlights: Our study applied a photoelectric magnifier to nasal examination, an innovation in assessment method. Our study attempted to explore possible factors for nasal injuries in premature infants, thereby forming the basis for early detection and development of care practices to prevent them and/or reduce their severity.