Nasal Tube Securement: Randomized Controlled Trial in Pediatric Hospitalized Patients. Issue 1 (8th January 2023)

• Record Type: Journal Article
• Authors: McNeely, Heidi L.; Quackenbush, Debra; Bothwell, Samantha; Banks, Ashley; Brinton, John T.
• Is Part Of: Rehabilitation nursing. Volume 48:Issue 1(2023)
• Page Start: 5
• Page End: 13
• Publication Date: 2023-01-08
• Subjects: Nasal bridle -- feeding tube securement -- tube dislodgement -- pediatric -- randomized controlled trial; Rehabilitation nursing -- Periodicals; Nursing -- Periodicals; Rehabilitation -- Periodicals; Soins infirmiers en réadaptation -- Périodiques; 610.73
• DOI: 10.1097/RNJ.0000000000000392
• Languages: English
• ISSNs: 0278-4807

Abstract

Abstract: Purpose: The aim of this study was to compare accidental dislodgement rates of nasal gastric tubes secured with standard methods or a nasal tube securement device in pediatric patients. Design: A randomized controlled trial was conducted. Methods: Participants ( n = 43) were randomized into standard securement or nasal tube securement device using block randomization to control for age and diagnosis. Surveys were collected from staff and caregivers on device ease of use and satisfaction. Results: There were a similar number of tube dislodgements for patients in the nasal tube securement device group ( n = 6) and the standard practice group ( n = 7). The median hospital length of stay was higher for the standard practice group (13 days vs. 9 days). Conclusion: Use of the nasal tube securement device did not significantly decrease the rate of tube dislodgements compared with standard practice. Clinical Relevance to Rehabilitation Nursing: The study provides information for pediatric rehabilitation nurses in choosing securement options for nasal gastric tubes.