Hydrocolloid to prevent breakdown or nares in preterm infants / (Record no. 70214)

MARC details
000 -LEADER
fixed length control field 02378nab a22002417a 4500
003 - CONTROL NUMBER IDENTIFIER
control field PILC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20221123181944.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 150723s9999 xx 000 0 und d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0361-929X
040 ## - CATALOGING SOURCE
Transcribing agency MANILA TYTANA COLLEGES LIBRARY
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Morris, Lori D.
245 10 - TITLE STATEMENT
Title Hydrocolloid to prevent breakdown or nares in preterm infants /
Statement of responsibility, etc. Lori D. Morris, Jodi Herron Behr, Sandra L. Smith
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. January/ February 2015.
440 ## - SERIES STATEMENT/ADDED ENTRY--TITLE
Title MCN : The American Journal of Maternal/Child Nursing
Number of part/section of a work 40 : 1, page 39-43
520 3# - SUMMARY, ETC.
Summary, etc. PURPOSE:To determine if a double-barrier hydrocolloid dressing prevents trauma to the nares and columella in very low birthweight (VLBW) infants (<1,500 grams) receiving heated humidified high-flow nasal cannula (HHHFNC) oxygen. STUDY DESIGN AND METHODS:Retrospective two-group comparative study design. SAMPLE:Medical records (N = 53) of VLBW infants receiving HHHFNC were reviewed. Control infants (n = 27) did not have a double-barrier hydrocolloid dressing. Intervention infants (n = 26) had a double-barrier hydrocolloid dressing. Groups were similar on sex, race, birthweight, and gestational age. Control infants were significantly older than intervention infants at study entry (4.3 weeks and 1.5 weeks, respectively, p = .001). Skin condition of nares was scored daily ranging from 3 (no breakdown) to 9 (extensive breakdown). Skin scores were abstracted from medical records at baseline then weekly for comparison over time. RESULTS:There were no significant differences in skin scores between groups or over time. Week 1 mean skin score was 3.4 (±0.1) in both groups. Mean skin score at week 4 was 3.4 (±0.1) in Control infants and 3.1 (±0.08) in Intervention infants. CLINICAL IMPLICATIONS:HHHFNC is more frequently being used in infants of extreme prematurity. The dressing may have protected the more immature skin of the intervention infants; however, vigilant nursing observation of the infantsʼ nares during HHHFNC cannot be ruled out. Nurses need adequate education on the consistent application of the hydrocolloid barrier and on documenting skin assessment scores each shift to promote skin protection in this vulnerable population.
521 ## - TARGET AUDIENCE NOTE
Target audience note Nursing
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Birth weight.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Babies.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Skin.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Premature birth.
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Articles
Source of classification or shelving scheme Library of Congress Classification
998 ## - LOCAL CONTROL INFORMATION (RLIN)
Cataloger's initials, CIN (RLIN) 71786
First Date, FD (RLIN) 130149
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Date last seen Price effective from Koha item type
    Library of Congress Classification   Not For Loan Manila Tytana Colleges Library Manila Tytana Colleges Library REFERENCE SECTION 08/11/2015   Bound 08/11/2015 08/11/2015 Articles
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