The Effect of Hydrocolloid Tape and Facial Massage in Premature Infants During Noninvasive Mechanical Ventilation (NIPI)
Nasal Injury
About this trial
This is an interventional supportive care trial for Nasal Injury focused on measuring nasal injury, hydrocolloid tape, non-invasive mechanical ventilation, premature, facial massage, stress, comfort
Eligibility Criteria
Inclusion Criteria: Preterm neonates between 28-34 weeks gestation, Preterm neonates beginning nasal NIMV due to respiratory distress within the first six hours after birth, Preterm neonates with nasal NIMV after invasive mechanical ventilation, Preterm neonates with parental consent to participate in the study. Exclusion Criteria: Preterm neonates with congenital anomaly (choanal atresia, cleft palate-lip, esophagus atresia, tracheoesophageal fistula, etc.), Preterm neonates beginning NIMV support after more than 24 hours, Preterm neonates with skin diseases (ichthyosis, etc.), Preterm neonates with pulmonary hypertension.
Sites / Locations
- Dilek alemdarRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
Hydrocolloid barrier group
Facial Massage group
Control group
Premature infants will firstly be assessed by two nurses with undergraduate degrees working in the clinic in terms of neonatal skin condition score, nasal injury score, neonatal stress level and comfort score before beginning NIMV support. The colloid tape will be cut to a t-shape to cover across the bridge of the nose and the nasal septum and philtrum and placed on the infant's face.
Premature infants will firstly be assessed by two nurses with undergraduate degrees working in the clinic in terms of neonatal skin condition score, nasal injury score, neonatal stress level and comfort score before beginning NIMV support. After beginning NIMV support, the researcher will perform facial massage 2 times in each 12-hour shift.
Premature infants will firstly be assessed by two nurses with undergraduate degrees working in the clinic in terms of neonatal skin condition score, nasal injury score, neonatal stress level and comfort score before beginning NIMV support. After beginning NIMV support, no procedure apart from routine care will be performed. Routine care includes feeding every 3 hours, diaper care, position changes, changing the placement of probes and electrodes and confirming the position of the nasal cannula.