Effect of Non-invasive Respiratory Support Care Bundle on Preterm Infants' Nasal Injury and Pain Response | ||
| Egyptian Journal of Health Care | ||
| Article 132, Volume 13, Issue 1, March 2022, Pages 1954-1970 PDF (369.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.249681 | ||
| Authors | ||
| Rehab Abd El Aziz El Sayed Abd El Aziz1; Magda M. Mohsen2; Azza Mohamed Fathy Attia3 | ||
| 1Pediatric Nursing, Faculty of Nursing, Mansoura University-Egypt | ||
| 2Community Health Nursing, Faculty of Nursing, Menoufia University –Egypt | ||
| 3Pediatric Nursing, Faculty of Nursing, Port-Said University –Egypt | ||
| Abstract | ||
| Background: The respiratory support devices can save the lives of preterm and full term neonates with respiratory insufficiency. Wide and early usage of non-invasive respiratory supports (NIRS) has significantly reduced the necessity for endotracheal intubation, on the other hand, NIRS has been linked to nasal damage. The aim of the study was to examine the effect of implement non- invasive respiratory support care bundle on preterm infants' nasal injury and pain response. Method: Design: A quasi experimental research design was utilized (Study-control). Setting: The study was carried out in the level (II) of neonatal intensive care unit (NICU) at Al-Nasr Specialized Hospital for Children in cooperation with Cleopatra Hospitals Group and El Salam Port Said Hospital in cooperation with El Salam International Hospital, Port Said Governorate, Egypt. Sample: It composed of 98 preterm infants. Tools: -I: Structured Questionnaire that includes; characteristics of preterm infants and clinical data of preterm infants. II: Nasal injury Likert Scale, III: Preterm Infant Pain Profile (PIPP) Likert Scale. Results; approximately one third (26.5%) of preterm infants in study group have no nasal injury post intervention compared with minority (10.2%) of preterm infants in control group with statistical difference (p 0.048). Also, none of preterm infants in study group have severe nasal injury compared with minority(8.2%) of preterm infant in control group, with highly statistical difference between both groups (p < 0.001). More than one third (34.7%) of the study group's preterm infants have no – minimal pain level post intervention compared with minority (14.3%) in control group with statistical difference (p 0.044). Also, their strong association with highly statistical difference between nasal injury stages and pain levels in both groups (p < 0.001). Conclusion: The implementation of non-invasive respiratory support care bundle affect positively in decreasing preterm infants' nasal injury rate and their pain response in NICU. Implications for Practice: Further implementation of non-invasive respiratory support care bundle on large sample of preterm infants with non-invasive respiratory support and at another different settings. Future research about the application of mask versus nasal prongs should be examined. | ||
| Keywords | ||
| Nasal Injury; Non-Invasive Respiratory Support Care Bundle; Pain Response; Preterm Infants | ||
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