Evaluation of nasogastric tube fixation methods: adhesion, displacement and skin integrity.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.7411.4365

Lucia Ingridy Farias Thorpe, Jabiael Carneiro da Silva, Renato Barros Moraes, Nataly da Silva Gonçalves, Alex do Nascimento Alves, Isabel Cristina Ramos Vieira Santos

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Abstract

Objective: to evaluate three methods of nasogastric tube fixation in terms of adhesion, displacement and skin integrity.

Method: ex vivo study, with a sample of 30 experimental noses (10 for each type of fixation), developed with porcine skin, based on the average measurements of the human nose, in which 14-gauge polyvinyl chloride probes were inserted and 2 methods of fixation with adhesive tape (Fixation A and B) and one with an industrial device (Fixation C) were used. Each group was exposed to traction of 50, 100 and 500g sequentially over 12 and 24 hours, testing: adhesion capacity, probe displacement and skin integrity. The Chi-square test of independence was calculated for nominal variables and Student's t-tests and analysis of variance (p< 0.05) for rational variables.

Results: fixation B showed lower adhesion capacity (p <0.001) when compared to the other two fixations. A mean displacement of 52.17 mm was observed in the probes fixed by methods A and B and a greater occurrence of lesions associated with fixations A and C (p = 0.001).

Conclusion: the results show complications related to the fixations: lack of adhesion, displacement of the probe and skin lesions, drawing attention to the complexity of the procedure.

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鼻胃管固定方法评估：粘连、移位和皮肤完整性。

目的：评估三种鼻胃管固定方法的粘附力、移位和皮肤完整性。方法：体外研究，样本为 30 个实验鼻（每种固定方法 10 个），根据人鼻的平均测量值，用猪皮制作，其中插入 14 号聚氯乙烯探针，使用两种胶带固定方法（固定方法 A 和 B）和一种工业装置固定方法（固定方法 C）。每组在 12 小时和 24 小时内依次承受 50、100 和 500 克的牵引力，测试：粘附能力、探针位移和皮肤完整性。结果：固定装置 B 的粘附能力较低（p 结论：结果显示了与固定装置有关的并发症：缺乏粘附力、探针移位和皮肤损伤，提请注意手术的复杂性。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.