Effectiveness of nursing intervention on prevention of facial pressure ulcer among patients on non-invasive ventilation: A quasi experimental study
Jayasri J, Malarvizhi S and Dr. Jaeny Kemp
Background: Noninvasive ventilation (NIV) is the provision of ventilatory support to the patient’s spontaneous breathing by using interfaces such as mouthpiece, nasal mask, face mask and helmet mask. It has many advantages like low incidence of upper airway injury, laryngeal stenosis, nosocomial pulmonary infection, decreased need for sedative, paralytic drugs and hospital stay. However the facial pressure ulcer resulting from the usage of NIV mask is the most unpleasant and painful complication faced by patients.
Aim: The aim of the study was to assess the effectiveness of Nursing Intervention on Prevention of Facial Pressure Ulcer among patients on Non-Invasive Ventilation
Methods: The study was conducted, in the Intensive care units of a super specialty tertiary care center in Coimbatore, India. Quantitative research approach was used to assess the effectiveness of nursing interventions on prevention of facial pressure ulcer among patients on Non-invasive ventilation. The research design adopted for this study was Quasi-experimental Time series with multiple institution of treatment design. Non Probability Purposive sampling was adopted for selecting the samples (N=44). The samples were assigned to two groups, experimental (N=22) and control (N=2) based on inclusive and exclusive criteria. Baseline assessment of facial pressure ulcer was done using Braden Scale for all samples. The tailored Nursing Interventions were given to the experimental group whereas the control group received routine care. Posttest was done to both the groups using the same scale.
Result: The facial pressure ulcer risk score in experimental group and control group showed a significant difference from 12th hour onwards to 42nd hour. Statistically, there was no significant difference in the mean facial pressure risk score before and after intervention in the control group (F=1.84, p<0.05).
Conclusion: The tailored Nursing intervention was effective in reducing facial pressure ulcer among patients on NIV. It is a cost effective method and can be incorporated as the evidence based practice in hospital settings.
Jayasri J, Malarvizhi S, Dr. Jaeny Kemp. Effectiveness of nursing intervention on prevention of facial pressure ulcer among patients on non-invasive ventilation: A quasi experimental study. Int J Adv Res Nurs 2023;6(2):42-45. DOI: 10.33545/nursing.2023.v6.i2.A.339