the Effect of Different Wound Dressing on Prevention of Pressure ınjury Related to NIMV Mask

Study Overview
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Brief Summary
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This study is aimed to examine the effect of different wound dressings on the prevention of pressure injury in the face area related to noninvasive mechanical ventilation mask. The study was completed out with 102 patients who were followed up in Chest Diseases and Thoracic Surgery Hospital between October 2019 and August 2020 and met the inclusion criteria of the study. In the study, hydrocellular and hydrocolloid wound dressing was applied to the pressure areas under the mask of noninvasive mechanical ventilation in the intervention groups, while the routine treatment process was followed in the control group. Wound dressings were obtained from HARTMANN. Study data were collected with the Individual Characteristics Form and Pressure Injury Rating Scale.

Detailed Description
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In the hospital where the study was conducted, patients with respiratory failure receive NIMV treatment with an oro-nasal mask. In the study, hydrocolloid and hydrocellular wound dressings were placed on the pressure areas under the mask of the patients in the intervention group. NIMV treatment was applied to the face area of the patients in the control group with an oronasal mask without using any barrier cover. The pressure areas of the patients in the intervention and control groups were evaluated with the pressure injury scale before and after the NIMV treatment. Follow-up was carried out twice a day for 7 days.

Official Title
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The Effect of Different Wound Dressing on Prevention of Pressure Injury Related to Noninvasive Mechanical Ventilation Mask in Patients With Respiratory Failure

Conditions
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Pressure Injury

Intervention / Treatment
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* Other: wound dressing under the NIMV mask


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over 18 years, receiving NIMV therapy for at least 6 hours a day, on the first day of hospitalization and followed up for at least 7 days, receiving NIMV treatment with an oro-nasal mask, tolerant of mask, Exclusion Criteria: patients with pre-treatment pressure injuries in the facial area, patients with diabetes mellitus, patients with mental or psychological problems

Ages Eligible for Study
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Minimum Age: 22 Years
Maximum Age: 86 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: semi-experimental study with post test, control group
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group-1<br>Hydrocolloid wound dressings were placed on the pressure areas under the NIMV mask of the patients in this group. | Other: wound dressing under the NIMV mask<br>* wound dressing under the NIMV mask<br>|
| Experimental: intervention group-2<br>Hydrocelluler wound dressings were placed on the pressure areas under the NIMV mask of the patients in this group. | Other: wound dressing under the NIMV mask<br>* wound dressing under the NIMV mask<br>|
| No Intervention: control group<br>Patients in this group were treated without placing an additional dressing under the NIMV mask. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 1st day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 2nd day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 3rd day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 4th day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 5th day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 6th day | 
| pressure injury stage | The development of pressure injury in the facial region of the patients after the intervention was evaluated twice a day with the pressure injury scale. | 7th day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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noninvasive mechanical ventilation, pressure injury, wound dressing