Impact of Clinical Nursing Practice Guideline for Premature Baby who Receive Non-Invasive Ventilator on Complications from Non-Invasive Ventilator

Main Article Content

Kasama Kanchan
Alisa Khunkaew
Montha Udomlerd
Bootsakorn Yotsai

Abstract

This study employed a quasi-experimental, two-group post-test design to investigate the impact of Clinical Nursing Practice Guideline for premature newborn receiving non-invasive ventilator support on complications associated with this form of respiratory support. A sample of 60 participants was selected based on specific criteria and divided into two groups: a control group (n=30) receiving standard nursing care and an experimental group (n=30) receiving care according to the Nursing Guidelines for neonatal respiratory support. Research instruments included predetermined neonatal nursing practices for infants receiving non-invasive respiratory support, a general data recording form, and an assessment form for pressure ulcers around the nose, nasal obstruction, and abdominal distension. Statistical analysis involved comparing general data between the control and experimental groups using the Mann-Whitney U-test and independent t-test, and comparing the incidence of complications using the chi-square test.


The study found no statistically significant differences in general data between the groups (p >.05). However, the experimental group exhibited a significantly lower incidence of pressure ulcers around the nose, nasal edema, and abdominal distension compared to the control group (p< .05).


These findings suggest that adhering to predetermined neonatal nursing practices for infants receiving non-invasive respiratory support may reduce complications associated with this form of respiratory support.

Article Details

Section
บทความวิจัย (Research articles)

References

Bashir, T., Murki, S., Kiran, S., Reddy, V. K. & Oleti, T. P. (2019). 'Nasal mask’ in comparison with ‘nasal prongs’ or ‘rotation of nasal mask with nasal prongs’ reduce the incidence of nasal injury in preterm neonates supported on nasal continuous positive airway pressure (nCPAP): A randomized controlled trial. PLoS One, 14(1), e0211476.

Behnke, J., Lemyre, B., Czernik, C., Zimmer, K. P., Ehrhardt, H. & Waitz, M. (2019). Non-invasive ventilation in neonatology. Deutsches Ärzteblatt International, 116(11), 177-183. doi.org/10.3238/arztebl.2019.0177

Boel, L., Hixson, T., Brown, L., Sage, J., Kotecha, S. & Chakraborty, M. (2022). Non-invasive respiratory support in preterm infants. Paediatric Respiratory Reviews, 43, 53-59. doi.org/https://doi.org/10.1016/j.prrv.2022.04.002

Brouwers, M. C. et al. (2010). AGREE II: advancing guideline development, reporting and evaluation in health care. Canadian Medical Association journal, 182(18), E839-E842.

Chinthanawongsa, P., Pookboonmee, R. & Orathai, P. (2016). The effect of clinical nursing practice guidelines to prevent nasal skin injury on nasal skin injury of premature infants with nasal continuous positive airway pressure. Ramathibodi Nursing Journal, 22(1), 35-48. (in Thai).

Elsobkey, F. A. & Amer, S. A. M. (2018). Effect of educational guidelines program about nursing care of neonates receiving continues positive airway pressure. IOSR Journal of Nursing and Health Science, 7(3), 16-26.

Guay, J. M., Carvi, D., Raines, D. A. & Luce, W. A. (2018). Care of the neonate on nasal continuous positive airway pressure: a bedside guide. Neonatal Network, 37(1), 24-32.

Imbulana, D. I., Manley, B. J., Dawson, J. A., Davis, P. G. & Owen, L. S. (2018). Nasal injury in preterm infants receiving non-invasive respiratory support: a systematic review. Archives of Disease in Childhood - Fetal and Neonatal Edition, 103(1), F29-F35. doi.org/10.1136/archdischild-2017-313418

Jirapaet, V. (2020). Nursing care during mechanicak ventilation In S. Punnahitanon (Ed.), Important Issues in Neonatology (Vol. 1, pp. 107-116). Thai Neonatal Society .

Mahmoud, R. A., Schmalisch, G., Oswal, A. & Christoph Roehr, C. (2022). Non-invasive ventilatory support in neonates: An evidence-based update. Paediatric Respiratory Reviews, 44, 11-18. doi.org/10.1016/j.prrv.2022.09.001

Medical and health data system Ministry of Public Health. (2023). Percentage of Thai women giving birth prematurely in the fiscal year. Retrieved (2023, November 2). from

https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated/%20format 1.php&cat_id=1ed90bc32310b503b7ca9b32af425ae5&id=ecdbfc8b4725386c34623ce99f0f4b8d (in Thai).

Nasef, N., Rashed, H. M. E. & Aly, H. (2020). Practical aspects on the use of non-invasive respiratory support in preterm infants. International Journal of Pediatrics and Adolescent Medicine, 7(1), 21-27. doi.org/https://doi.org/10.1016/j.ijpam.2020.02.005

Ohuma, E. O. et al. (2023). National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. The Lancet, 402(10409), 1261-1271.

doi.org/10.1016/S0140-6736(23)00878-4

Polit, D. & Beck, C. (2020). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins.

Ramaswamy, V. V., Devi, R. & Kumar, G. (2023). Non-invasive ventilation in neonates: a review of current literature. Front Pediatr, 11, 1248836. doi.org/10.3389/fped.2023.1248836

Ribeiro, D. d. F. C., Barros, F. S., Fernandes, B. L., Nakato, A. M. & Nohama, P. (2021). Incidence and Severity of Nasal Injuries in Preterm Infants Associated to Non-Invasive Ventilation Using Short Binasal Prong. Global Pediatric Health, 8, 2333794X211010459. doi.org/10.1177/2333794X211010459

Said, K. M., Mohamed, R. A. & Draz, S. F. (2019). Effect of nursing protocol regarding nasal skin breakdown for preterm infants receiving continuous positive airway pressure. Evidence- Based Nursing Research, 1(3), 189-204.

Sammour, I. & Karnati, S. (2020). Non-invasive respiratory support of the premature neonate: from physics to bench to practice. Frontiers in pediatrics, 8, 214.

Shi, Y., Muniraman, H., Biniwale, M. & Ramanathan, R. (2020). A review on non-invasive respiratory support for management of respiratory distress in extremely preterm infants. Frontiers in pediatrics, 8, 270.

Uttaradit Hospital. (2023). Report on the use of mechanical ventilation in premature infants. (in Thai).

Wise, J. (2023). UN warns of preterm birth rates flatlining in every region. The British Medical Journal, 381, 1054. doi.org/10.1136/bmj.p1054