Reasons and Frequency of Orogastric Tube Change in Preterm Infants by Nurses Working in Neonatal Intensive Care Units
Öz
Objective: Among nutritional support methods for preterm infants, enteral feeding via orogastric tube is widely used clinically. This study aims to determine the causes and frequency of orogastric tube replacement in preterm infants.
Materials and Methods: The descriptive study was conducted with 154 nurses working in NICUs. 'Descriptive Information Form' for nurses and an 'Orogastric Tube Evaluation Form' developed with expert opinion were used to collect data. Descriptive statistics were used to analyze the data.
Results: The mean age of the nurses in the study was 30.97±5.79, the mean number of years working in the profession was 8.57±6.21, and the mean number of years working in the NICU was 5.94±4.63 years. It was found that 95.5% of the nurses were female, 73.4% had an undergraduate degree, 90.9% worked in a 3rd level NICU and 82.5% had NICU training. The most common reason for orogastric tube replacement was the infant pulling out the orogastric tube (98.1%). The frequency of orogastric tube replacement was higher in the night shift. However, the frequency of orogastric tube replacement was 2 or more times (71.4%) especially in infants followed up with CPAP. It was observed that the frequency of changing the orogastric tube was higher in the prone position (27.9%) and the frequency of changing the orogastric tube (73.4%) was higher in preterm infants fed 12*1.
Conclusion: It was concluded that problems related to OGT fixation were the most common reasons for orogastric tube replacement.
Anahtar Kelimeler
Kaynakça
- 1. WHO. (2020, 22.06.2023). Preterm birth. Available: https://www.who.int/news-room/fact-sheets/detail/preterm-birth.
- 2. Z. Şengun and D. K. Şener, "The effect of feeding methods of bottle and injector on the transition to full breastfeeding and sucking success in preterm newborns: A randomized controlled trial," vol. 67, pp. e65-e70, 2022.
- 3. S. Yurttutan and N. Uraş, 1st, Ed. Feeding the premature baby with breast milk (Enteral feeding of the premature baby ). Istanbul: İstanbul Tıp Kitabevi., 2013.
- 4. V. Walsh, J. V. E. Brown, B. R. Copperthwaite, S. J. Oddie, and W. McGuire, "Early full enteral feeding for preterm or low birth weight infants," no. 12, 2020.
- 5. T. Lin et al., "Promoting enteral tube feeding safety and performance in preterm infants: A systematic review," vol. 128, p. 104188, 2022.
- 6. R. Çelen, F. T. Arslan, and H. Soylu, "The Effect of Education on Oral Feeding Supporting Practices in Preterm Babies on Health Professionals in NICU: A quasi-experimental study," Genel Tıp Dergisi, vol. 32, no. 2, pp. 108-113, 2022.
- 7. İ. K. Gökçe, "Current approaches to enteral feeding in preterm infants," İnönü Üniversitesi Tıp Fakültesi Dergisi vol. 23, no. 2, 2016.
- 8. J. A. Dawson, R. Summan, N. Badawi, and J. P. Foster, "Push versus gravity for intermittent bolus gavage tube feeding of preterm and low birth weight infants," no. 8, 2021.
- 9. G. Srivastava, A. Garg, A. Chhavi, M. M. A. Faridi, "Effect of kangaroo mother care on pain during orogastric tube insertion in low‐birthweight newborns: An open label, randomised trial," vol. 58, no. 12, pp. 2248-2253, 2022.
- 10. C. T. d. Cruz, J. S. Gomes, R. M. Kirchner, and E. M. F. J. R. D. Stumm, "Evaluation of pain of neonates during invasive procedures in intensive care," vol. 17, pp. 197-200, 2016.
- 11. L. Maggio, S. Costa, C. Zecca, and L. J. E. h. d. Giordano, "Methods of enteral feeding in preterm infants," vol. 88, pp. S31-S33, 2012.
- 12. A. T. Badran, M. Hashish, A. Ali, M. Shokeir, and A. J. A. J. o. P. Shabaan, "Nasogastric versus orogastric bolus tube feeding in preterm infants: pilot randomized clinical trial," vol. 38, no. 14, pp. 1526-1532, 2020.
- 13. NHS. (2016, 10.07.2023). Resource set: initial placement checks for nasogastric and orogastric tubes. Available: https://www.england.nhs.uk/wp-content/uploads/2016/07/Resource_set_-_Initial_placement_checks_for_NG_tubes_1.pdf.
- 14. P. Jani et al., "Global variation in skin injures and skincare practices in extremely preterm infants," vol. 19, no. 2, pp. 139-157, 2023.
- 15. M. S. M. Ismail, E. S. Mahrous, and R. A. J. I. J. N. H. S. Mokbel, "Facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit," vol. 6, pp. 18-28, 2020.
- 16. A. Lary, L. Borimnejad, M. J. T. J. o. p. Mardani-Hamooleh, and n. nursing, "The impact of a stress management program on the stress response of nurses in neonatal intensive care units: a quasi-experimental study," vol. 33, no. 2, pp. 189-195, 2019.
- 17. E. Yarar and S. J. A. Ü. S. B. D. Küçük, "Yenidoğan Yoğun Bakım Hemşireliği: Yenidoğan Bakımına İlişkin Rol ve Bakım Kriterleri Farkındalığı," no. 1, pp. 148-153, 2020.
- 18. D. Wang et al., "Medical adhesive-related skin injuries and associated risk factors in a pediatric intensive care unit," vol. 32, no. 4, pp. 176-182, 2019.
- 19. L. McNichol, C. Lund, T. Rosen, and M. J. O. N. Gray, "Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries," vol. 32, no. 5, pp. 267-281, 2013.
- 20. Y. Albahrani and R. Hunt, "Newborn skin care," Pediatric Annals, vol. 48, no. 1, pp. e11-e15, 2019.
- 21. C. Lund, "Medical adhesives in the NICU," Newborn Infant Nursing Reviews, vol. 14, no. 4, pp. 160-165, 2014.
- 22. V. A. Cirik and E. Efe, "The effect of expressed breast milk, swaddling and facilitated tucking methods in reducing the pain caused by orogastric tube insertion in preterm infants: A randomized controlled trial," International Journal of Nursing Studies, vol. 104, p. 103532, 2020.
- 23. J. A. Santos, R. S. Procianoy, B. Bohrer, C. Noer, G. A. Librelato, and J. N. J. J. d. p. Campelo, "Do newborn infants feel pain when submitted to gastric suctioning?," vol. 77, pp. 374-380, 2001.
- 24. E. E. M. Hanafy, S. D. Ashebu, N. A. Naqeeb, and H. B. Nanda, "Pericardial sac perforation: a rare complication of neonatal nasogastric tube feeding," Pediatric radiology, vol. 36, pp. 1096-1098, 2006.
- 25. T. Maeda, T. Tachibana, and T. Harada, "Esophageal perforation with orogastric tube malposition in low‐birth‐weight infant," Clinical Case Reports, vol. 7, no. 9, pp. 1794-1795, 2019.
- 26. A. J. Hesketh, C. A. Behr, S. Z. Soffer, A. R. Hong, and R. D. J. j. o. s. r. Glick, "Neonatal esophageal perforation: nonoperative management," vol. 198, no. 1, pp. 1-6, 2015.
- 27. M. A. Kisting, L. Korcal, and D. L. J. J. o. P. N. Schutte, "Lose the whoosh: an evidence-based project to improve NG tube placement verification in infants and children in the hospital setting," vol. 46, pp. 1-5, 2019.
- 28. A. S. Rima MZ, S. Amrit L, and A. S. Qusai, "Esophageal perforation in neonates: a report of seven cases from Kuwait," 2005.
- 29. L. Filippi, M. Pezzati, and C. Poggi, "Use of polyvinyl feeding tubes and iatrogenic pharyngo‐oesophageal perforation in very‐low‐birthweight infants," Acta Paediatrica, vol. 94, no. 12, pp. 1825-1828, 2005.
Yenidoğan Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin Preterm Bebeklerde Orogastrik Tüp Değiştirme Nedenleri ve Sıklığı
Öz
Giriş ve Amaç: Prematüre bebeklerin beslenme destek yöntemlerinden orogastrik tüple enteral beslenme klinikte yaygın olarak kullanılmaktadır. Bu çalışmanın amacı prematüre bebeklerde orogastrik tüp değiştirilme nedenlerini ve sıklığını belirlemektir.
Gereç ve Yöntemler: Tanımlayıcı tipteki çalışma YYBÜ'lerde çalışan 154 hemşire ile yürütüldü. Verilerin toplanmasında hemşirelere yönelik 'Tanıtıcı Bilgi Formu' ve uzman görüşü alınarak geliştirilen 'Orogastrik Tüp Değerlendirme Formu' kullanıldı. Verilerin analizinde tanımlayıcı istatistiklerden yararlanıldı.
Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 30,97±5,79, meslekte çalıştıkları yıl ortalaması 8,57±6,21 ve YYBÜ'de çalıştıkları yıl ortalaması 5,94±4,63 yıldı. Hemşirelerin %95,5'inin kadın olduğu, %73,4'ünün lisans mezunu olduğu, %90,9'unun 3. basamak YYBÜ'de çalıştığı ve %82,5'inin YYBÜ eğitimi aldığı belirlendi. En sık orogastrik tüp değişimi nedeni bebeğin orogastrik tüpü çıkarması (%98,1) idi. Orogastrik tüp değiştirme sıklığı gece vardiyasında daha fazlaydı. Ancak özellikle CPAP ile takip edilen bebeklerde orogastrik tüp değişimi sıklığının 2 kat (%71,4) fazla olduğu görüldü. Yüzüstü pozisyonda orogastrik tüp değiştirme sıklığının (%27,9) ve 12*1 ile beslenen pretermlerde orogastrik tüp değiştirme sıklığının (%73,4) daha fazla olduğu görüldü.
Sonuç: Orogastrik tüp değişiminin en sık nedeninin orogastrik tüpün sabitlenmesine bağlı problemler olduğu sonucuna varıldı.
Anahtar Kelimeler
Kaynakça
- 1. WHO. (2020, 22.06.2023). Preterm birth. Available: https://www.who.int/news-room/fact-sheets/detail/preterm-birth.
- 2. Z. Şengun and D. K. Şener, "The effect of feeding methods of bottle and injector on the transition to full breastfeeding and sucking success in preterm newborns: A randomized controlled trial," vol. 67, pp. e65-e70, 2022.
- 3. S. Yurttutan and N. Uraş, 1st, Ed. Feeding the premature baby with breast milk (Enteral feeding of the premature baby ). Istanbul: İstanbul Tıp Kitabevi., 2013.
- 4. V. Walsh, J. V. E. Brown, B. R. Copperthwaite, S. J. Oddie, and W. McGuire, "Early full enteral feeding for preterm or low birth weight infants," no. 12, 2020.
- 5. T. Lin et al., "Promoting enteral tube feeding safety and performance in preterm infants: A systematic review," vol. 128, p. 104188, 2022.
- 6. R. Çelen, F. T. Arslan, and H. Soylu, "The Effect of Education on Oral Feeding Supporting Practices in Preterm Babies on Health Professionals in NICU: A quasi-experimental study," Genel Tıp Dergisi, vol. 32, no. 2, pp. 108-113, 2022.
- 7. İ. K. Gökçe, "Current approaches to enteral feeding in preterm infants," İnönü Üniversitesi Tıp Fakültesi Dergisi vol. 23, no. 2, 2016.
- 8. J. A. Dawson, R. Summan, N. Badawi, and J. P. Foster, "Push versus gravity for intermittent bolus gavage tube feeding of preterm and low birth weight infants," no. 8, 2021.
- 9. G. Srivastava, A. Garg, A. Chhavi, M. M. A. Faridi, "Effect of kangaroo mother care on pain during orogastric tube insertion in low‐birthweight newborns: An open label, randomised trial," vol. 58, no. 12, pp. 2248-2253, 2022.
- 10. C. T. d. Cruz, J. S. Gomes, R. M. Kirchner, and E. M. F. J. R. D. Stumm, "Evaluation of pain of neonates during invasive procedures in intensive care," vol. 17, pp. 197-200, 2016.
- 11. L. Maggio, S. Costa, C. Zecca, and L. J. E. h. d. Giordano, "Methods of enteral feeding in preterm infants," vol. 88, pp. S31-S33, 2012.
- 12. A. T. Badran, M. Hashish, A. Ali, M. Shokeir, and A. J. A. J. o. P. Shabaan, "Nasogastric versus orogastric bolus tube feeding in preterm infants: pilot randomized clinical trial," vol. 38, no. 14, pp. 1526-1532, 2020.
- 13. NHS. (2016, 10.07.2023). Resource set: initial placement checks for nasogastric and orogastric tubes. Available: https://www.england.nhs.uk/wp-content/uploads/2016/07/Resource_set_-_Initial_placement_checks_for_NG_tubes_1.pdf.
- 14. P. Jani et al., "Global variation in skin injures and skincare practices in extremely preterm infants," vol. 19, no. 2, pp. 139-157, 2023.
- 15. M. S. M. Ismail, E. S. Mahrous, and R. A. J. I. J. N. H. S. Mokbel, "Facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit," vol. 6, pp. 18-28, 2020.
- 16. A. Lary, L. Borimnejad, M. J. T. J. o. p. Mardani-Hamooleh, and n. nursing, "The impact of a stress management program on the stress response of nurses in neonatal intensive care units: a quasi-experimental study," vol. 33, no. 2, pp. 189-195, 2019.
- 17. E. Yarar and S. J. A. Ü. S. B. D. Küçük, "Yenidoğan Yoğun Bakım Hemşireliği: Yenidoğan Bakımına İlişkin Rol ve Bakım Kriterleri Farkındalığı," no. 1, pp. 148-153, 2020.
- 18. D. Wang et al., "Medical adhesive-related skin injuries and associated risk factors in a pediatric intensive care unit," vol. 32, no. 4, pp. 176-182, 2019.
- 19. L. McNichol, C. Lund, T. Rosen, and M. J. O. N. Gray, "Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries," vol. 32, no. 5, pp. 267-281, 2013.
- 20. Y. Albahrani and R. Hunt, "Newborn skin care," Pediatric Annals, vol. 48, no. 1, pp. e11-e15, 2019.
- 21. C. Lund, "Medical adhesives in the NICU," Newborn Infant Nursing Reviews, vol. 14, no. 4, pp. 160-165, 2014.
- 22. V. A. Cirik and E. Efe, "The effect of expressed breast milk, swaddling and facilitated tucking methods in reducing the pain caused by orogastric tube insertion in preterm infants: A randomized controlled trial," International Journal of Nursing Studies, vol. 104, p. 103532, 2020.
- 23. J. A. Santos, R. S. Procianoy, B. Bohrer, C. Noer, G. A. Librelato, and J. N. J. J. d. p. Campelo, "Do newborn infants feel pain when submitted to gastric suctioning?," vol. 77, pp. 374-380, 2001.
- 24. E. E. M. Hanafy, S. D. Ashebu, N. A. Naqeeb, and H. B. Nanda, "Pericardial sac perforation: a rare complication of neonatal nasogastric tube feeding," Pediatric radiology, vol. 36, pp. 1096-1098, 2006.
- 25. T. Maeda, T. Tachibana, and T. Harada, "Esophageal perforation with orogastric tube malposition in low‐birth‐weight infant," Clinical Case Reports, vol. 7, no. 9, pp. 1794-1795, 2019.
- 26. A. J. Hesketh, C. A. Behr, S. Z. Soffer, A. R. Hong, and R. D. J. j. o. s. r. Glick, "Neonatal esophageal perforation: nonoperative management," vol. 198, no. 1, pp. 1-6, 2015.
- 27. M. A. Kisting, L. Korcal, and D. L. J. J. o. P. N. Schutte, "Lose the whoosh: an evidence-based project to improve NG tube placement verification in infants and children in the hospital setting," vol. 46, pp. 1-5, 2019.
- 28. A. S. Rima MZ, S. Amrit L, and A. S. Qusai, "Esophageal perforation in neonates: a report of seven cases from Kuwait," 2005.
- 29. L. Filippi, M. Pezzati, and C. Poggi, "Use of polyvinyl feeding tubes and iatrogenic pharyngo‐oesophageal perforation in very‐low‐birthweight infants," Acta Paediatrica, vol. 94, no. 12, pp. 1825-1828, 2005.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Birinci Basamak Sağlık Hizmetleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Aralık 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 10 Sayı: 4 |
