Risk factors of hospital acquired pressure injury for critically ill patients connected with nasogastric tube

Document Type : Original Article

Authors

1 Assistant Lecturer of Critical Care and Emergency Nursing Faculty of Nursing, Assiut University, Egypt.

2 Professor of Critical Care and Emergency Nursing Faculty of Nursing, Assiut University, Egypt.

Abstract

Background: There are several uses for nasogastric (NG) tubes, including decompression, gastric aspiration, nourishment and drug administration, and even diagnostic purposes. Mesenteric tubes may be smaller in diameter and less flexible than nasogastric tubes. These features make nasogastric and mesenteric tubes susceptible to hospital-acquired pressure injuries (HAPIs) that affect the nares' epidermal tissue. Aim: To assess risk factors of hospital acquired pressure injury for critically ill patients connected with nasogastric tube. Design: Descriptive & correlational research design. Setting: Critical care units (general intensive care unit, traumatic unit and anesthesia unit) at Assiut university hospital. Sample: Purposive sample of 60 adult patients. Tools: The methods for gathering information were a 3-part (patient assessment tool, Nasogastric tube assessment tool, and Evaluation occurrence of nasogastric tube related pressure injury). Results: The mean size of the nasogastric tube, duration of nasogastric tube placement, and frequency of re-intubation were significantly higher among patients with nasal pressure injuries (16.44 ± 1.04, 11.74 ± 1.94, and 1.78 ± 0.417, respectively) compared to those without injuries (15.73 ± 0.962, 9.19 ± 2.62, and 1.44 ± 0.507, respectively), with statistical significance (p < 0.01).Conclusion: There were multiple risk factors that could contribute to nasogastric tube related pressure injury in intensive care unit for the studied patients such as size and duration of nasogastric tube, and frequency of re-intubation. Recommendation: Implement routine and systematic skin assessments, to detect early signs of pressure injury in patients with nasogastric tubes.

Keywords

Files

Share

How to cite

Statistics