Current situation and influencing factors of nasal injury in newborns with nasal continuous positive pressure ventilation
10.3969/j.issn.1671-8283.2025.03.001
- VernacularTitle:经鼻持续气道正压通气新生儿鼻损伤发生率及其影响因素研究
- Author:
Yumin LIU
1
;
Yuxia ZHANG
;
Min ZHOU
;
Yahui CHENG
Author Information
1. 山东大学护理与康复学院,山东 济南,250012;山东大学齐鲁医院 新生儿科,山东 济南,250012
- Publication Type:Journal Article
- Keywords:
nasal injury;
neonatal intensive care unit;
neonate;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(3):1-6
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate current status in nasal injury caused by nasal continuous positive airway pressure(nCPAP)in neonates in the neonatal intensive care unit(NICU)and its influencing factors so as to provide a basis for clinical nursing.Methods Data between October 2022 and March 2024 were collected from 268 neonates who underwent nCPAP in NICU of our hospital.The number of newborn nasal injury was recorded and multivariate logistic regression analysis was used to explore the risk factors associated with nasal injury caused by nCPAP in NICU neonates.Results The incidence of nasal injury in the 268 neonates with nCPAP was 19.40%(52/268).Risk factors that associated with nasal injury included gestational age≤32 weeks,birth weight<1500g,frequency of sedative use within 24 hours≥2 times,forced body position,incubator humidity>65%,lethargy/coma,history of invasive ventilation,neonatal skin risk assessment scale score≥13 points before nCPAP,and with nCPAP≥8 days(all P<0.05).Conclusion The incidence of nasal injury in NICU neonates with nCPAP is high with many influencing factors.Preventive measures should be taken according to the identified risk factors in order to reduce the incidence of nasal injury in neonates with nCPAP.
