title: [Preventing Facial Pressure Injuries in Patients Who Use Noninvasive Positive Pressure Ventilators: The Efficiency of Dressings].
abstract: BACKGROUND
  Noninvasive positive pressure ventilation (NPPV) provides ventilation without tracheal intubation. Facial pressure injury is a recognized complication of this technique, making the prevention of facial pressure injuries an important issue for NPPV patients.
  
  
  OBJECTIVE
  The present study compared the effects of foam dressing and hydrocolloid dressing in preventing facial pressure injuries in NPPV patients.
  
  
  METHODS
  A randomized clinical trial was used to evaluate participants that were referred from the intensive care unit of a medical center in eastern Taiwan. Participants were randomized into two groups: the foam dressing group and the hydrocolloid dressing group. Statistics used in analysis were: analysis mean, standard deviation, chi-square, independent t-test, and the generalized estimating equation.
  
  
  RESULTS
  Sixty participants were enrolled as participants. The incidence rate of facial pressure injury was 11.7% (7/60). No significant difference was found between the two groups in terms of duration of NPPV use, incidence of facial pressure injury, and occurrence time of facial pressure injury. However, the hydrocolloid dressing group had a higher usage amount than the foam dressing group (p < .05).
  
  
  CONCLUSIONS
  Foam and hydrocolloid dressings are both helpful in preventing facial pressure injury when used in conjunction with regular skin assessments.
authors.affiliation: MSN, RN, Assistant Head Nurse, Department of Nursing, Hualien Tzu Chi Hospital, and Doctoral Student, Institute of Medical Sciences, Tzu Chi University, Taiwan, ROC. chiahua@tzuchi.com.tw.
authors.forename: Chia-Hua
authors.initials: CH
authors.lastname: Tai
authors.affiliation: MSN, RN, Wound and Ostomy Nurse, Department of Nursing, Hualien Tzu Chi Hospital, Taiwan, ROC.
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Hsu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D001458:Bandages; D047070:Bandages, Hydrocolloid; D005151:Facial Injuries / Q000517:prevention & control; D063087:Noninvasive Ventilation / Q000295:instrumentation; D011175:Positive-Pressure Respiration / Q000295:instrumentation; D012122:Ventilators, Mechanical; D003668:Pressure Ulcer / Q000517:prevention & control
keywords:  facial pressure injury ;  foam dressing ;  hydrocolloid dressing ;  noninvasive positive pressure ventilators ;  pressure injury prevention 