The Effectiveness Of The Protective Barrier Of The Skin Against Medical Adhesive Related Skin Injury (Marsi) In Children Treated In Pediatric Intensive Care Units : Systematic Review

Authors

  • Juanda Mutifa universitas indonesia
  • Nani Nurhaeni
  • Dessie Wanda

Keywords:

The MARSI, the Skin Barrier, and the Baby: A Systematic Review.

Abstract

Aims: Providing medical equipment intervention increases the risk of MARSI in newborns with laceration and traumatic wounds in the subcutaneous tissue of the skin. The application of an adhesive or a skin barrier is one technique to lower the risk of MARSI. Nonetheless, past research has yielded mixed results in terms of its usefulness in reducing the risk of MARSI.

Purpose: This study is to conduct a literature evaluation on the effectiveness of using a skin barrier to reduce the occurrence of MARSI.

Methods: A systematic review of four databases was conducted, including Scopus, EBSCOhost, SAGE, and Wiley. A total of 8 publications were reviewed utilizing inclusion and exclusion criteria with a total end of article review.

Results: The application of adhesive efficiently and considerably reduces the risk of MARSI, according to 5 of 8 articles.

Conclusion: It is recommended that adhesive be used in an integrated manner on a regular basis to prevent the incidence of MARSI in babies. 

References

Kudchadkar SR, Beers MC, Ascenzi JA, Jastaniah E, Punjabi NM. Nurses’ Perceptions of Pediatric Intensive Care Unit Environment and Work Experience After Transition to Single-Patient Rooms. Am J Crit care an Off Publ Am Assoc Crit Nurses. 2016 Sep;25(5):e98–107.

Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System. J wound, ostomy, Cont Nurs Off Publ Wound, Ostomy Cont Nurses Soc. 2016;43(6):585–97.

Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011 Sep;8:98.

Ullman AJ, Kleidon T, Gibson V, McBride CA, Mihala G, Cooke M, et al. Innovative dressing and securement of tunneled central venous access devices in pediatrics: a pilot randomized controlled trial. BMC Cancer. 2017 Aug;17(1):595.

Kim YJ, Radloff JC, Crane PA, Bolin LP. Rehabilitation intervention for individuals with heart failure and fatigue to reduce fatigue impact: A feasibility study. Ann Rehabil Med. 2019;43(6):686–99.

Razmus I. Factors Associated With Pediatric Hospital-Acquired Pressure Injuries. J wound, ostomy, Cont Nurs Off Publ Wound, Ostomy Cont Nurses Soc. 2018;45(2):107–16.

Habiballah L. Prevalence of neonate adhesive skin injuries in a Jordanian intensive care unit. Nurs Child Young People. 2017 Dec;29(10):42–6.

Novardian ., Sulaeman S, Purwati NH, Sari W. The Effectiveness of Skin Barrier on Medical Adhesive Related Skin Injury in Neonates at Perinatology Dr. Cipto Mangunkusumo Hospital Jakarta. 2020;(Icinna 2018):187–92.

de Oliveira Marcatto J, Santos AS, Oliveira AJF, Costa ACL, Regne GRS, da Trindade RE, et al. Medical adhesive-related skin injuries in the neonatology department of a teaching hospital. Nurs Crit Care. 2021 Mar;

McManus RJ, Mant J, Franssen M, Nickless A, Schwartz C, Hodgkinson J, et al. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial. Lancet. 2018;391(10124):949–59.

Tian L, Yin X, Zhu Y, Zhang X, Zhang C. Analysis of Factors Causing Skin Damage in the Application of Peripherally Inserted Central Catheter in Cancer Patients. J Oncol. 2021;2021:6628473.

Yates S, McNichol L, Heinecke SB, Gray M. Embracing the Concept, Defining the Practice, and Changing the Outcome: Setting the Standard for Medical Adhesive-Related Skin Injury Interventions in WOC Nursing Practice. J wound, ostomy, Cont Nurs Off Publ Wound, Ostomy Cont Nurses Soc. 2017;44(1):13–7.

McNichol L, Lund C, Rosen T, Gray M. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. J wound, ostomy, Cont Nurs Off Publ Wound, Ostomy Cont Nurses Soc. 2013;40(4):362–5.

Farris MK, Petty M, Hamilton J, Walters S-A, Flynn MA. Medical Adhesive-Related Skin Injury Prevalence Among Adult Acute Care Patients: A Single-Center Observational Study. J wound, ostomy, Cont Nurs Off Publ Wound, Ostomy Cont Nurses Soc. 2015;42(6):589–98.

Additional Files

Published

2022-06-30

How to Cite

Mutifa, J., Nani Nurhaeni, & Dessie Wanda. (2022). The Effectiveness Of The Protective Barrier Of The Skin Against Medical Adhesive Related Skin Injury (Marsi) In Children Treated In Pediatric Intensive Care Units : Systematic Review . Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 8(Special Edition). Retrieved from https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/380