Suely de Fátima Santos Freire Bonfim

Prevalencia de lesao do septo nasal em prematuros no uso de prongas nasais

The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.Investigar la prevalencia y factores asociados con la lesion del tabique nasal en bebes prematuros en uso de la ventilacion no invasiva. Estudio de corte transversal, los datos se obtuvieron de los registros medicos, entrevistas con las madres y 47 de evaluacion prematura de nasal entre marzo y julio de 2012, en la unidad neonatal de un hospital universitario de Recife, Pernambuco, Noreste de Brasil. El analisis se realizo mediante estadistica descriptiva y bivariado mediante la prueba de chi-cuadrado o la prueba exacta de Fisher, utilizando el software SPSS. La prevalencia de lesiones nasales fue 68,1%, bajo peso al nacer y la duracion del tratamiento se asocio con una lesion nasal. La prevalencia de lesion nasal en esta poblacion es alta y se asocia con bajo peso al nacer y la duracion de la estancia en la ventilacion no invasiva. Esto infiere la necesidad de medidas preventivas, como la atencion de enfermeria, un ajuste continuo de los dispositivos de servicio y educacion continua.The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.

Nasal septum injury in preterm infants using nasal prongs

OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs. METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied. RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infants treatment was a determinant factor for the occurrence and severity of the injuries. CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention.OBJETIVO: avaliar a incidencia e os fatores de risco associados a lesao de septo nasal em prematuros utilizando prongas nasais reutilizadas e novas. METODO: o estudo foi de coorte de intervencao terapeutica aberta. A amostra incluiu 70 neonatos com idade gestacional abaixo de 37 semanas, utilizando prongas nasais, internados na unidade neonatal de um hospital do Recife, Pernambuco, Nordeste do Brasil. Os dados foram coletados em prontuarios, pela avaliacao da aplicacao do dispositivo e do septo nasal. Foi realizada analise de Regressao Logistica Multinomial e de Sobrevida. RESULTADOS: a incidencia de lesao nasal foi de 62,9%. Na analise multipla, apenas o tempo de permanencia do neonato na terapeutica foi fator determinante para a ocorrencia e severidade das lesoes. CONCLUSAO: o tipo de pronga nasal nao constitui fator de risco para a lesao nasal. A alta incidencia de lesao nasal indica a necessidade de adequacao dos cuidados de enfermagem enfatizando a prevencao.

Lesão de septo nasal em neonatos pré-termo no uso de prongas nasais

OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs. METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied. RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infants treatment was a determinant factor for the occurrence and severity of the injuries. CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention.OBJETIVO: avaliar a incidencia e os fatores de risco associados a lesao de septo nasal em prematuros utilizando prongas nasais reutilizadas e novas. METODO: o estudo foi de coorte de intervencao terapeutica aberta. A amostra incluiu 70 neonatos com idade gestacional abaixo de 37 semanas, utilizando prongas nasais, internados na unidade neonatal de um hospital do Recife, Pernambuco, Nordeste do Brasil. Os dados foram coletados em prontuarios, pela avaliacao da aplicacao do dispositivo e do septo nasal. Foi realizada analise de Regressao Logistica Multinomial e de Sobrevida. RESULTADOS: a incidencia de lesao nasal foi de 62,9%. Na analise multipla, apenas o tempo de permanencia do neonato na terapeutica foi fator determinante para a ocorrencia e severidade das lesoes. CONCLUSAO: o tipo de pronga nasal nao constitui fator de risco para a lesao nasal. A alta incidencia de lesao nasal indica a necessidade de adequacao dos cuidados de enfermagem enfatizando a prevencao.

Prevalence of nasal septum injury in premature infants using nasal prongs

The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.Investigar la prevalencia y factores asociados con la lesion del tabique nasal en bebes prematuros en uso de la ventilacion no invasiva. Estudio de corte transversal, los datos se obtuvieron de los registros medicos, entrevistas con las madres y 47 de evaluacion prematura de nasal entre marzo y julio de 2012, en la unidad neonatal de un hospital universitario de Recife, Pernambuco, Noreste de Brasil. El analisis se realizo mediante estadistica descriptiva y bivariado mediante la prueba de chi-cuadrado o la prueba exacta de Fisher, utilizando el software SPSS. La prevalencia de lesiones nasales fue 68,1%, bajo peso al nacer y la duracion del tratamiento se asocio con una lesion nasal. La prevalencia de lesion nasal en esta poblacion es alta y se asocia con bajo peso al nacer y la duracion de la estancia en la ventilacion no invasiva. Esto infiere la necesidad de medidas preventivas, como la atencion de enfermeria, un ajuste continuo de los dispositivos de servicio y educacion continua.The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.

Lesión de tabique nasal en neonatos pretérmino en el uso de prongs nasales

OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs. METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied. RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infants treatment was a determinant factor for the occurrence and severity of the injuries. CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention.OBJETIVO: avaliar a incidencia e os fatores de risco associados a lesao de septo nasal em prematuros utilizando prongas nasais reutilizadas e novas. METODO: o estudo foi de coorte de intervencao terapeutica aberta. A amostra incluiu 70 neonatos com idade gestacional abaixo de 37 semanas, utilizando prongas nasais, internados na unidade neonatal de um hospital do Recife, Pernambuco, Nordeste do Brasil. Os dados foram coletados em prontuarios, pela avaliacao da aplicacao do dispositivo e do septo nasal. Foi realizada analise de Regressao Logistica Multinomial e de Sobrevida. RESULTADOS: a incidencia de lesao nasal foi de 62,9%. Na analise multipla, apenas o tempo de permanencia do neonato na terapeutica foi fator determinante para a ocorrencia e severidade das lesoes. CONCLUSAO: o tipo de pronga nasal nao constitui fator de risco para a lesao nasal. A alta incidencia de lesao nasal indica a necessidade de adequacao dos cuidados de enfermagem enfatizando a prevencao.

Prevalencia de lesiones de septo nasal en el uso de canulas nasales

The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.Investigar la prevalencia y factores asociados con la lesion del tabique nasal en bebes prematuros en uso de la ventilacion no invasiva. Estudio de corte transversal, los datos se obtuvieron de los registros medicos, entrevistas con las madres y 47 de evaluacion prematura de nasal entre marzo y julio de 2012, en la unidad neonatal de un hospital universitario de Recife, Pernambuco, Noreste de Brasil. El analisis se realizo mediante estadistica descriptiva y bivariado mediante la prueba de chi-cuadrado o la prueba exacta de Fisher, utilizando el software SPSS. La prevalencia de lesiones nasales fue 68,1%, bajo peso al nacer y la duracion del tratamiento se asocio con una lesion nasal. La prevalencia de lesion nasal en esta poblacion es alta y se asocia con bajo peso al nacer y la duracion de la estancia en la ventilacion no invasiva. Esto infiere la necesidad de medidas preventivas, como la atencion de enfermeria, un ajuste continuo de los dispositivos de servicio y educacion continua.The aim of this study was to investigate the prevalence and factors associated with nasal septum injury in preterm infants in the use of noninvasive ventilation. A cross-sectional study with data collection between March and July 2012 and with search for records, interviews with mothers and nasal evaluation of 47 premature in the neonatal unit of a teaching hospital in Recife, Pernambuco, northeastern Brazil. A descriptive bivariate statistical analysis was performed through the chi-square test or Fisher exact test using the SPSS software. The prevalence of nasal lesions was 68.1%, associated with low birth weight and duration of treatment. The prevalence of nasal injury in this population is high and associated with low birth weight and length of stay in noninvasive ventilation. Due to these facts the necessity for preventive actions was noticed, such as continuous care in nursing, suitability of devices and permanent education in service.