Preventing lesions of nasal septum in preterm newborns: an integrative literature review

Authors

  • Suely de Fátima Santos Freire Bonfim Universidade Federal de Pernambuco
  • Simone Maria Muniz da Silva Bezerra Universidade Federal de Pernambuco (UFPE) e Universidade de Pernambuco (UPE)
  • Maria Gorete Lucena de Vasconcelos Universidade Federal de Pernambuco (UFPE)
  • Luciana Pedrosa Leal Universidade Federal de Pernambuco (UFPE)

DOI:

https://doi.org/10.5216/ree.v16i2.21350

Keywords:

Continuous Positive Airway Pressure, Infant, Premature, Wounds and Injuries, Nursing Care

Abstract

The goal of this study is to investigate scientific evidence related to nursing care for preventing lesions of the nasal septum in preterm infants who are using nasal prong ventilation.  It is an integrative literature review through LILACS, BDENF, CINAHAL, PUBMED and SciELO library electronic databases. We selected 09 studies between 2000 and 2013, available online or through the author, published in Portuguese, English and Spanish. The results displayed that 70% of the studies examine the quality and adaptation of nasal devices and the nursing team’s continual vigilance. Septum and nasal columella inspection, hydrocolloid protection and adequate system installation were considered important factors which contribute towards preventing lesions. We conclude that the adaptation of nursing care and constant monitoring of the device and of the newborn during ventilation are necessary to prevent nasal septum lesions.

doi: 10.5216/ree.v16i2.21350.

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Author Biographies

Suely de Fátima Santos Freire Bonfim, Universidade Federal de Pernambuco

Enfermeira, Mestre em Enfermagem. Enfermeira da Unidade de Terapia Intensiva Neonatal do Hospital das Clínicas da Universidade Federal de Pernambuco (UFPE). Recife, PE, Brasil. E-mail: sfbonfim@uol.com.br.

Simone Maria Muniz da Silva Bezerra, Universidade Federal de Pernambuco (UFPE) e Universidade de Pernambuco (UPE)

Enfermeira, Doutora em Fisiologia Geral. Professora Adjunta da UFPE. Recife, PE, Brasil. E-mail: simonemuniz@yahoo.com.br.

Maria Gorete Lucena de Vasconcelos, Universidade Federal de Pernambuco (UFPE)

Enfermeira, Doutora em Enfermagem em Saúde Pública. Professora Associada da UFPE. Bolsista de Produtividade em Pesquisa do CNPq - Nível 2. Recife, PE, Brasil. E-mail:mariagoretevasconcelos@gmail.com.

Luciana Pedrosa Leal, Universidade Federal de Pernambuco (UFPE)

Enfermeira, Doutora em Nutrição. Professora Adjunta da UFPE. Recife, PE, Brasil. E-mail: lucianapleal@hotmail.com.

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Published

2014-06-30

Issue

Vol. 16 No. 2 (2014)

Section

Review Article