Research Article
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Abstract
Purpose
The purpose of this article was to determine specific skin injury prevention interventions for neonates in the NICU.
Design
The design was a systematic review.
Sample
PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, and Scopus were systematically searched to identify quantitative studies identifying skin injury preventions for neonates in the NICU.
Outcomes
The outcomes included skin integrity or skin condition.
Results
Nineteen studies were included in the review. Twelve studies included a randomized design. Barriers were the main interventions for the prevention of pressure injury, medical adhesive skin injury, diaper dermatitis, and general skin condition. The types of barriers included hydrocolloids, polyurethane-based dressings, film-forming skin protectant, or emollients. Nonbarrier interventions included rotation between a mask and nasal continuous positive airway pressure (NCPAP) interfaces, utilization of prescribed guidelines to decrease pressure injuries, and use of a lower concentration of chlorhexidine gluconate as a disinfectant.
| Period | Abstract | Full | Total | |
|---|---|---|---|---|
| Jan 2022 | 269 | 14 | 7 | 290 |
| Dec 2021 | 847 | 4 | 3 | 854 |
| Nov 2021 | 320 | 27 | 22 | 369 |
| Oct 2021 | 185 | 15 | 14 | 214 |
| Sep 2021 | 144 | 21 | 17 | 182 |
| Aug 2021 | 136 | 9 | 10 | 155 |
| Jul 2021 | 102 | 12 | 12 | 126 |
| Jun 2021 | 98 | 9 | 9 | 116 |
| May 2021 | 221 | 14 | 11 | 246 |
| Apr 2021 | 270 | 20 | 14 | 304 |
| Mar 2021 | 405 | 14 | 15 | 434 |
| Feb 2021 | 355 | 30 | 21 | 406 |
| Jan 2021 | 2017 | 22 | 17 | 2056 |
| Dec 2020 | 817 | 22 | 26 | 865 |