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Replacing Monitoring Electrodes on Infant Skin Every 12 Versus 24 Hours
Kader Demirci1, Esra Uğur, Zehra Kan Öntürk
1At Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey, Kader Demirci, MSc, is Nurse, Pediatric Intensive Care Unit, Atakent Hospital; Esra Uğur, PhD, RN, is Associate Professor, Department of Nursing; and Zehra Kan Öntürk, PhD, RN, is Assistant Professor, Department of Nursing. The authors have disclosed no financial relationships related to this article. Submitted September 24, 2022; accepted in revised form October 20, 2022.
Insights
Replacing monitoring electrodes every 24 hours improved infant skin condition in the pediatric intensive care unit (ICU). More frequent 12-hour changes worsened skin moisture and condition, increasing pressure injury risk.
Area of Science:
- Neonatal intensive care
- Pediatric nursing
- Medical device management
Background:
- Infants in pediatric ICUs often require continuous monitoring.
- Frequent replacement of monitoring electrodes can impact skin integrity.
- Optimizing electrode replacement schedules is crucial for infant care.
Purpose of the Study:
- To investigate how different monitoring electrode replacement frequencies affect infant skin moisture and condition.
- To determine the optimal schedule for electrode changes in pediatric intensive care settings.
Main Methods:
- A study involving 1- to 12-month-old infants in a pediatric ICU.
- Control group: electrodes replaced every 24 hours.
- Experimental group: electrodes replaced every 12 and 24 hours.
- Skin moisture and condition were assessed using the Skin Condition Assessment Scale.
Main Results:
- Both groups showed increased skin moisture, with a greater increase in the experimental group.
- The experimental group experienced a larger increase in skin condition score, indicating worsening skin.
- Increased skin moisture is a known risk factor for medical device-related pressure injuries.
Conclusions:
- Replacing monitoring electrodes every 24 hours benefits infant skin moisture and condition.
- Replacing electrodes every 12 hours negatively impacts skin health.
- A 24-hour replacement schedule is recommended to maintain infant skin integrity.
Objective:
To examine the effect of varying the frequency of monitoring electrode replacement on skin moisture and condition of infants hospitalized in the pediatric ICU.
Methods:
The population of the study consisted of 1- to 12-month-old infants receiving treatment in the pediatric ICU. The control group of the study (n = 33) included infants whose monitoring electrodes were replaced every 24 hours during monitoring, and the experimental group (n = 33) included infants whose monitoring electrodes were replaced every 12 and 24 hours during monitoring. Before assessment, the skin moisture of the monitoring areas was measured and evaluated with the Skin Condition Assessment Scale.
Results:
When the difference in skin moisture was compared for all measurement areas of the infants before monitoring and at the 24-hour mark, an increase in moisture was seen in both groups, and the difference in the experimental group was greater than that in the control group. Increased moisture is a risk factor for medical device-related pressure injuries. When comparing between-group differences in skin condition, the researchers noted a greater increase in skin condition score in the experimental group. An increased score indicates that the infant's skin condition is worsening.
Conclusions:
Replacing the monitoring electrodes every 24 hours positively affected skin moisture and condition, whereas replacing them every 12 hours negatively affected skin moisture and condition.
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