Gauze versus solid skin barrier for tracheostomy care: A crossover randomized clinical trial

Wen Ling Chuang, Wen Pei Huang, Mei Hsing Chen, I. Ping Liu, Wen Liang Yu, Chi Chun Chin

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8 Citations (Scopus)

Abstract

PURPOSE: The aim of this study was to compare gauze and a solid pectin-based skin barrier to evaluate clinical outcomes and cost-effectiveness of care for tracheos-tomy wounds. METHODS: A randomized clinical trial with crossover design was conducted to compare gauze to a solid skin barrier for management of patients with tracheostomies. The main study outcomes were skin integrity, dressing change frequency, time required for dressing changes, product costs, and nurses' satisfaction. SETTING AND SUBJECTS: A convenience sample was recruited from 2 medical centers in Taiwan. Using permuted block randomization, patients undergoing tracheostomy were randomly allocated to 1 of 2 groups. One group received tracheostomy care with gauze for the first 6 days and a solid pectin-based skin barrier for the following 6 days. This regimen was reversed in the second group. RESULTS: Skin integrity was significantly better among patients managed with a solid skin barrier as compared to management with gauze (Z = - 2.75, P =.006). No significant differences in dressing change frequency, time required for dressing changes, or product costs between the 2 groups were found. Nurses' satisfaction was significantly higher for the solid skin barrier as compared to gauze (Z = - 2.31, P =.021, for group 1, and T = - 1.97, P =.048, for group 2). CONCLUSIONS: The use of a solid skin barrier for trache-ostomy care was associated with lower occurrences of impaired skin integrity and higher satisfaction among nurses when compared to gauze.

Original languageEnglish
Pages (from-to)573-579
Number of pages7
JournalJournal of Wound, Ostomy and Continence Nursing
Volume40
Issue number6
DOIs
Publication statusPublished - Nov 2013
Externally publishedYes

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Keywords

  • Clinical trial
  • Cost-effectiveness
  • Tracheostomy
  • Wound care

ASJC Scopus subject areas

  • Advanced and Specialised Nursing
  • Medical–Surgical

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