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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Nursing Culture and Technology
Juanda Mutifa
universitas indonesia
Computer Science & IT Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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The Effectiveness Of The Protective Barrier Of The Skin Against Medical Adhesive Related Skin Injury (Marsi) In Children Treated In Pediatric Intensive Care Units : Systematic Review Juanda Mutifa; Nani Nurhaeni; Dessie Wanda
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. Special Edition (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (724.518 KB)

Abstract

Aims: Providing medical equipment intervention increases the risk of MARSI in newborns with laceration and traumatic wounds in the subcutaneous tissue of the skin. The application of an adhesive or a skin barrier is one technique to lower the risk of MARSI. Nonetheless, past research has yielded mixed results in terms of its usefulness in reducing the risk of MARSI. Purpose: This study is to conduct a literature evaluation on the effectiveness of using a skin barrier to reduce the occurrence of MARSI. Methods: A systematic review of four databases was conducted, including Scopus, EBSCOhost, SAGE, and Wiley. A total of 8 publications were reviewed utilizing inclusion and exclusion criteria with a total end of article review. Results: The application of adhesive efficiently and considerably reduces the risk of MARSI, according to 5 of 8 articles. Conclusion: It is recommended that adhesive be used in an integrated manner on a regular basis to prevent the incidence of MARSI in babies. 
THE EFFECT OF HYDROCOLLOID PROPHYLAXIS IN PREVENTING MEDICAL ADHESIVE-RELATED SKIN INJURY (MARSI) IN CHILDREN WITH ENDOTRACHEAL TUBES IN THE PEDIATRIC INTENSIVE CARE UNIT Juanda Mutifa; Nani Nurhaeni; Robiyatul Adawiyah
Journal of Nursing Culture and Technology Vol. 3 No. 1 (2026): Volume 3 No. 1 2026
Publisher : rifascholarpublisher.com

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70049/jnctech.v3i1.61

Abstract

Background: Endotracheal tube (ETT) insertion is a common therapy for critically ill children in the pediatric intensive care unit (PICU). Medical adhesives used to secure the ETT may compromise skin integrity, leading to medical adhesive-related skin injury (MARSI). Preventive strategies are needed to reduce the risk of MARSI in pediatric patients. Objective: This study aimed to examine the effect of hydrocolloid prophylaxis in preventing MARSI in children with ETT in the intensive care unit. Methods: A one-shot case study design was used involving 15 pediatric patients with ETT in the intensive care unit. Hydrocolloid prophylaxis was applied to prevent skin injury caused by medical adhesives. Data were analyzed to determine the occurrence of MARSI after the intervention. Results: The findings showed that only two out of 15 respondents experienced MARSI, with a statistically significant result (p = 0.001; p < 0.05). Conclusion: Hydrocolloid prophylaxis was effective in preventing MARSI in children with ETT. The use of this prophylactic intervention is recommended for implementation by nurses in the pediatric intensive care unit.
Co-Authors Nani Nurhaeni Robiyatul Adawiyah Wanda , Dessie