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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Medica Hospitalia
Mutifa, Juanda
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Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health

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EFEKTIVITAS SKIN BARRIER ACRYLATE TERPOLIMER TERHADAP KEJADIAN MEDICAL ADHESIVE RELATED SKIN INJURY (MARSI) PADA ANAK YANG DIRAWAT DI RUANG INTENSIF RSUPN DR. CIPTO MANGUNKUSUMO Mutifa, Juanda; Nurhaeni, Nani; Apriyanti , Efa
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.928

Abstract

BACKGROUND: For a long time, the use of medical adhesives in invasive device installation procedures can cause medical adhesive related to skin injury (MARSI) in children; in order to minimize the risk of MARSI incidents, so that a skin barrier is needed before applying the adhesive. OBJECTIVE: The purpose of this study is to determine the effectiveness of acrylate terpolymer skin barrier against medical adhesive related to skin injury (MARSI) prevention  in children who are treated at the intensive care unit. METHOD: This study used a true experimental design which involved 46 children; it was divided into an intervention group of 24 respondents and a control group of 22 respondents who were treated by using medical adhesive due to the procedure for inserting an endotracheal tube and nasogastric tube. Samples were taken by using random sampling technique. The risk level of skin injury was assessed by using the Braden Q scale and the MARSI incidents were observed by using the observational format. RESULT: The results showed that the acrylate terpolymer skin barrier was effective in reducing the MARSI in children who were treated at the intensive care unit with having a p-value of 0.03 (α <0.05). The use of an acrylate terpolymer skin barrier can be recommended to minimize the incidence of MARSI in children. CONCLUSION: The use of acrylate terpolymer skin barrier significantly minimizes the incidence of MARSI in children.  
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 Mutifa, Juanda; 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

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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. 
Co-Authors Apriyanti , Efa Nani Nurhaeni Wanda , Dessie