ORIGINAL RESEARCH article
Front. Med.
Sec. Pulmonary Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1650103
Application of a Self-made Protective Nasal Strip for Pressure Injury Prevention in Patients Receiving High-Flow Nasal Cannula Therapy: A Randomized Controlled Study
Provisionally accepted
- 1Wuxi Ninth People's Hospital, Wuxi, China
- 2Wuxi ninth people’s hospital, Wuxi, China
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Background: High-Flow Nasal Cannula (HFNC) therapy is a clinical method for providing high-flow oxygen treatment, widely used for patients requiring respiratory support but who are not suitable for or do not need invasive mechanical ventilation.However, prolonged use of HFNC may lead to complications such as skin pressure ulcers. The modified pressure-reducing fixation protective nasal strip as an innovative nursing measure, is expected to reduce the incidence of these complications. This paper aims to study the application effect of the modified pressure-reducing fixation protective nasal strip in the care of patients undergoing high-flow nasal humidification oxygen therapy.This study was a prospective, randomized controlled trial that included 60 patients receiving high-flow nasal cannula (HFNC) therapy. Participants were randomly divided into two groups: the observation group (n=30), which used a modified decompression fixation protective patch, and the control group (n=30), which received hydrocolloid dressing protection in addition to standard care. The study compared general demographic data, the interval time between changing fixation straps, the times of adjusting the catheter position, the effectiveness of skin management, the number of ineffective oxygenation attempts, the incidence of adverse events, and patient comfort scores between the two groups.The general information of the two groups was compared and found to be balanced and comparable (P>0.05). The comparison showed that the interval time between changing fixation straps, the times of adjusting the catheter position, the number of ineffective oxygenation attempts, and the incidence of adverse events in the observation group were all lower than those in the control group, with statistically significant differences (P<0.05). The effectiveness of skin management (Braden score) and comfort level in the observation group were higher than those in the control group, with statistically significant differences (P<0.05).When it comes to the treatment of patients receiving HFNC therapy, the modified pressure-reducing fixation protective nasal strip shows notable efficacy. It lessens the amount of unsuccessful oxygenation attempts, successfully improves skin control, raises patient happiness and comfort, and lightens the workload of medical staff. It is therefore advised that clinical nursing practice use it widely.
Keywords: HFNC, Pressure Ulcer, Patient comfort, Modified Pressure-Reducing Fixation Protective Nasal Strip, Nursing efficacy
Received: 19 Jun 2025; Accepted: 30 Jul 2025.
Copyright: © 2025 Zhou, He and Sang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jianying Sang, Wuxi ninth people’s hospital, Wuxi, China
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