Ribeiro Débora de Fátima Camillo, Hembecker Paula Karina, Nakato Adriane Muller, Fernandes Beatriz Luci, Nohama Percy
Neonatal Services, Waldemar Monastier Hospital, Campo Largo, Paraná, Brazil.
Graduate Program on Health Technology, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil.
J Multidiscip Healthc. 2023 Aug 2;16:2217-2229. doi: 10.2147/JMDH.S415748. eCollection 2023.
To evaluate the health professionals' satisfaction regarding the short binasal prong used in Neonatal Intensive Care Units (NICU), evaluate the difficulties related to its use, and present possible improvements in the design of this device.
Observational, cross-sectional study with prospective data collection carried out in the NICU of a public hospital in southern Brazil. This research was presented into two stages. In the first stage, the Quebec User Evaluation of Satisfaction with Assistive Technology was applied with 90 health professionals to evaluate the satisfaction regarding the short binasal prong. In the second stage, the health professional's experiences and difficulties in using the binasal prongs in 14 newborns (NBs) that required non-invasive ventilation was collected. The short binasal prongs used was the Fanem brand and the CPAP circuit was Gabisa Medical International (GMI). Finally, improvements and recommendations were presented to optimize the device's design.
The mean score of the health professionals' satisfaction with short binasal prongs was 3.8 ± 0.6. Ease of adjustment (3.27) and dimensions (3.62) variables had the worst scores. The main difficulties pointed out by health professionals were: circuit disconnection (57.1%), the size of the prong did not correspond to NBs' anatomical characteristics (35.7%), air leakage (21.4%), and difficulty in fixing and positioning the prong in the NB (14.28%). The improvements suggested were: appropriate prong sizes based on the anatomical characteristics of the NBs; adjustable distance between insertion and base catheters; manufactured with malleable material, however not easily foldable; curved and adjustable insertion catheters and functional system of tracheas' connection.
The dissatisfaction of health professionals with the dimensions and prongs adjustments and the difficulties faced in clinical practice indicate the need for improvements in these interfaces. The recommendations presented in this study may contribute to optimizing the design of the binasal prong in the future.
评估医疗专业人员对新生儿重症监护病房（NICU）使用的短双侧鼻塞的满意度，评估其使用相关的困难，并提出该设备设计的可能改进之处。
在巴西南部一家公立医院的新生儿重症监护病房进行了一项前瞻性数据收集的观察性横断面研究。本研究分为两个阶段。第一阶段，对90名医疗专业人员应用魁北克辅助技术用户满意度评估，以评估对短双侧鼻塞的满意度。第二阶段，收集了14名需要无创通气的新生儿使用双侧鼻塞时医疗专业人员的经验和困难。使用的短双侧鼻塞为法内姆品牌，持续气道正压通气（CPAP）回路为加比萨医疗国际（GMI）品牌。最后，提出改进措施和建议以优化设备设计。
医疗专业人员对短双侧鼻塞的满意度平均得分为3.8±0.6。调整便利性（3.27）和尺寸（3.62）变量得分最差。医疗专业人员指出的主要困难有：回路断开（57.1%）、鼻塞尺寸与新生儿解剖特征不符（35.7%）、漏气（21.4%）以及在新生儿中固定和定位鼻塞困难（14.28%）。建议的改进措施有：根据新生儿解剖特征提供合适的鼻塞尺寸；插入导管和基部导管之间的距离可调节；用可延展材料制造，但不易折叠；插入导管弯曲且可调节，以及气管连接功能系统。
医疗专业人员对尺寸和鼻塞调整不满意以及临床实践中面临的困难表明需要改进这些接口。本研究提出的建议可能有助于未来优化双侧鼻塞的设计。
