Pengaruh Skin Barrier Hidrokoloid Terhadap Medical Adhesive Related Skin Injury Pada Bayi di Ruang Nicu RS X Jakarta Barat

Entin Claudia Watumlawar, Tuti Asrianti Utami, Wilhelmus Hary Susilo

Sari


ABSTRACT

 

Skin trauma caused by Medical Adhesive Related Skin Injury (MARSI) is a common problem among infants in the NICU and may increase the risk of infection and negatively affect clinical outcomes. To analyze the effect of hydrocolloid skin barrier use on the occurrence of MARSI among infants treated in the NICU of Hospital X, Jakarta Barat. This study employed a quantitative method with a cross-sectional design and a retrospective approach conducted from March to July 2025. A total of 70 infants were selected using total sampling. Data were collected using the Neonatal Skin Risk Assessment Scale (NSRAS), Statistical analysis was performed using Spearman’s Rho test. The used of Hydrocolloid skin barrier showed no significant effect on MARSI (p > 0.05). Gestational age had a significant effect on MARSI on day 1 (p = 0.037), while birth weight had a significant effect on MARSI on day 1 (p = 0.000) and day 3 (p = 0.015). No significant effects were found on day 5 (p > 0.05). Hydrocolloid skin barriers were not shown to significantly reduce MARSI incidence. Gestational age and birth weight were identified as important risk factors for MARSI, particularly during the early days of NICU care, emphasizing the need for careful skin monitoring and strengthened preventive protocols in neonatal units

 

Keywords: Infants, Hydrocolloid, MARSI.

 

 

ABSTRAK

 

Trauma kulit pada bayi di NICU sering terjadi akibat Medical Adhesive Related Skin Injury (MARSI) yang dapat meningkatkan risiko infeksi serta memengaruhi kondisi klinis bayi. Menganalisis pengaruh penggunaan hydrocolloid skin barrier terhadap kejadian MARSI pada bayi yang dirawat di NICU RS X Jakarta Barat. Penelitian menggunakan metode kuantitatif dengan desain cross-sectional dan pendekatan retrospektif yang dilaksanakan pada Maret–Juli 2025. Sampel sebanyak 70 bayi diperoleh melalui teknik total sampling, data dikumpulkan dengan instrumen NSRAS (Neonatal Skin Risk Assessment Scale) dan Analisis data dilakukan dengan uji Spearman’s Rho. Hydrocolloid skin barrier tidak menunjukkan pengaruh signifikan terhadap kejadian MARSI (p>0,05). Usia gestasi berpengaruh signifikan terhadap MARSI pada hari pertama (p=0,037), sedangkan berat badan lahir berpengaruh signifikan pada hari pertama (p=0,000) dan hari ketiga (p=0,015), namun tidak berpengaruh pada hari kelima (p>0,05). Hydrocolloid skin barrierbelum terbukti secara signifikan menurunkan kejadian MARSI, sementara faktor usia gestasi dan berat lahir berperan penting terhadap risiko MARSI terutama pada awal perawatan, sehingga diperlukan pemantauan kulit yang ketat serta penguatan standar prosedur pencegahan MARSI di NICU.

 

Kata Kunci: Bayi, Hidrokoloid, MARSI.


Teks Lengkap:

Download Artikel

Referensi


Abkenar, M. J., Mojen, L. K., Shakeri, F., & Varzeshnejad, M. (2020). Skin injuries and its related factors in the neonatal intensive care unit. Iranian Journal of Neonatology, 11(4), 93–98. https://doi.org/10.22038/ijn.2020.45342.1756

August, D. L., Kandasamy, Y., Ray, R., Lindsay, D., & New, K. (2021). Fresh Perspectives on Hospital-Acquired Neonatal Skin Injury Period Prevalence from a Multicenter Study: Length of Stay, Acuity, and Incomplete Course of Antenatal Steroids. Journal of Perinatal and Neonatal Nursing, 35(3), 275–283. https://doi.org/10.1097/JPN.0000000000000513

Barton, A., Broadhurst, D., Hitchcock, J., Lund, C., McNichol, L., Ratliff, C. R., Moraes, J. T., Yates, S., & Gray, M. (2024). Medical Adhesive-Related Skin Injury at 10 Years: An Updated Consensus. Journal of Wound, Ostomy, and Continence Nursing : Official Publication of The Wound, Ostomy and Continence Nurses Society, 51(5S Suppl 5), 2–8. https://doi.org/10.1097/WON.0000000000001116

Collier, M., & Downie, F. (2022). MARSI: an essential update. Wounds UK, 18(1), 86–89.

El-hadary, S., & Hassan, E. (2023). Effect of Skin Injury Preventive Strategy on Neonatal Skin Condition at Neonatal Intensive Care Unit. Assiut Scientific Nursing Journal, 11(34), 78–88. https://doi.org/10.21608/asnj.2023.185498.1482

Fumarola, S., Allaway, R., Callaghan, R., & Collier, M. (2020). Overlooked and underestimated : Medical Adhesive-Related Skin Injury, best practice consensus document on prevention. J Wound Care, 29(Suppl 3c), S1–S24. www.wounds-uk.com.

Mutifa, J., Nurhaeni, N., & Apriyanti, E. (2023). Effectiveness Of Skin Barrier Acrylate Terpolymer On Medical Adhesive Related To Skin Injury (MARSI) in Children At Pediatric Intensive Care Unit Dr. Cipto Mangunkusumo Hospital. Medica Hospitalia : Journal of Clinical Medicine, 10(3), 283–288. https://doi.org/10.36408/mhjcm.v10i3.928

Mutifa, J., Nurhaeni, N., & Wanda, D. (2022). The Effectiveness Of The Protective Barrier Of The Skin Against Medical Adhesive Related Skin Injury (Marsi) In Children Treated In Pediatric Intensive Care Units.Jurnal Keperawatan. 8(June). http://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/380%0Ahttp://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/download/380/236

Nguyen, N., Dulai, A. S., Adnan, S., Khan, Z. E. H., & Sivamani, R. K. (2025). Narrative Review of the Use of Hydrocolloids in Dermatology: Applications and Benefits. Journal of Clinical Medicine, 14(4), 1–11. https://doi.org/10.3390/jcm14041345

Nicolosi, B., Neri, E., Fioravanti, L., Leoncini, S., De Felice, C., Garcìa-Molina, P., & Mugnaini, A. (2025). Predictive Performance of Device-Neonatal Skin Risk Assessment Scale to Evaluating Pressure Injuries Risk in the Neonates. An Observational Multicenter Study. Journal of Clinical Nursing, 1–13. https://doi.org/10.1111/jocn.17825

Novardian, ., Sulaeman, S., Purwati, N. H., & Sari, W. (2020). The Effectiveness of Skin Barrier on Medical Adhesive Related Skin Injury in Neonates at Perinatology Dr. Cipto Mangunkusumo Hospital Jakarta. Icinna 2018, 187–192. https://doi.org/10.5220/0008222801870192

Özsayın, A., & Çetinkaya, B. (2024). Prevention of Skin Damage Caused by Medical Adhesive Removal in Premature Infants. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 7(1), 1–10. https://doi.org/10.38108/ouhcd.1178060

Rahayu, S., Dewi, Y. S., & Budi, A. S. (2023). Efektivitas Penggunaan Nirs Bundle dan Double Skin Barrier Hydrocolloid terhadap Penurunan Nasal Injury pada Bayi Prematur dengan NCPAP. Journal of Telenursing (JOTING), 5(1), 32–42. https://doi.org/10.31539/joting.v5i1.4841

Samuriwo, R., Holloway, S., Ousey, K., & Leblanc, K. (2024). Critical analysis of the consensus document on current advances in risk assessment, prevention, and treatment of skin tears. A response from ISTAP. Journal of Wound Management, 25(2), 77–80. https://doi.org/10.35279/jowm2024.25.02.07

Tenfen, C., Barreto, G. M. S., Moreira, N. M., Ferreira, H., Zilly, A., & da Silva, R. M. M. (2024). Skin injuries in newborns hospitalized in neonatal intensive care: a cross-sectional study*. Revista Da Escola de Enfermagem, 58, 1–9. https://doi.org/10.1590/1980-220X-REEUSP-2024-0058EN

Terapia, U. De. (2024). Factors Associated with Skin Injury in Hospitalized Newborns in Intensive Care Units. 029, 1–9.

Zanatta, D. A., Carvalho, V. O., & da Silva, R. P. G. V. C. (2023). What the skin of 341 premature newborns says - a transversal study. Jornal de Pediatria, 99(6), 582–587. https://doi.org/10.1016/j.jped.2023.04.005

Bryant, A. R., & Nix, D. P. (2024). Acute and chronic wounds: Current management concepts (6th ed.). Elsevier.

Cohen, A. B. (2022). Pediatric dermatology (5th ed.). Elsevier.

Harjati, T., Rustina, Y., Hayati, H., Natalia, R., & Adawiyah, R. (2023). Validasi eksternal Skin Risk Assessment Management Tool (SRAMT) di RSUPN Dr. Cipto Mangunkusumo Jakarta. Universitas Indonesia.

Alamsyah, R. P., Abidin, Z., Rahmawati, A. D., et al. (2024). Gizi dan kesehatan masyarakat. Sada Kurnia Pustaka.

Kaneshiro, N. K. (2023, June 11). Gestational age. MedlinePlus.

https://medlineplus.gov/ency/article/002367.html

Suherlin, I., Yukianingsih, E., & Porouw, S. H. (2024). Buku ajar asuhan neonatus, bayi dan balita. Deepublish.

Sandriani., Widyantari, Y. K., Prabandari, F., Setyatama, I. P., & Fatmawati, R. (2024). Buku ajar bayi baru lahir. Mahakarya Citra Utama Group.

Rumah Sakit X Jakarta Barat. (2023). SOP pengkajian integritas kulit terhadap risiko luka tekan (pressure ulcer) pada pasien neonatus (SPO-NSG-SKILL-0435) [Unpublished institutional document]. RS X Jakarta Barat.

Burns, R., & Bell, T. (2024). Skincare bundle for the very low birth weight and extremely low birth weight neonate. Journal of Neonatal Nursing, 30(1), 98–101.

Moore, K. L., Persaud, T. V. N., & Torchia, M. G. (2020). The developing human: Clinically oriented embryology (11th ed.). Elsevier.




DOI: https://doi.org/10.33024/mnj.v8i5.22980

Refbacks

  • Saat ini tidak ada refbacks.