Introduction: The immaturity of the integumentary system in premature newborns (PTNB), associated with ventilatory support, contributes to the higher occurrence of nasal trauma. Objective: This article reports on the case of a newborn submitted to Kinesio® Taping as an innovative prophylactic therapy for nasal trauma. Method: We report on Kinesio® Taping, a material frequently used to treat pain in athletes, as an innovative therapeutic tool to prevent nasal septal lesions in a PTNB undergoing noninvasive mechanical ventilation (NIMV), who, after 13 days on NIMV, presented with nasal septal lesions. Results: The Kinesio® Taping, was positioned to protect the nasal septum from friction caused by direct contact of the nasal prong, maintained NIMV pressure, adapted well to the shape of the nose and improved nasal trauma after 3 days of use. Conclusion: Given that breathing in this period of life occurs predominantly through the nose and maintaining the integrity of this mucosa reduces not only respiratory discomfort, but also deformities and the risk of infections. The present study presents KT as an innovative protective tool against nasal injury in premature newborns submitted to positive pressure ventilation using nasal prongs. Despite describing a single case, the results obtained were promising. However, studies with a larger sample and different groups are needed, primarily to compare with existing methods.
Introduction: Validated instruments assess asthma control, improving its management. Most are available only in electronic versions, which may limit the assessment of children who live far from reference centers. Nevertheless, electronic instruments for assessing asthma control in the Brazilian population are scarce. Objective: To assess the psychometric properties of the electronic version of the Pediatric Asthma Control and Communication Instrument (e-PACCI). Methods: This exploratory psychometric study included caregivers of children or adolescents diagnosed with asthma. Those who dropped out or had difficulties understanding and communicating were excluded. A two-week interval was adopted between the standard interview and e-PACCI assessments. Results: A total of 62 individuals were included in the study; 95.1% were women. The e-PACCI presented good internal consistency (Cronbach’s α = 0.84) and agreement (ICC = 0.87; CI = 0.81 to 0.91; p < 0.001). The t-test demonstrated equality between versions (p = 0.94). The criterion validity for the asthma control domain presented a moderate correlation between versions (r = 0.52; p = 0.01), and the Spearman test correlated the Pediatric Quality of Life Inventory with the asthma control domain of the e-PACCI for construct validity. The asthma symptoms and treatment problems domains presented moderate (r = 0.63; p < 0.001) and weak correlations (r = 0.28; p = 0.02), respectively. In addition, the worry and communication domains did not correlate. Conclusion: The e-PACCI demonstrated reliable and valid psychometric properties.
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