{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:49:45Z","timestamp":1787982585518,"version":"build-2784847793"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>This study aimed to investigate factors associated with facial pressure injury (FPI) in patients receiving non\u2010invasive positive pressure ventilation (NIPPV) during hospitalisation in the intensive care unit (ICU) and to identify predictors of FPI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Non\u2010invasive positive pressure ventilation is a method of treating patients with acute and chronic respiratory failure. However, FPI may occur due to unsuitable nasal\u2010oral NIPPV masks and discomfort in contact with the skin surface.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2018 to October 2020, a total of 397 patients admitted to a national hospital in Taiwan were enrolled. Patients received NIPPV and routinely used under\u2010mask prophylactic dressings during hospitalisation. Patients were divided into the non\u2010FPI group (<jats:italic>n<\/jats:italic>\u00a0=\u00a0357) and the FPI group (<jats:italic>n<\/jats:italic>\u00a0=\u00a040). Demographic, clinical characteristics, acute physiology and chronic health evaluation II scores, and Braden Scale scores were collected from medical records. Logistic regression analysis was performed to examine the contribution of each factor to the FPI, and odds ratios were reported. The STROBE checklist was used in this retrospective case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant differences between the groups in age, serum albumin, C\u2010reactive protein, body mass index (BMI), disease severity, Braden Scale score, length of stay, duration of mechanical ventilation and use of corticosteroids. Logistic regression analysis revealed that the risk factor for FPI was the Braden Scale score [OR\u00a0=\u00a01.630 (1.176\u20132.260)], BMI [OR\u00a0=\u00a00.396 (0.210\u20131.784)] and corticosteroids [OR\u00a0=\u00a00.394 (0.159\u20131.811)], which were predictors of FPI in patients with NIPPV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Facial pressure injury may still occur in patients who routinely use prophylactic dressings under NIPPV masks. This study provides information on continuing education training for FPI to more accurately identify high\u2010risk and timely preventive measures to reduce FPI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Addressing FPI\u2010related factors to prevent facial skin damage and reduce comorbidities in patients using NIPPV masks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16585","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T05:05:01Z","timestamp":1668575101000},"page":"149-161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors associated with facial pressure injury in patients receiving non\u2010invasive positive pressure ventilation mask: A retrospective case\u2013control study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8021-5682","authenticated-orcid":false,"given":"Pei\u2010Ling","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Nursing Chung Shan Medical University  Taichung City Taiwan"},{"name":"Department of Nursing Chuang Shan Medical University Hospital  Taichung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6190-5159","authenticated-orcid":false,"given":"Yi\u2010Jou","family":"Li","sequence":"additional","affiliation":[{"name":"Miaoli Hospital Ministry of Health and Welfare  Miaoli County Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6557-5719","authenticated-orcid":false,"given":"Hsiang\u2010Chu","family":"Pai","sequence":"additional","affiliation":[{"name":"Department of Nursing Chung Shan Medical University  Taichung City Taiwan"},{"name":"Department of Nursing Chuang Shan Medical University Hospital  Taichung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7927-0868","authenticated-orcid":false,"given":"Chien\u2010Chi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Health, National Taichung University of Science and Technology  Taichung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u2010481X.2012.00948.x"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2018.5.22058"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12791"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12401"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029058"},{"issue":"1","key":"e_1_2_15_7_1","first-page":"17","article-title":"The preventative effect of hydrocolloid dressings on nasal bridge pressure ulceration in acute noninvasive ventilation","volume":"88","author":"Bishopp A.","year":"2019","journal-title":"The Ulster Medical Journal"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770170609"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.003414"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-200401000-00010"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.25270\/wmp.2019.2.3038"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet070"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010265X\u2010TCE\u20102018\u20100371"},{"key":"e_1_2_15_14_1","unstructured":"Centers for disease control and prevention. 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