The 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


  • Juanda Mutifa Nursing Master Program University of Indonesia, Depok Indonesia, Indonesia
  • Nani Nurhaeni Nursing Master Program University of Indonesia, Depok Indonesia, Indonesia
  • Efa Apriyanti Nursing Master Program University of Indonesia, Depok Indonesia, Indonesia



Skin Barrier, MARSI, Skin injury, Children


BACKGROUND: For a long time, the use of medical adhesives in invasive device installation procedures can cause medical adhesive related to skin injury (MARSI) in children; in order to minimize the risk of MARSI incidents, so that a skin barrier is needed before applying the adhesive.

OBJECTIVE: The purpose of this study is to determine the effectiveness of acrylate terpolymer skin barrier against medical adhesive related to skin injury (MARSI) prevention  in children who are treated at the intensive care unit.

METHOD: This study used a true experimental design which involved 46 children; it was divided into an intervention group of 24 respondents and a control group of 22 respondents who were treated by using medical adhesive due to the procedure for inserting an endotracheal tube and nasogastric tube. Samples were taken by using random sampling technique. The risk level of skin injury was assessed by using the Braden Q scale and the MARSI incidents were observed by using the observational format.

RESULT: The results showed that the acrylate terpolymer skin barrier was effective in reducing the MARSI in children who were treated at the intensive care unit with having a p-value of 0.03 (α <0.05). The use of an acrylate terpolymer skin barrier can be recommended to minimize the incidence of MARSI in children.

CONCLUSION: The use of acrylate terpolymer skin barrier significantly minimizes the incidence of MARSI in children.



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Mutifa J, Nurhaeni N, Apriyanti E. The 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 J. Clin. Med. [Internet]. 2023 Nov. 29 [cited 2024 May 26];10(3):283-8. Available from:



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