The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Comparison of oxygen saturation between no polish nails and self-artificial nails using portable pulse oximeter

휴대용 맥박산소포화도 측정기를 이용한 맨손톱과 셀프 인조손톱의 산소포화도 비교

  • Su-Min Kim (Safety Experience Center, Chungcheongnam-do) ;
  • Kyoung-Youl Lee (Department of Emergency Medical Service, Kongju National University)
  • Received : 2024.03.05
  • Accepted : 2024.04.16
  • Published : 2024.04.30
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Abstract

Purpose: This study aimed to compare the oxygen saturation measured at fingertips with unpolished and self-artificial nails (sticker, tip) using a portable pulse oximeter. Methods: The sample comprised 27 women who had used nail care services. Using a pulse oximeter, oxygen saturation was measured at fingertips with unpolished nails in a stable state. Self-fabricated sticker and tip nails were attached to the right and left hands, respectively, using five nail colors (black, blue, green, purple, and brown). Oxygen saturation was measured at fingertips with self-fabricated nails first in the usual manner and then measured again by rotating the oximeter by 90°. Values of oxygen saturation were compared and analyzed using the Friedman test and Wilcoxon signed-rank test with Bonferroni correction using IBM SPSS 26.0. Results: Oxygen saturation values were significantly different among colors for both sticker nails (p=.036) and tip nails (p=.000), with black self-artificial nails tending to demonstrate lower oxygen saturation. Moreover, oxygen saturation values obtained by measuring the usual way on unpolished nails was significantly different than those obtained by rotating the oximeter by 90° on thumb with sticker (p=.001) and tip nails (p=.001). Conclusion: The findings of this study suggest that oxygen saturation should be measured on other fingers except for thumb instead of removing the self-artificial nails in emergency situations. For patients with black self-artificial nails, is the findings recommend measuring oxygen saturation at other body parts such as toes, earlobes, forehead, etc.

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