摘要
目的评价和总结成人住院患者失禁相关性皮炎(IAD)结构化皮肤护理方案的相关证据,为临床护理决策提供参考。方法计算机检索BMJ Best Practice、UpToDate、澳大利亚Joanna Briggs Institute循证卫生保健中心图书馆、加拿大安大略省注册护士协会网站、国际指南协作网、美国国立指南网、英国国家卫生与临床优化研究所、医脉通、Cochrane Library、PubMed、Web of Science、CINAHL、Embase、万方数据库、维普网、中国知网、中国生物医学文献数据库中与成人住院患者IAD结构化皮肤护理相关的临床决策、指南、证据总结、系统评价、专家共识。检索时限为建库至2021年4月30日。由2名研究者独立对所纳的证据进行质评价量和推荐级别评定。结果共纳入14篇文献,包括2篇临床决策、1篇实践指南、6篇证据总结、2篇系统评价、3篇专家共识;从构化皮肤护理的评估、清洁、保湿和隔离4个方面汇总了29条最佳证据。结论医护人员应将证据与临床情景、患者的偏好相结合,从而制订最佳的皮肤结构化护理临床决策,提高成人住院患者IAD的护理质量。
Objective To evaluate and summarize evidence related to structured skin care for incontinence-associated dermatitis(IAD)in adult inpatients,so as to provide a reference for clinical nursing decision-making.Methods Clinical decisions,guidelines,evidence summaries,systematic reviews,expert consensus related to structured skin care for IAD in adult inpatients were retrieved by computer in British Medical Journal Best Practice,UpToDate,Joanna Briggs Institute Evidence-Based Health Care Centre in Australia,Canadian Registered Nurses Association of Ontario,Guidelines International Network,National Guideline Centre,National Institute for Health and Care Excellence,Medlive,the Cochrane Library,PubMed,Web of Science,CINAHL,Embase,WanFang Data,VIP,China National Knowledge Infrastructure,China Biomedical Literature Database.The retrieval time limit was from the establishment of the database to April 30,2021.Two investigators independently assessed the quality of the included evidence and the level of recommendation.Results A total of 14 articles were included,involving 2 clinical decisions,1 practice guideline,6 evidence summaries,2 systematic reviews,and 3 expert consensus.A total of 29 best evidence was compiled from 4 aspects of structured skin care assessment,cleansing,moisturizing and isolation.Conclusions Medical and nursing staff should integrate evidence with clinical scenarios and patient preferences to make optimal clinical decisions on structured skin care and improve the quality of care for adult inpatients with IAD.
作者
李文娟
王海播
王靓
王冠东
张雪华
宾永
陈印
Li Wenjuan;Wang Haibo;Wang Liang;Wang Guandong;Zhang Xuehua;Bin Yong;Chen Yin(Respiratory and Intensive Care Unit,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2022年第14期1884-1890,共7页
Chinese Journal of Modern Nursing
基金
中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019036)
河南省中医药科学研究专项课题(20-21ZY2306)。
关键词
成年人
住院患者
失禁相关性皮炎
结构化皮肤护理
循证护理
Adult
Inpatients
Incontinence-associated dermatitis
Structured skin care
Evidence-based nursing
作者简介
通信作者:王海播,Email:haiboqwzx815815@163.com。
