[1]顾梦倩,曹松梅,陈圣枝,等.成人患者医用粘胶剂相关性皮肤损伤预防与管理的最佳证据总结[J].军事护理,2023,40(04):75-79.[doi:10.3969/j.issn.2097-1826.2023.04.019]
 GU Mengqian,CAO Songmei,CHEN Shengzhi,et al.Prevention and Management of Medical Adhesive-related Skin Injuries in Adults:Best Evidence Summary[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(04):75-79.[doi:10.3969/j.issn.2097-1826.2023.04.019]
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成人患者医用粘胶剂相关性皮肤损伤预防与管理的最佳证据总结
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年04期
页码:
75-79
栏目:
循证护理
出版日期:
2023-04-15

文章信息/Info

Title:
Prevention and Management of Medical Adhesive-related Skin Injuries in Adults:Best Evidence Summary
文章编号:
2097-1826(2023)04-0075-05
作者:
顾梦倩1曹松梅2陈圣枝3范伊濛4邹君俊1须月萍5瞿明艳5陈倩1顾懿璐6章晓丹1
(1.常熟市第一人民医院 重症医学科,江苏 常熟 215500; 2.江苏大学附属医院 护理部,江苏 镇江 212000; 3.江苏大学附属医院 普外科; 4.江苏大学医学院 护理系,江苏 镇江 215500; 5.常熟市第一人民医院 护理部; 6.无锡太湖学院 护理系,江苏 无锡 214000)
Author(s):
GU Mengqian1CAO Songmei2CHEN Shengzhi3FAN Yimeng4ZOU Junjun1XU Yueping5QU Mingyan5CHEN Qian1GU Yilu6ZHANG Xiaodan1
(1.Department of Intensive Care Medicine,The First People's Hospital of Changshu,Changshu 215500,Jiangsu Province,China; 2.Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang 212000,Jiangsu Province,China; 3.Department of General Surgery,Affiliated Hospital of Jiangsu University; 4.Department of Nursing,School of Medicine,Jiangsu University,Zhenjiang 215500,Jiangsu Province, China; 5.Nursing Department,The First People's Hospital of Changshu City; 6.Department......)
关键词:
医用粘胶 预防 循证护理
Keywords:
medical adhevise prevention evidence-based nursing
分类号:
R47
DOI:
10.3969/j.issn.2097-1826.2023.04.019
文献标志码:
A
摘要:
目的 汇总成人医用粘胶剂相关性皮肤损伤预防与管理的最佳证据。方法 系统化检索该主题相关文献,对纳入文献进行评价,提取、汇总证据。结果 纳入3篇指南、1篇证据总结、2篇系统评价、4篇专家共识。汇总危险因素,风险评估,医用粘胶剂的储存、选择、使用和移除,皮肤护理,皮肤屏障产品与医用除胶剂,人员教育,处理等7个方面,共30条证据。结论 医用粘胶剂相关性皮肤损伤的预防措施应涵盖患者住院期; 建议医疗人员注重患者皮肤评估,针对性地选择医用粘胶剂,合理使用皮肤屏障和医用除胶产品,以减少皮肤损伤的发生。
Abstract:
Objective To summarize the best evidence for the prevention and management of medical adhesive-related skin injuries(MARSI)in adults.Methods Relevant literature on the subject was systematically searched and the included literature was evaluated, and the evidence was extracted and summarized.Results 3 guidelines,1 evidence summary,2 systematic reviews,and 4 expert consensus were included.A total of 30 pieces of evidence were extracted from 7 aspects,including risk factors,risk assessment,storage,selection,use and removal of adhesives,skin care,skin barrier products and medical adhesive removers,personnel education and treatment.Conclusions The prevention measures of MARSI should be taken throughout the hospitalization period.It is suggested that medical personnel should pay attention to patients' skin assessment,select adhesives pertinently,use skin barrier products and medical adhesive removers rationally,so as to reduce the occurrence of MARSI.

参考文献/References:

[1] YATES S,MCNICHOL L,HEINECKE S B,et al.Embracing the concept,defining the practice,and changing the outcome:setting the standard for medical adhesive-related skin injury interventions in WOC nursing practice[J].J Wound Ostomy Continence Nurs,2017,44(1):13-17.
[2] FUMAROLA S,ALLAWAY R,CALLAGHAN R,et al.Overlooked and underestimated:medical adhesive-related skin injuries[J].J Wound Care,2020,29(Sup3c):S1-S24.
[3] ZHANG Y,WANG S,ZHANG X X,et al.Incidence and influencing factors of medical adhesive-related skin injury in critically ill patients[J].Adv Ski Wound Care,2020,33(5):260-266.
[4] 李海英.成人ICU患者医用黏胶相关性皮肤损伤危险因素分析及风险评估量表的研制[D].太原:山西医科大学,2018.
[5] WHITEHORN A.Medical adhesive injury:prevention[EB/OL].[2021-07-24].https://ovidsp.dc2.ovid.com/ovid-b/ovidweb.cgi?&S=GIIFFPNEFJEBLMEOJPOJGFBHIJHIAA00&Complete+Reference=S.sh.36%7c1%7c1&Counter5=SS_view_found_complete%7cJBI24446%7cjbi%7cjbidb%7cjbi&Counter5Data=JBI24446%7cjbi%7cjbidb%7cjbi.
[6] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2018:37.
[7] BROUWERS M C,KHO M E,BROWMAN G P,et al.AGREE Ⅱ: advancing guideline development,reporting and evaluation in health care[J].J Clin Epidemiol,2010,63(12):1308-1311.
[8] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志,2011,11(9):1084-1089.
[9] The Joanna Briggs Institute.Checklist for text and opinion[EB/OL].[2021-07-24].http//joannabriggs.org/research/criti-cal-appraisal-tools.html.
[10]GORSKI L A,HADAWAY L,HAGLE M E,et al.Infusion therapy standards of practice[J].J Infus Nurs,2021,44(suppl 1):S1-S224.
[11]BEECKMAN D,CAMPBELL K E,CAMPBELL J,et al.Best practice recommendations for holistic strategies to promote and maintain skin integrity[EB/OL].[2021-07-24].http://www.skintears.org/publications/articles/.
[12]LEBLANC K,CAMPBELL K E,BEECKMAN D,et al.Best practice recommendations for the prevention and management of skin tears in aged skin[J/OL].[2021-07-24].http://www.skintears.org/publications/articles/.DOI:10.1097/WON.00000 00000000481.
[13]COWDEL F,JADOTTE Y T,ERSSER S J,et al.Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings[J/OL].[2021-07-24].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC699608 8/.DOI: 10.1002/14651858.CD011377.pub2.
[14]陈琛,陆巍,吴玲,等.医用粘胶剂相关性皮肤损伤文献的系统性回顾[J].护理学杂志,2016,31(20):99-103.
[15]KELLY-O'FLYNN S,MOHAMUD L,COPSON D.Medical adhesive-related skin injury[J].Br J Nurs,2020,29(6):S20-S26.
[16]MCNICHOL L,LUND C,ROSEN T,et al.Medical adhesives and patient safety: state of the science: consensus statements for the assessment,prevention,and treatment of adhesive-related skin injuries[J].J Wound Ostomy Continence Nurs,2013,40(4):365-380.
[17]CHERRY S B,VASKO M.Proper surgical dressing removal technique in obstetrics and gynecology[J].Obstet Gynecol,2019,134(4):753-755.
[18]王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[19]ZHAO H,HE Y,HUANG H,et al.Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients[J].J Vasc Access,2018,19(1):23-27.
[20]CARVILLE K,LESLIE G,OSSEIRAN-MOISSON R,et al.The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears[J].Int Wound J,2014,11(4): 446-453.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-12-25 【 修回日期 】 2022-10-21
【 基金项目 】 江苏省研究生实践创新计划项目(SJCX19_1178); 苏州市护理学会科研项目(SZHL-A-202201); 常熟市科技计划社会发展项目(CS202219)
【 作者简介 】 顾梦倩,硕士,护士,电话:0512-52227133
【 通信作者 】 瞿明艳,电话:0512-52706565
更新日期/Last Update: 2023-04-15