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护理学报 ›› 2023, Vol. 30 ›› Issue (1): 41-46.doi: 10.16460/j.issn1008-9969.2023.01.041

• 循证护理 • 上一篇    下一篇

肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的最佳证据总结

李牧玲a, 甄莉b, 朱木兰b, 白雪洁b, 温海飞b, 周宏珍c   

  1. 南方医科大学南方医院 a.眼科; b.普通外科; c.护理部,广东 广州 510515
  • 收稿日期:2022-09-14 出版日期:2023-01-10 发布日期:2023-02-22
  • 通讯作者: 周宏珍（1965-）,女,江苏扬州人,博士,主任护师。E-mail：Zhouhz2005@126.com
  • 作者简介:李牧玲（1994-）,女,湖南常德人,硕士,护师。
  • 基金资助:
    2021年度南方医院护理创优-循证护理项目（2021EBNc005）

Best evidence summary for prevention and nursing of peristomal moisture-associated skin damage in patients with enterostomy

LI Mu-linga, ZHEN LIb, ZHU Mu-lanb,bai Xue-jieb, WEN Hai-feib, ZHOU Hong-zhenc   

  1. a. Dept. of Ophthalmology; b. Dept. of General Surgery; c. Dept. of Nursing Administration, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2022-09-14 Online:2023-01-10 Published:2023-02-22

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摘要： 目的 总结肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的相关证据,为临床实践管理提供依据。方法 检索Up To Date、BMJ、JBI、RNAO、GIN、NICE、NGC、SIGN、WOCN、PubMed、Web of Science、医脉通、The Cochrane Library、CINAHL、Embase、SinoMed、CNKI、维普和万方数据库关于肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的相关证据。结果 共纳入16篇文献,其中6篇指南、3篇系统评价、3篇专家共识1篇临床决策、3篇证据总结,最后汇总9个方面,共21条证据。结论 肠造口患者造口周围潮湿相关性皮肤损伤的预防及护理的最佳证据总结可为临床应用提供循证依据,在证据转化过程中应结合临床实际,提高护理质量。

关键词: 肠造口, 造口周围潮湿相关性皮肤损伤, 证据总结

Abstract: Objective To summarize the best evidence for the prevention and care of peristomal moisture-associated skin damage in patients with enterostomy and to provide reference for clinical management. Methods We searched Up To Date, BMJ, JBI, RNAO, GIN, NICE, NGC, SIGN, WOCN, PubMed, Web of Science, Medlive, The Cochrane Library, CINAHL, Embase, SinoMed, CNKI, VIP and Wanfang for eligible literature. Results Sixteen articles were collected, including 6 guidelines, 3 systematic reviews, 3 expert consensuses/position statement, 1 clinical decision and 3 evidence summaries. Twenty-one pieces of best evidence was summarized into 9 themes. Conclusion Best evidence summary of the prevention and care of peristomal moisture-associated skin damage in patients with enterostomy provides evidence-based reference for clinical application. Clinical practice should be considered during the transition of the evidence so as to improve nursing quality.

Key words: colostomy, peristomal moisture-associated skin damage, evidence summary

中图分类号: 

  • R473.6
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