知识与财富的链接
目的 检索并总结预防、管理老年患者皮肤撕裂伤的相关证据,为临床护理实践提供参考。方法 根据循证护理的方法确立问题,系统检索BMJ最佳临床实践数据库、JBI循证卫生保健数据库、加拿大安大略注册护士协会(RNAO)、UpToDate、PubMed、医脉通网站、Cochrane Library、国际皮肤撕裂伤专家咨询组网站、中国知网等数据库中关于预防及管理老年患者皮肤撕裂伤文献,检索时限为建库至2022年4月30日。采用相应的文献质量评价标准和JBI证据分级系统对纳入的研究进行评价和证据分级,从合格的文献中提取证据并进行总结。结果 共纳入文献7篇,总结包括识别和评估高危因素、预防措施、治疗措施、自我护理、教育与培训5个方面共23条证据。结论 总结的证据可作为老年患者皮肤撕裂伤管理临床护理实践的参考,以降低皮肤撕裂的发生率,提高老年人的生活质量。
Objective To evaluate and integrate the best evidences on prevention and management of skin tears in elderly patients. Methods According to the methodology of evidence-based nursing, we searched BMJ best practice, JBI evidence-based health care database, Registered Nurses′ Association of Ontario(RNAO),UpToDate,PubMed, Medlive website, Cochrane Library, website of the International Expert Advisory Group on Skin Tears, and China National Knowledge Base to retrieve evidence on prevention of skin tears in elderly patients. The search time limit is from the establishment of the database to April 30th,2022. Two researchers used the JBI′s literature evaluation standards and evidence grading system to independently evaluate the included literature, and extracted evidence from eligible literature. Results A total of 7 studies were included. Five aspects (including identification and assessment of high-risk factors, prevention, treatment measures, self-care, education and training) and 23 pieces of evidence were summarized. Conclusion The summarized evidence can serve as a reference for prevention and management of skin tears in elderly patients, which could reduce the incidence of skin tears in this population, and improve their quality of life.
