基于循证构建老年病人医用黏胶相关性皮肤损伤预防管理方案

doi:10.3969/j.issn.1003-9198.2024.11.001

摘要/Abstract

摘要： 目的基于循证构建老年病人医用黏胶相关性皮肤损伤预防管理方案。方法系统检索国内外文献,严格制定纳排标准,并进行文献质量评价,经研究小组讨论和德尔菲专家函询形成老年病人医用黏胶相关性皮肤损伤预防管理方案。结果两轮函询的专家积极系数均为100%。本研究构建了包括病人评估、操作者评估、操作前准备、操作技术、操作后观察、健康教育、监管与培训在内的7个一级指标,14个二级指标,29个三级指标的预防管理方案。结论本研究制定的老年病人医用黏胶相关性皮肤损伤预防管理方案具有一定的科学性、可行性,可进一步在临床实践中应用。

关键词: 老年人, 医用黏胶相关性皮肤损伤, 皮肤护理, 德尔菲技术

Abstract: Objective To develop an evidence-based prevention and management programme for medical adhesive-related skin injuries in the elderly patients. Methods A systematic literature review was conducted based on evidence-based methods. The quality of the literature was evaluated according to inclusion and exclusion criteria. After discussions within the research team and two rounds of Delphi expert consultation, a prevention and management programme for medical adhesive-related skin injuries in the elderly patients was formulated. Results The positive coefficients of the experts in both rounds were 100%. Ultimately, a prevention and management programme was established, which included 7 first-level indicators, 14 second-level indicators, and 29 third-level indicators, covering patient assessment, operator assessment, pre-operation preparation, operation technique, post-operation observation, health education, supervision and training. Conclusions The prevention and management programme for medical adhesive-related skin injuries in the elderly patients established in this study has scientificity and feasibility, and can be further applied in clinical practice.

Key words: aged, medical adhesive-related skin injury, skin care, Delphi method

中图分类号:

邵思语, 翟雨婷, 吴海燕, 张建薇. 基于循证构建老年病人医用黏胶相关性皮肤损伤预防管理方案[J]. 实用老年医学, 2024, 38(11): 1081-1085.

SHAO Siyu, ZHAI Yuting, WU Haiyan, ZHANG Jianwei. Development of an evidence-based management programme for the prevention of adhesive-related skin injuries in elderly patients[J]. Practical Geriatrics, 2024, 38(11): 1081-1085.

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