关键词: 压力再分布, 皮肤管理, 老年人, 证据总结

Abstract: Objective To systematically retrieve, evaluate and summarize the best evidence on stress redistribution strategies in skin management for elderly adults, and to provide a reference for the development of evidence-based standardized skin management strategies in clinical practice. Methods Based on the “6S” evidence resource model, this study systematically searched the computerized decision support systems, thematic evidence summaries and databases for evidence on stress redistribution strategies in skin management for elderly adults, such as clinical decisions, guidelines, expert consensus, clinical practice, evidence summaries, systematic evaluations and meta-analysis, with a timeframe from the establishment of the databases to April 2024. The literatures were screened and evaluated independently by 2 researchers, and the guidelines were evaluated by 4 researchers. The evidences were extracted, summarized and aggregated according to themes. Results A total of 14 pieces of literatures were selected and 36 items of eveidence were collected, which were classified into 3 aspects as support surfaces, static body position placement and continuous rotation, and 7 topics as effectiveness of support surface application, key points in selecting support surfaces, the applicability of different types of support surfaces to different groups of people, the principles of static body position placement, posture and tilt, change of position, and the role and purpose of continuous rotation. Conclusions The study summarizes the best evidence for pressure redistribution strategies in skin management for elderly adults and suggests that clinical healthcare staffs can combine clinical scenarios, clinical resources and patients’ own conditions to rationally apply evidence and evaluate the effects of evidence application to improve the quality of clinical care.

Key words: stress redistribution, skin management, aged, evidence summary