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

Abstract

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

CLC Number:

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.

References

[1] 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]. Orthop Nurs, 2013, 32(5): 267-281.
[2] FARRIS M K, PETTY M, HAMILTON J, et al. Medical adhesive-related skin injury prevalence among adult acute care patients: a single-center observational study[J]. J Wound Ostomy Continence Nurs, 2015, 42(6): 589-598.
[3] GROOM M, SHANNON R J, CHAKRAVARTHY D, et al. An evaluation of costs and effects of a nutrient-based skin care program as a component of prevention of skin tears in an extended convalescent center[J]. J Wound Ostomy Continence Nurs, 2010, 37(1): 46-51.
[4] Joanna Briggs Institute. Critical appraisal tools[EB/OL]. (2017-11-24)[2024-09-19]. https://jbi.global/critical-appraisal-tools.
[5] 陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读[J]. 中国循证医学杂志, 2018, 18(1): 101-108.
[6] LEBLANC K, CAMPBELL K E, WOOD E, et al. Best practice recommendations for prevention and management of skin tears in aged skin: an overview[J]. J Wound Ostomy Continence Nurs, 2018, 45(6): 540-542.
[7] 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.
[8] 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.
[9] SERRA R, IELAPI N, BARBETTA A, et al. Skin tears and risk factors assessment: a systematic review on evidence-based medicine[J]. Int Wound J, 2018, 15(1): 38-42.
[10] LICHTERFELD-KOTTNER A, EL GENEDY M, LAHMANN N, et al. Maintaining skin integrity in the aged: a systematic review[J]. Int J Nurs Stud, 2020, 103: 103509.
[11] COWDELL 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]. Cochrane Database Syst Rev, 2020, 1(1): CD011377.
[12] 郭卫婷, 王文君, 曹英娟, 等. 老年患者医用胶粘剂相关性皮肤损伤预防的最佳证据总结[J]. 中华护理杂志, 2020, 55(1): 62-67.
[13] BROADHURST D, MOUREAU N, ULLMAN A J, et al. Management of central venous access device-associated skin impairment: an evidence-based algorithm[J]. J Wound Ostomy Continence Nurs, 2017, 44(3): 211-220.
[14] LEBLANC K, KOZELL K, MARTINS L,et al. Is twice-daily skin moisturizing more effective than routine care in the prevention of skin tears in the elderly population?[J]. J Wound Ostomy Continence Nurs, 2016, 43(1): 17-22; quiz E1-2.
[15] 刘滢, 夏丽莉, 朱姣, 等. 老年住院病人医用黏胶相关性皮肤损伤现况调查及相关因素分析[J]. 实用老年医学, 2021, 35(1): 103-106.
[16] 孟丽君, 张建薇. 老年患者医用黏胶相关性皮肤损伤的研究进展[J]. 老年医学与保健, 2021, 27(3): 665-667.
[17] 梅思娟, 余娟, 张欣, 等. 某三级甲等医院临床护士医用粘胶相关皮肤损伤预防知识和行为调查[J]. 护理学报, 2016, 23(17): 54-57.

Development of an evidence-based management programme for the prevention of adhesive-related skin injuries in elderly patients

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