预防新生儿医用粘胶相关性皮肤损伤的最佳证据总结

doi:10.3969/j.issn.1000-8535.2021.03.022

广州医药 ›› 2021, Vol. 52 ›› Issue (3): 104-107.DOI: 10.3969/j.issn.1000-8535.2021.03.022

预防新生儿医用粘胶相关性皮肤损伤的最佳证据总结

王亚珂, 贺芳, 杨依慧, 刘会

广州市妇女儿童医疗中心(广州 510623)

收稿日期:2020-11-25 发布日期:2021-11-24

Best evidence summary for the prevention of medical adhesive relatedskin injury in neonates

WANG Yake, HE Fang, YANG Yihui, LIU Hui

Guangzhou Women and Children's Medical Center,Guangzhou 510623,China

Received:2020-11-25 Published:2021-11-24

摘要/Abstract

摘要： 目的检索和分析新生儿医用粘胶相关性皮肤损伤(MARSI)预防及管理的相关证据,并对最佳证据进行总结,为临床提供参考,以预防住院新生儿MARSI的发生。方法利用PIPOST公式,对新生儿MARSI的预防和管理构建循证问题并进行计算机检索。检索时限为建库至2020年3月31日。由2名已接受过系统循证培训的研究者对纳入的证据文献进行独立评价,从符合标准的文献中提取证据,并由临床审查小组对证据进行FAME论证,最终总结出最佳证据。结果最终纳入文献2篇,包括一篇专家共识和一篇系统评价,汇总了17条证据,经过FAME论证后最终总结出11条最佳证据,包括患者评估、MARSI预防和MARSI处理三个方面。结论新生儿MARSI的发生与诸多内外因素相关,临床主要以预防为主,建议医疗机构根据实际情况制定住院新生儿MARSI的预防和管理规范,加强医护人员培训,提升新生儿照护质量。

关键词: 新生儿, MARSI, 循证护理

Abstract: Objective To retrieve,appraise and summarize the best evidence of the prevention of medical adhesive related skin injury(MARSI) in neonates, and provide references for clinical practice. Methods We systematically searched for evidence on prevention of neonatal MARSI. The retrieval period was from the inception of databases to March 31,2020. Two researchers independently evaluated the quality of the literature and extracted evidence. Results Two literatures were included, including an expert consensus and a systematic review. Three categories (patient evaluation, MARSI prevention and MARSI management) and totally 11 items of best evidence were summarized. Conclusion The occurrence of neonatal MARSI is related to many internal and external factors, and prevention is the most important. Medical institutions should establish principles and practice guidelines of the management of neonatal MARSI, strengthen the training of medical staffs, and improve the quality of newborn care.

Key words: Neonate, MARSI, Evidence-based nursing

王亚珂, 贺芳, 杨依慧, 刘会. 预防新生儿医用粘胶相关性皮肤损伤的最佳证据总结[J]. 广州医药, 2021, 52(3): 104-107.

WANG Yake, HE Fang, YANG Yihui, LIU Hui. Best evidence summary for the prevention of medical adhesive relatedskin injury in neonates[J]. Guangzhou Medical Journal, 2021, 52(3): 104-107.

参考文献

[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]. J Wound Ostomy Continence Nurs, 2013, 40(4): 365-380.
[2] 桂园园,于新颖,范玲. NICU新生儿医用粘胶相关性皮肤损伤的现况调查与分析[J]. 中国实用护理杂志, 2017, 33(5): 365-368.
[3] 周瑛,陈丽斯,张军杰. ICU护士医用黏胶相关性皮肤损伤的知信行现状及影响因素分析[J]. 护理学报, 2017, 24(10): 51-55.
[4] 何娇波,尹志勤,钟小华. 临床护士预防医用黏胶相关性皮肤损伤知信行现状与影响因素分析[J]. 护士进修杂志, 2017, 32(17): 1544-1547.
[5] 陈琛,陆巍,吴玲,等. 医用粘胶剂相关性皮肤损伤文献的系统性回顾[J]. 护理学杂志, 2016, 31(20): 99-103.
[6] 贾丽娜,陆燕萍,袁春香,等. 新生儿医用粘胶相关性皮肤损伤的研究现状[J]. 中西医结合护理(中英文), 2018, 4(1): 169-172.
[7] 朱政,胡雁,邢唯杰,等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017, 32(21): 1991-1994.
[8] 左红霞,牛玉明,程艳丽. 循证护理证据资源的检索[J]. 循证护理, 2015, 1(4): 145-151.
[9] 熊俊,陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR[J]. 中国循证医学杂志, 2011, 11(9): 1084-1089.
[10] SHEA B J,GRIMSHAW J M,WELLS G A,et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews[J]. BMC Med Res Methodol, 2007(7): 10.
[11] 胡雁,郝玉芳. 循证护理学[M]. 2版. 北京:人民卫生出版社,2018.
[12] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11): 964-967.
[13] LUND C,OSBORNE J. Validity and reliability of the neonatal skin condition score[J]. J Obstet Gynecol Neonatal Nurs, 2004, 33(3): 320-327.
[14] GROVE G L,ZERWECK C R,EKHOLM B P,et al. Randomized comparison of a silicone tape and a paper tape for gentleness in healthy children[J]. J Wound Ostomy Continence Nurs, 2014, 41(1): 40-48.
[15] 桂园园,范玲. NICU新生儿医用粘胶相关性皮肤损伤的风险评估及预防措施[J]. 中华护理杂志, 2016, 51(8): 979-983.
[16] 黄小夏,张丽萍,陈艳,等. 新生儿医用粘胶剂相关性皮肤损伤风险评估量表的编制与信效度检验[J]. 中华护理杂志, 2019, 54(3): 380-384.
[17] 赵慧函,韦琴,李高叶,等. 护士对医用粘胶相关性皮肤损伤认识现状调查与分析[J]. 齐鲁护理杂志, 2017, 23(15): 4-7.
[18] 白姗,杨巧芳,董方方. 医用粘胶相关性皮肤损伤现况调查[J]. 护理学杂志, 2017, 32(18): 14-17.

预防新生儿医用粘胶相关性皮肤损伤的最佳证据总结

Best evidence summary for the prevention of medical adhesive relatedskin injury in neonates

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