医用粘胶剂相关性皮肤损伤文献的系统性回顾  

Systematic literature review on medical adhesive-related skin injury

作　　者：陈琛[1] 陆巍[2] 吴玲[3] 夏冬云[3] 

机构地区：[1]南京大学医学院附属鼓楼医院整形烧伤科,江苏南京210008 [2]南京大学医学院附属鼓楼医院护理部,江苏南京210008 [3]南京大学医学院附属鼓楼医院伤口造口门诊部,江苏南京210008

出　　处：《护理学杂志》2016年第20期99-103,共5页Journal of Nursing Science

摘　　要：目的对医用粘胶剂相关性皮肤损伤(MARSI)文献进行系统性评价,为临床决策提供参考。方法以关键词检索多个数据库,纳入有关MARSI的随机对照试验和前瞻性队列研究,对文献质量进行评价,归纳MARSI的高危因素、干预措施。结果纳入6篇随机对照试验和1篇前瞻性队列研究,MARSI高危因素为低龄、反复揭除、基础疾病、粘胶剂性质等,干预措施包括正确选择粘胶剂、掌握粘贴技术、使用皮肤保护膜等。结论有效预防MARSI需要护理人员结合患者的年龄、疾病基础、皮肤状况、经济情况综合考虑,提供无张粘贴、低角度缓慢揭除粘胶剂并始终给予皮肤支持,可望预防MARSI的发生。Objective To systematically review the literature about medical adhesive-related skin injury（MARSI）, and to provide reference for clinical decision making. Methods Multiple databases were searched using keywords to collect randomized control trials （RCTs） and prospective cohort studies, whose quality were analyzed. Then risk factors of and measures against MARSI were summarized. Results Six RCTs and one prospective cohort study were located. Risk factors of MARSI included young ages, repeated removal, underlying diseases, the characteristics of adhesives, eet. And measures against MARSI included selecting proper adhesives, mastery of correct application, using skin protective film, etc. Conclusion Effective prevention of MARSI need nursing staff＇s positive intervention; they need to take such factors as patient＇s age, underlying diseases, skin conditions, economic situation into account, and slowly remove the adhesives in an tension-free, low angle manner, and always give support to the skin.

关 键 词：医用粘胶剂 皮肤损伤 高危因素 干预措施 系统文献回顾 

分 类 号：R472[医药卫生—护理学]