重症患者急性皮肤衰竭的范围综述  

Acute skin failure in critical patients:a scoping review

作　　者：王淑娟[1,2] 韩春彦[2] 刘志梅 位兰玲[2] 杨富国[1] Wang Shujuan;Han Chunyan;Liu Zhimei;Wei Lanling;Yang Fuguo(College of Nursing,Qingdao University,Qingdao,266071,China;Department of Emergency,Qingdao Municipal Hospital,Qingdao,266071,China;Department of Nursing,Qingdao Municipal Hospital,Qingdao,266071,China)

机构地区：[1]青岛大学护理学院,山东青岛266071 [2]青岛市市立医院急诊科,山东青岛266071 [3]青岛市市立医院护理部,山东青岛266071

出　　处：《现代临床护理》2022年第8期67-73,共7页Modern Clinical Nursing

摘　　要：目的对急性皮肤衰竭(acute skin failure,ASF)的研究进行范围审查,探索危重症患者ASF的研究现状,为预防和管理危重症患者ASF提供科学依据。方法基于范围综述方法,检索PubMed、Cochrane Library、Web of Science、Embase、中国生物医学文献数据库、中国知网、万方数据库中重症患者ASF的相关文献,检索时限为建库至2021年10月5日。目标文献筛选后,对提取的文献数据内容进行汇总梳理,采用主题分析法进行归纳主题。结果纳入32篇文献,归纳分析得出重症患者ASF的定义、与压力性损伤的关系、评估、影响因素、管理5个主题。结论目前对ASF尚无统一的定义,对于影响因素的研究也局限于回顾性调查研究,医护人员对ASF认知不足,建议未来对重症患者ASF的病因、生物标志物和预测因子作进一步研究,以帮助制定准确和一致的定义,为ASF的预防和治疗提供科学依据。Objective To review the scope of research on acute skin failure(ASF)and explore the current status of ASF in critical patients so as to provide a scientific basis in the management and prevention of ASF for critical patients.Methods Based on the scoping review method,the relevant literatures about ASF in critical patients were retrieved from the databases of PubMed,Cochrane Library,Web of Science,Embase,CBMdisc,CNKI and Wanfang Data from the inception to October 5,2021.After the targeted literatures were screened and extracted,the contents of data were summarised to abstract the themes by the theme analysis method.Results A total of 32 literatures were included.Five themes were abstracted,summarised and analysed including the definition,relationship with pressure injury,assessment,influencing factors and management of ASF in critical patients.Conclusions At present,a universal definition for ASF is not yet exist.Therefore the research on influencing factors of ASF is limited to the retrospective investigation and the medical staff remains poor knowledge about ASF.It is recommended that future researches should be conducted for further investigation of the etiology,diagnostic biomarkers and predictors of ASF in critical patients so as to help formulate accurate and consistent definitions and provide a scientific basis for prevention and treatment of ASF.

关 键 词：急性皮肤衰竭 危重症患者 范围综述 

分 类 号：R473.75[医药卫生—护理学]