成人患者医用粘胶剂相关性皮肤损伤预防与管理的最佳证据总结  

Prevention and Management of Medical Adhesive-related Skin Injuries in Adults:Best Evidence Summary

作　　者：顾梦倩 曹松梅[2] 陈圣枝 范伊濛 邹君俊 须月萍[5] 瞿明艳[5] 陈倩 顾懿璐 章晓丹 GU Mengqian;CAO Songmei;CHEN Shengzhi;FAN Yimeng;ZOU Junjun;XU Yueping;QU Mingyan;CHEN Qian;GU Yilu;ZHANG Xiaodan(Department of Intensive Care Medicine,The First People’s Hospital of Changshu,Changshu 215500,Jiangsu Province,China;Department of Nursing,Affiliated Hospital of Jiangsu University,Zhenjiang 212000,Jiangsu Province,China;Department of General Surgery,Affiliated Hospital of Jiangsu University;Department of Nursing,School of Medicine,Jiangsu University,Zhenjiang 215500,Jiangsu Province,China;Nursing Department,The First People’s Hospital of Changshu City;Department of Nursing,Wuxi Taihu University,Wuxi 214000,Jiangsu Province,China)

机构地区：[1]常熟市第一人民医院重症医学科,江苏常熟215500 [2]江苏大学附属医院护理部,江苏镇江212000 [3]江苏大学附属医院普外科 [4]江苏大学医学院护理系,江苏镇江215500 [5]常熟市第一人民医院护理部 [6]无锡太湖学院护理系,江苏无锡214000

出　　处：《军事护理》2023年第4期75-79,共5页MILITARY NURSING

基　　金：江苏省研究生实践创新计划项目(SJCX19_1178);苏州市护理学会科研项目(SZHL-A-202201);常熟市科技计划社会发展项目(CS202219)。

摘　　要：目的汇总成人医用粘胶剂相关性皮肤损伤预防与管理的最佳证据。方法系统化检索该主题相关文献,对纳入文献进行评价,提取、汇总证据。结果纳入3篇指南、1篇证据总结、2篇系统评价、4篇专家共识。汇总危险因素,风险评估,医用粘胶剂的储存、选择、使用和移除,皮肤护理,皮肤屏障产品与医用除胶剂,人员教育,处理等7个方面,共30条证据。结论医用粘胶剂相关性皮肤损伤的预防措施应涵盖患者住院期;建议医疗人员注重患者皮肤评估,针对性地选择医用粘胶剂,合理使用皮肤屏障和医用除胶产品,以减少皮肤损伤的发生。Objective To summarize the best evidence for the prevention and management of medical adhesive-related skin injuries(MARSI)in adults.Methods Relevant literature on the subject was systematically searched and the included literature was evaluated,and the evidence was extracted and summarized.Results 3 guidelines,1 evidence summary,2 systematic reviews,and 4 expert consensus were included.A total of 30 pieces of evidence were extracted from 7 aspects,including risk factors,risk assessment,storage,selection,use and removal of adhesives,skin care,skin barrier products and medical adhesive removers,personnel education and treatment.Conclusions The prevention measures of MARSI should be taken throughout the hospitalization period.It is suggested that medical personnel should pay attention to patients’skin assessment,select adhesives pertinently,use skin barrier products and medical adhesive removers rationally,so as to reduce the occurrence of MARSI.

关 键 词：医用粘胶 预防 循证护理 

分 类 号：R47[医药卫生—护理学]