成人肠造口周围潮湿相关性皮肤损伤患者自我管理的证据总结  

Evidence summary for self-management of Peristomal Moisture-Associated Skin Damage in adults

作　　者：白雅静 张琛琛 董利英[2] 董朝晖[3] 李文丽 BAI Yajing;ZHANG Chenchen;DONG Liying;DONG Zhaohui;LI Wenli(Medical College,Huzhou University,Huzhou,Zhejiang province,313000,China)

机构地区：[1]湖州师范学院医学院,浙江省湖州市313000 [2]湖州市第一人民医院护理部 [3]湖州市第一人民医院书记办公室

出　　处：《中国护理管理》2023年第5期724-729,共6页Chinese Nursing Management

摘　　要：目的:检索、评价并汇总成人肠造口周围潮湿相关性皮肤损伤(Peristomal Moisture-Associated Skin Damage,PMASD)患者自我管理的相关证据,为临床医护人员科学的健康指导和患者自我管理提供循证依据。方法:遵循循证医学“6S”金字塔模型自上而下的原则,系统全面地检索国内外PMASD患者自我管理证据的相关文献,包括指南、专家共识、证据总结、系统评价等,检索时限为建库至2022年7月9日。由2名研究者独立对文献进行评价和资料的提取,并结合专业人员意见,汇总证据。结果:共纳入文献15篇,包括指南5篇、专家共识3篇、证据总结5篇、系统评价2篇。从学习相关知识、造口自我管理、饮食自我管理、自我监测、心理调节方面汇总了26条证据。结论:本研究总结的成人PMASD患者自我管理相关证据具有一定的实用性和科学性,为临床医护人员开展针对患者自我管理的宣教、指导及评估方面提供了参考和依据,使其更具有科学性和针对性地规范成人PMASD患者自我管理行为。Objective:To search,evaluate and summarize the relevant evidence of self-management of adult patients with Peristomal Moisture-Associated Skin Damage(PMASD).Methods:Following the top-down principle of the"6S"pyramid model of evidence-based medicine,we systematically and comprehensively searched the relevant databases of self-management evidence of PMASD patients at home and abroad,including guidelines,expert consensus,evidence summary,and systematic evaluation.The retrieval time limit was from the database establishment to July 9,2022.A total of 2 researchers independently conducted quality evaluation and data extraction,and combined with professional opinions to summarize evidence.Results:A total of 15 documents were included,including 5 guidelines,3 experts consensuses,5 evidence summaries,and 2 systematic reviews.A total of 26 pieces of evidence were summarized from the aspects of learning related knowledge,stoma self-management,diet self-management,self-monitoring,and psychological adjustment.Conclusion:The relevant evidence of self-management of adult patients with PMASD summarized in this study is practicable and scientific.The evidence summary can provide references for clinical professionals to carry out health education,guidance and evaluation on patient self-management,and make it more scientific and targeted to regulate the self-management behaviors of adult patients with PMASD.

关 键 词：肠造口术 潮湿相关性皮肤损伤 自我管理 证据总结 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]