烧伤增生性瘢痕患者康复护理的证据总结  

Evidence summary of rehabilitative nursing for patients with burn-induced hypertrophic scars

作　　者：杨丽君 周红 丁娟[3] 耿敬 廖宜芳 Yang Lijun;Zhou Hong;Ding Juan;Geng Jing;Liao Yifang(Department of Nursing,Chengdu Integrated TCM&Western Medical Hospital(Chengdu First People's Hospital),Chengdu 610000,China;Department of Medicine,Yangtze University,Jingzhou 434000,China;Department of Nursing,Jingzhou Central Hospital,Jingzhou 434020,China;Department of Nursing,Jingzhou Institute of Technology,Jingzhou 434020,China)

机构地区：[1]成都市中西医结合医院(成都市第一人民医院)护理部,成都610000 [2]长江大学医学部,荆州434000 [3]荆州市中心医院护理部,荆州434020 [4]荆州职业技术学院护理系,荆州434020

出　　处：《中华现代护理杂志》2023年第31期4309-4315,共7页Chinese Journal of Modern Nursing

摘　　要：目的总结烧伤增生性瘢痕患者康复护理的最佳证据,为临床实践提供参考。方法采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心PIPOST模式构建循证问题,通过计算机检索UpToDate、Cochrane Library、英国国家医疗保健优化研究所会、苏格兰学院际指南网、美国指南网、英国医学杂志、JBI循证卫生保健中心数据库、国际指南协作网、万方数据库、中国知网、维普数据库、中国生物医学文献数据库,选出符合纳入标准的文献。检索时限均为建库至2022年11月30日。由2~4名循证研究员独立对纳入的文献进行质量评价,结合专业人士的判断提取及综合关于烧伤增生性瘢痕患者康复护理的证据。结果共纳入文献13篇,包括最高临床决策2篇、指南8篇、专家共识3篇。最终形成最佳证据22条,包括健康宣教、体位摆放、功能锻炼、疼痛瘙痒护理、瘢痕用药、物理康复以及心理康复7个主题。结论本研究总结了烧伤增生性瘢痕患者康复护理的最佳证据,为烧伤康复护理实践提供循证证据。在证据应用过程中需考虑临床实际情况,结合烧伤患者瘢痕类型和不同阶段特点,并且考虑成人与儿童康复需求的差异,审慎地将证据应用于临床。Objective To summarize the best evidence for rehabilitative nursing of patients with burn-induced hypertrophic scars,and to provide references for clinical practice.Methods The evidence-based questions were constructed using the PIPOST model of the Joanna Briggs Institute(JBI)Evidence-Based Healthcare Center in Australia.Literature was selected through computer retrieval from UpToDate,Cochrane Library,UK's National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,US Guidelines Network,British Medical Journal,JBI Evidence-Based Healthcare Center database,Guidelines International Network,Wanfang,CNKI,VIP and SinoMed,abiding by the inclusion criteria set for literature.The search time limit was set from each database's inception to November 30,2022.Two to four evidence researchers independently evaluated the quality of the included literature and synthesized evidence pertaining to the rehabilitative nursing of patients with burn-induced hypertrophic scars,integrating expert opinions.Results A total of 13 articles were included in total,comprising 2 highest clinical decisions,8 guidelines,3 expert consensuses.This led to the formation of 22 best evidences which fell under 7 themes:health education,body positioning,functional exercise,care for pain and itching,scar medication,physical rehabilitation,and psychological rehabilitation.Conclusions This study summarized the best evidence for rehabilitative nursing of patients with burn-induced hypertrophic scars,providing evidence-based proof for burn rehabilitative nursing practices.The clinical application of this evidence should consider the actual clinical circumstances,aligning with the type and different stage characteristics of the burn patient's scar,and accounting for the divergent rehabilitative needs of adults and children to prudently apply the evidence in a clinical setting.

关 键 词：烧伤 增生性瘢痕 康复护理 循证护理 

分 类 号：R473.6[医药卫生—护理学]