2期压力性损伤创面处理策略最佳证据总结  

Summary of the Best Evidence on Stage 2 Pressure Injury Wound Management Strategies

作　　者：罗利群 郭媛[2] 温绣蔺[1] 王晗 汪静容 肖倩 苏留菊 周敏 LUO Liqun;GUO Yuan;WEN Xiulin;WANG Han;WANG Jingrong;XIAO Qian;SU Liuju;ZHOU Min(Nursing Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China;Plastic and Cosmetic Maxillofacial Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China;Surgical Department,the Second Affiliated Hospital of the Air Force Military Medical University,Xi'an 710032,Shaanxi,China;School of Public Health,Shaanxi University of Traditional Chinese Medicine,Xianyang 712046,Shaanxi,China)

机构地区：[1]西安交通大学第一附属医院护理部,陕西西安710061 [2]西安交通大学第一附属医院整形美容颌面外科,陕西西安710061 [3]空军军医大学第二附属医院手术部,陕西西安710032 [4]陕西中医药大学公共卫生学院,陕西咸阳712046

出　　处：《中国美容医学》2024年第12期20-25,共6页Chinese Journal of Aesthetic Medicine

基　　金：国家卫生健康委医院医疗质量(循证)管理研究项目(编号:YLZLXZ23G073);JBI循证护理合作中心课题1项(编号:Fudanebn202216);西安交通大学第一附属医院院基金(编号:2022HL-02)。

摘　　要：目的:检索并总结2期压力性损伤创面处理相关证据,形成科学、实用的创面处理策略,为临床医务人员实践提供规范指引。方法:系统检索国内外指南网\相关组织机构官方网站及数据库中2期压力性损伤创面处理相关证据,进行方法学质量评价后对证据进行提取、汇总和主题归纳。结果:最终纳入文献8篇,其中指南3篇、系统评价1篇、证据总结3篇及RCT研究1篇,提炼出6个维度(伤口评估、疼痛管理、周围及组织清洁、创面处理、伤口记录及质量管理),共21条证据主题。结论:临床护士,特别是非伤口专科护士可遵循最佳证据为2期压力性损伤患者实施标准化创面处理策略,促进创面愈合,改善患者健康结局。Objective To search and summarize the relevant evidence of wound management for stage 2 pressure injury,and to form a scientific and practical wound management strategy,providing standardized guidance for clinical medical personnel in practice.Methods Systematically search domestic and international guide websites,official websites of relevant organizations,and databases for evidence related to stage 2 pressure injury wound management.After conducting methodological quality evaluation,extract,summarize,and summarize the evidence.Results Therewere ultimately included in 8 literature,including 3 guidelines,1 systematic review,3 evidence summaries,and 1 RCT study.Six dimensions were extracted(wound assessment,pain management,peripheral and tissue cleaning,wound management,wound recording,and quality management),totaling 21 evidence themes.Conclusion Clinical nurses,especially non wound specialist nurses,can follow the best evidence to implement standardized wound management strategies for patients with stage 2 pressure injury,promote wound healing,and improve patient health outcomes.

关 键 词：压力性损伤 创面处理 循证医学 证据总结 

分 类 号：R622[医药卫生—整形外科]