老年人皮肤撕裂伤的范围综述  

Skin tear in the elderly adults: a scoping review

作　　者：柏素萍[1] 梁怡青 周芳芳 严雪芹 BAI Suping;LIANG Yiqing;ZHOU Fangfang;YAN Xueqin(Department of Burns and Plastic Surgery,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院烧伤整形科,江苏省镇江市212001

出　　处：《实用老年医学》2024年第12期1200-1204,共5页Practical Geriatrics

摘　　要：目的对老年人皮肤撕裂伤的研究进行文献回顾,了解老年人皮肤撕裂伤的研究现状。方法根据范围综述的研究方法,系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国生物医学数据库、中国知网、万方数据库及灰色文献数据库OpenGrey中老年人皮肤撕裂伤的相关研究。检索时限为1990年1月至2024年1月,对纳入文献进行分析和讨论。结果最终纳入40篇文献,包括36篇英文,4篇中文。其中17篇文献报道了老年人皮肤撕裂伤的发生率,7篇文献报道了老年人皮肤撕裂伤的致伤原因;皮肤撕裂伤的影响因素分为社会人口学因素、健康状况相关因素、皮肤相关因素和医疗器械相关因素。2篇文献报道了影响老年人皮肤撕裂伤愈合的因素,22篇文献使用了皮肤撕裂伤评估工具,11篇文献报道了老年人皮肤撕裂伤的预防及干预措施。结论皮肤撕裂伤在老年人中较为普遍,影响因素和致伤原因复杂多样。医护人员应从愈合影响因素、风险评估工具、风险预测等方面加深探讨,对老年人皮肤撕裂伤进行预防和干预。Objective To review the research on skin tear among elderly adults,and to investigate the research status of skin tear among elderly adults.Methods According to the method of the scoping review,the relevant literatures about skin tear among elderly adults in such academic databases as PubMed,Embase,CINAHL,Web of Science,Cochrane Library,SinoMed,CNKI,Wanfang and OpenGrey were collected.Time period was set from January 1990 to January 2024.Results A total of 40 articles were collected,including 36 in English and 4 in Chinese.Among them,17 studies reported the incidence of skin tear among elderly adults and 7 studies reported the reasons of skin tear.The influencing factors of skin tear were classified into socio-demographic factors,health status-related factors,skin-related factors,and medical device-related factors.Two studies reported the influencing factors of skin tear healing among elderly adults,and 22 studies reported the skin tear assessment tools,and 11 studies reported prevention and intervention measures for skin tear.Conclusions Skin tear is common among the elderly adults,with complex and varied influencing factors and etiology.The relevant studies need to be enriched.Healthcare staffs should deepen their exploration of healing influences,risk assessment tools and risk prediction to prevent and intervene skin tear in the elderly.

关 键 词：老年人 皮肤撕裂伤 范围综述 皮肤损伤 

分 类 号：R758.19[医药卫生—皮肤病学与性病学] R47[医药卫生—临床医学]