医疗器械相关压力性损伤预防和管理的最佳证据总结

Summary of best evidence regarding prevention and management of medical device related pressure injuries

目的探讨分析医疗器械相关压力性损伤预防及管理的证据,为临床护理人员采取针对性护理提供依据。方法采用循证方法,检索数据库及专业网站的相关文献,应用2012版临床指南研究与评价系统、2014版JBI证据预分级、证据推荐级别系统对文献进行质量评价和证据级别评定。结果最终纳入4篇指南和1篇证据总结,归纳得出22条证据,包括风险评估、医疗器械的选择和佩戴、皮肤和医疗器械的评估、预防措施4个方面。结论临床护理人员应重视医疗器械相关压力性损伤的预防及管理,根据具体临床情境、患者意愿有针对性地选择证据进行应用。

Objective To summarize best evidence regarding prevention and management of medical device related pressure injuries, and to provide references for clinical nurses. Methods By referencing to evidence-based methods, we searched electronic databases and professional websites to retrieve publications regarding prevention and management of medical device related pressure injuries. Then we used the Appraisal of Guidelines for Research and Evaluation instrument (AGREE Collaboration, 2012), the 2014 JBI evidence pre-grading, and the evidence recommendation system to evaluate the quality of the literature and identify the level of evidence. Results A total of 4 guidelines and 1 evidence summary were retrieved, and 22 pieces of evidence categorized into risk assessment, selection and wearing of medical devices, evaluation of skin and medical devices, and preventive measures, were summarized. Conclusion Clinical nurses should give heed to the prevention and management of medical device related pressure injuries, and select relevant evidence for application according to specific clinical situations and patient preferences.