Best evidence summary of prevention strategies for pressure injury in adult hospitalized burn patients
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摘要:
目的 汇总成年住院烧伤患者压力性损伤预防策略的最佳证据。 方法 采用文献计量学方法。系统检索国际烧伤协会、美国烧伤协会、日本皮肤病协会等相关学术组织官方网站，美国压力性损伤专家咨询小组和欧洲压力性损伤专家咨询小组与环太平洋压力性损伤联盟合作的国际指南网站，UpToDate、BMJ Best Practice、MedSci、Joanna Briggs Institute Evidence-Based Practice Database、Cochrane Library、Web of Science、Embase、PubMed等外文数据库，以及中国生物医学文献服务系统、中国知网、万方数据库、医脉通指南网等中文数据库中发表的成年住院烧伤患者压力性损伤预防策略的证据，文献类型包括临床决策、证据总结、指南、系统评价、专家共识，检索截至2023年2月21日。由2名研究人员独立进行文献筛选和质量评价，另组织研究人员根据主题进行证据的提取和分级。 结果 最终纳入10篇文献，包括6篇证据总结、3篇指南、1篇专家共识，文献质量均较高。提取证据并归类，从压力性损伤预防培训和监管、风险评估、预防措施方面总结出共27条最佳证据。 结论 从3个方面总结出27条有关成年住院烧伤患者压力性损伤预防策略的最佳证据。医护人员可参考最佳证据，根据成年住院烧伤患者的具体情况实施个性化的压力性损伤预防策略，降低压力性损伤的发生率。 Abstract:Objective To summarize the best evidence of prevention strategies for pressure injury in adult hospitalized burn patients. Methods A bibliometric approach was used. Systematic searches were carried out to retrieve the published evidence of prevention strategies for pressure injury in adult hospitalized burn patients in the official websites of relevant academic organizations such as International Society for Burn injury, American Burn Association, and Japanese Dermatology Association, National Pressure Injury Advisory Panel, European Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance International Guidelines Website, foreign language databases such as UpToDate, BMJ Best Practice, MedSci, Joanna Briggs Institute Evidence-Based Practice Database, Cochrane Library, Web of Science, Embase, and PubMed, and Chinese databases such as China Biology Medicine disc, China National Knowledge Infrastructure, Wanfang Database, and China Clinical Guidelines Library. The literature types include clinical decision-making, evidence summary, guidelines, systematic review, and expert consensus. The search time was till February 21 st, 2023. Two researchers independently screened the literature and evaluated the quality, and other researchers extracted and graded the evidence according to the topic. Results A total of 10 papers were included, including 6 evidence summaries, 3 guidelines, and 1 expert consensus, all with high literature quality. After extracting evidence and classifying, 27 pieces of best evidences were summarized from three aspects, including prevention training and supervision, risk assessment, and prevention measures of pressure injury. Conclusions A total of 27 pieces of best evidences of prevention strategies for pressure injury in adult hospitalized burn patients were summarized from 3 aspects. Medical workers can follow the best evidence and give personalized prevention strategies according to the specific condition of adult hospitalized burn patients to reduce the incidence of pressure injury. -
Key words:
- Burns /
- Pressure ulcer /
- Nursing care /
- Prevention /
- Evidence summary
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参考文献
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表1 纳入的10篇成年住院烧伤患者压力性损伤预防策略相关文献的基本特征
表1. Basic characteristics of the included 10 papers about prevention strategies for pressure injury in adult hospitalized burn patients
第1作者 发表年份 类型 主题 来源 Abdulsalam A ［ 16］ 2021 证据总结 烧伤患者压力性损伤的患病率 Joanna Briggs Institute Munn Z ［ 17］ 2021 证据总结 烧伤患者压力性损伤缓解策略 Joanna Briggs Institute Abdulsalam A ［ 18］ 2021 证据总结 烧伤患者压力性损伤预防（使用减压床垫） Joanna Briggs Institute Overall B ［ 19］ 2022 证据总结 成年压力性损伤的风险评估 Joanna Briggs Institute Marin T ［ 20］ 2022 证据总结 成年压力性损伤患者的营养支持 Joanna Briggs Institute Abdulsalam A ［ 21］ 2021 证据总结 手术患者压力性损伤的预防策略 Joanna Briggs Institute ISBI Practice Guidelines Committee ［ 6］ 2018 指南 烧伤患者的护理 ISBI官网 Cartotto R ［ 7］ 2023 指南 危重烧伤患者的早期康复运动 PubMed Kottner J ［ 8］ 2019 指南 压力性损伤患者的预防和治疗 NPUAP和EPUAP与PPPIA合作的国际指南网站 中国老年医学学会烧创伤分会 ［ 22］ 2022 专家共识 烧伤患者俯卧位治疗的管理 万方数据库 注：ISBI为国际烧伤协会，NPUAP为美国压力性损伤专家咨询小组，EPUAP为欧洲压力性损伤专家咨询小组，PPPIA为环太平洋压力性损伤联盟 
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表2 纳入的6篇成年住院烧伤患者压力性损伤预防策略相关证据总结的质量评价结果
表2. The quality evaluation results of the included 6 evidence summaries about prevention strategies of pressure injury in adult hospitalized burn patients
第1作者 条目1 条目2 条目3 条目4 条目5 条目6 条目7 条目8 条目9 条目10 Abdulsalam A ［ 16］ 是 是 否 是 是 是 否 是 否 是 Munn Z ［ 17］ 是 是 否 是 是 是 是 是 否 是 Abdulsalam A ［ 18］ 是 是 否 是 是 是 是 是 否 是 Overall B ［ 19］ 是 是 否 是 是 是 是 是 否 是 Marin T ［ 20］ 是 是 否 是 是 是 是 是 否 是 Abdulsalam A ［ 21］ 是 是 否 是 是 是 是 是 否 是 注：条目1为“证据总结应用的范围和对象是否具体？”,条目2为“证据总结作者的身份是否清晰透明？”,条目3为“评审是否清晰透明？”,条目4为“证据分级是否清晰？”,条目5为“推荐意见是否清晰？”,条目6为“推荐意见引注是否恰当？”,条目7为“推荐意见是否有时效性？”,条目8为“证据总结条目是否适用于本研究人群评价？”,条目9为“文献检索是否全面？”,条目10为“是否有利益冲突声明？”
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表3 纳入的3篇成年住院烧伤患者压力性损伤预防策略相关指南的质量评价各领域标准化百分比（%）
表3. The quality evaluation results of the included 3 guidelines about prevention strategies of pressure injury in adult hospitalized burn patients
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