新生儿皮肤损伤严重程度尺度的范围审查和叙事综合
Deanne August1,2,3, Stephanie Hall1,4,5, Nicole Marsh2,3,4,5
1Department Neonatology, Royal Brisbane and Women's Hospital (Neonatal Unit), Herston, Queensland, Australia.
Nursing in critical care
|February 14, 2024
概括
新生儿皮肤损伤评估缺乏标准化的严重程度等级,导致主观报告. 本次审查强调了需要有效的,一致的尺度来客观评估和改善对脆弱婴儿的护理.
科学领域:
- 新生儿护理 新生儿护理
- 皮肤病学 皮肤病学
- 临床评估 临床评估
背景情况:
- 在重症监护的新生儿中,机械力量的皮肤损伤很普遍.
- 目前的评估依赖于临床经验,由于解剖和组织差异,成人秤不适合新生儿.
研究的目的:
- 进行范围审查,调查用于新生儿在医院获得的皮肤损伤的严重程度等级.
主要方法:
- 利用乔安娜·布里格斯研究所 (Joanna Briggs Institute, 2015) 的方法论进行范围审查.
- 在PubMed,CINAHL,COCHRANE Central,Scopus (2001-2023) 中搜索新生儿皮肤损伤严重程度等级的研究.
- 在审查了109份全文后,包括了35项研究.
主要成果:
- 使用了九个严重程度尺度或组合;四项研究报告没有尺度.
- 国家压力咨询小组 (NPIAP) 和欧洲压力咨询小组 (EPUAP) 的比例是最常见的.
- 只有一个规模,从2004年,被验证为新生儿;大多数规模是顺序或分类.
结论:
- 新生儿皮肤损伤的主观报告将在没有一致的尺度应用或新的测量工具的情况下继续存在.
- 需要有效的,一致的皮肤评估和根据新生儿生理学量身定制的严重程度尺度.
- 修改后的NPIAP系统目前最适用,补充临床图像/描述,直到开发出新生儿特异尺度.
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