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清洁与无菌:慢性伤口的管理
Andrew Storer1,2,3,4,5,6,7, Susan Cali1,2,3,4,5,6,7, Kaitlin Denson1,2,3,4,5,6,7
1Andrew Storer, PhD, DNP, RN, FNP-C, ACNP-BC, ENP-C, CWCN-AP, FAANP (Task Force Chair), Clinical Editor, WOCN Society; Chief Nursing Officer, Roswell Park Comprehensive Cancer Center, Buffalo, New York.
概括
目前的证据不足以最终指导慢性伤口管理的清洁与无菌技术. 本次审查更新了以前的指导方针,检查了这两种方法的实践和证据的演变.
科学领域:
- 伤口护理 伤口护理
- 感染控制 感染控制
- 基于证据的实践.
背景情况:
- 在慢性伤口治疗中,清洁和无菌技术之间的争论缺乏确的证据.
- 此前的指导文件于2001年发布,并于2012年更新.
- 实践已经发展,需要进行更新的审查.
研究的目的:
- 审查慢性伤口的无菌与清洁管理的证据和实践的演变.
- 为清洁与无菌技术辩论提供基于证据的观点.
- 更新以前的临床实践文件.
主要方法:
- 审查关于伤口护理技术的现有文献和证据.
- 伤口护理专业人员协会 (APIC) 和伤口,骨科和制护士 (WOCN) 成员的特别工作组综合信息.
- 对实践的历史发展进行分析.
主要成果:
- 没有足够的确证据来最终推清洁或无菌技术.
- 文章总结了当前的证据基础,承认正在进行的辩论.
- 对以前指导的更新反映了最新的理解.
结论:
- 在慢性伤口护理中,清洁与无菌技术的最终指导仍然难以捉摸,因为证据不足.
- 审查强调需要继续研究和批判性评估实践.
- 医疗保健专业人员应考虑现有证据和患者特定因素.
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