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更新伤口护理算法:一个系统的,专注的审查
Lia van Rijswijk1,2, Janice M Beitz1,2
1Lia van Rijswijk, DNP, RN, CWCN , Nursing Department, W. Cary Edwards School of Nursing and Health Professions, Thomas Edison State University Trenton, New Jersey.
概括
这项研究更新了基本的伤口护理指南,发现了营养,运动,自来水伤口清洁,感染迹象和银的更强有力的证据. 然而,对于基本的伤口评估和护理步骤,需要更多的研究.
科学领域:
- 护理 护理 护理
- 基于证据的实践.
- 伤口管理 伤口管理
背景情况:
- 基本的伤口护理算法需要定期更新证据以确保最佳的患者结果.
- 之前的评估确定了需要更新伤口评估和管理证据的领域.
- 保持当前的,基于证据的指导方针对于有效的临床实践至关重要.
研究的目的:
- 在解决方案伤口护理算法中更新基本伤口护理的证据库.
- 根据最新的科学证据,修改现有的伤口护理算法.
- 确保伤口护理实践与当前最好的证据保持一致.
主要方法:
- 重建了14个主要的算法目标和34个详细的陈述/步骤,变成21个合格的陈述/步骤.
- 在2015-2023年期间使用CINAHL,Medline,Cochrane图书馆和JBI数据库进行了系统的文献审查.
- 利用推分类学 (SORT) 的优势来更新伤口护理干预措施的证据水平.
主要成果:
- 检索了59个符合标准的元素;所有陈述仍然基于证据.
- 确定了营养评估,下肢的运动,自来水伤口清洁和感染指标的更高质量的证据.
- 发现了更有力的证据支持适当使用含银的带.
结论:
- 虽然针对特定干预措施的证据有所改善,但与之前的更新相比,发现的临床试验较少.
- 这凸显了进一步研究的必要性,以提高基本伤口评估和护理过程的证据水平.
- 持续的研究对于加强基本伤口护理各方面的证据基础至关重要.
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