评估黑色皮肤儿童的临床恶化:一个范围广泛的审查
Chelsea Kelly1,2, Gavin D Leslie1,3, Pamela Laird1,2,4
1School of Nursing, Curtin University, Bentley, Western Australia, Australia.
Journal of clinical nursing
|August 13, 2025
概括
评估黑皮肤儿童的临床恶化至关重要,但定义不佳. 需要更多高质量的研究来准确地识别这个人群中疾病的迹象.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 临床评估 临床评估
- 健康 公平 卫生 公平
背景情况:
- 临床恶化症状可能在皮肤色较深的儿童中有所不同.
- 目前评估这些儿童的方法定义不充分.
研究的目的:
- 审查关于评估黑色皮肤儿童临床恶化的现有文献.
- 识别有关这一脆弱群体的研究缺口.
主要方法:
- 使用PRISMA-ScR和Arksey和O'Malley框架进行了全面的范围审查.
- 搜索包括五个数据库和灰色文献,严格选和数据分析.
- 包含的文件使用乔安娜·布里格斯研究所的指导方针评估了证据水平.
主要成果:
- 在2382份文件中,包括37份,主要是低级别证据 (21个来源).
- 66个术语描述了深色皮肤; 18个使用了分类系统.
- 针对黄,白色,蓝色,脉冲氧计,斑块和冲击的具体评估考虑因素被注意到,但没有斑点和毛细血管补充时间.
结论:
- 在评估黑皮肤儿童的临床恶化方面,显著缺乏高质量的研究.
- 关键信息缺口包括斑点,毛细血管补充时间,APGAR评分,以及胆红素和氧和度的设备精度.
- 卫生专业人员应谨慎使用设备,倡导提高准确性和客观性,以有效检测恶化.
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