摘要
目的:对肠造口护理指南、专家共识和团体标准的方法学质量进行评价,并对肠造口周围皮肤保护用品的相关推荐内容进行分析,为后期国内制定全面的肠造口护理指南提供循证依据。方法:在中英文数据库、指南数据库、指南学会/协会网站检索与肠造口护理相关的指南、专家共识和团体标准,检索时限截至2022年12月。利用指南、共识的质量评价工具对纳入文献进行质量评价,提取与造口周围皮肤护理用品相关的推荐意见并进行比较分析。结果:共纳入8项指南,均为国外指南;3项专家共识,2项来自国外,1项来自国内;仅有国内的1项团体标准。8项指南中,3项指南为A级,质量较高,专家共识和团体标准的质量普遍较低。所有纳入指南、共识和团体标准中,均推荐使用皮肤保护用品护理肠造口周围皮肤,但大部分推荐都未表明具体的选择和使用方法。结论:肠造口护理指南、专家共识和团体标准整体方法学质量有待提高,皮肤保护用品相关的推荐内容不具体、不全面且证据基础不足。期望后期国内研究者可以制定出内容全面的本土化肠造口护理循证指南,以正确指导临床合理选择和使用造口周围皮肤护理用品。
Objective:To evaluate the methodological quality of ostomy nursing guidelines,expert consensus and group standards,and analyze the relevant recommendations of skin protection products around ostomy,so as to provide evidence-based basis for the development of comprehensive ostomy nursing guidelines in China.Methods:Guidelines,expert consensus and group standards related to ostomy care were systematically and comprehensively searched in major Chinese and English databases,guideline databases,and websites of guideline societies/associations until December 2022.The quality evaluation tools of guidelines and consensus were used to evaluate the quality of the included literature,and the recommendations related to skin care products around the stoma were extracted and compared.Results:A total of 8 guidelines were included,all of which were foreign guidelines.3 expert consensus,2 from abroad,1 from China;there is only one group standard in China.In the eight guidelines,three can be rated A and are of high quality,while the quality of expert consensus and group standards is generally low.All included guidelines,consensus,and group standards recommend the use of skin protection products for the care of peristomal skin,but most recommendations do not indicate specific selection and use.Conclusions:The overall methodological quality of ostomy care guidelines,expert consensus,and group standards needs to be improved.The recommendations related to skin protection products are not specific,comprehensive,and the evidence base is insufficient.It is expected that domestic researchers can develop comprehensive evidence-based guidelines for localized ostomy care in the later stage,so as to correctly guide the clinical rational selection and use of skin care products around the stoma.
作者
赵晓云
田金徽
胡芷若
李艳明
李琳
马晓婷
ZHAO Xiaoyun;TIAN Jinhui;HU Zhiruo;LI Yanming;LI Lin;MA Xiaoting(Gansu University of Chinese Medicine,Gansu 730000 China)
出处
《护理研究》
北大核心
2024年第3期377-385,共9页
Chinese Nursing Research
关键词
肠造口
护理
护理用品
指南
专家共识
标准
质量评价
ostomy
nursing
care product
guidelines
consensus of experts
standard
quality evaluation
