Best evidence summary of the prevention of medical adhesive-related skin injury in central venous access devices
10.3760/cma.j.cn115682-20210318-01195
- VernacularTitle:中心静脉血管通路装置医用粘胶相关性皮肤损伤预防措施的最佳证据总结
- Author:
Peiyuan CAI
1
;
Guozhen SUN
;
Li LI
;
Wenjun CAO
;
Dongjing XIE
Author Information
1. 南京医科大学护理学院 210029
- Keywords:
Catheterization, central venous;
Prevention;
Vascular access;
Medical adhesive;
Skin injury;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2021;27(32):4351-4356
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate domestic and foreign evidence on the prevention of central venous access device medical adhesive-related skin injury (CVAD-MARSI) , and analyze and summarize the best evidence, so as to provide a reference for establishing a sound intravenous infusion treatment system and CVAD-MARSI management mechanism.Methods:Evidence-based nursing methods were applied, and the evidence on the prevention of CVAD-MARSI in British Medical Journal (BMJ) Best Practice, UpToDate, Australia Joanna Briggs Institute (JBI) Evidence-Based Practice Database, Canada Registered Nurses' Association of Ontario, Scottish Intercollegiate Guidelines Network, National Institute for Health and Clinical Excellence, Cochrane Library, Intravenous Nurses Society, PubMed, Medlive, Chinese Biomedical Literature Database, Wanfang Data, China National Knowledge Infrastructure (CNKI) was retrieved according to the "6S" model system. The evidence included guidelines, best practices, systematic reviews, expert consensus, and evidence summary. The search time limit was from January 1, 2011 to February 1, 2021. Two researchers independently completed the quality evaluation of the included literature, and carried out the evidence extraction and summary of literature that met the quality standards.Results:A total of 10 articles were included, including 3 guidelines, 1 systematic review, 5 expert consensuses, and 1 evidence summary. The best evidence covered 5 aspects including patient evaluation, skin preparation, dressing use, improvement of comfort, and organization management, with a total of 26 pieces of evidence.Conclusions:Clinical medical and nursing staff can take measures in terms of patient evaluation, skin preparation, dressing use, improvement of comfort, and organization management. In the process of evidence application, the best targeted evidence should be selected combined with the clinical situation, so as to reduce the harm of CVAD-MARSI.
