Evidence summary of rehabilitative nursing for patients with burn-induced hypertrophic scars
10.3760/cma.j.cn115682-20221220-06046
- VernacularTitle:烧伤增生性瘢痕患者康复护理的证据总结
- Author:
Lijun YANG
1
;
Hong ZHOU
;
Juan DING
;
Jing GENG
;
Yifang LIAO
Author Information
1. 成都市中西医结合医院（成都市第一人民医院）护理部，成都 610000
- Keywords:
Burns;
Hypertrophic scars;
Rehabilitative nursing;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(31):4309-4315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for rehabilitative nursing of patients with burn-induced hypertrophic scars, and to provide references for clinical practice.Methods:The evidence-based questions were constructed using the PIPOST model of the Joanna Briggs Institute (JBI) Evidence-Based Healthcare Center in Australia. Literature was selected through computer retrieval from UpToDate, Cochrane Library, UK's National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, US Guidelines Network, British Medical Journal, JBI Evidence-Based Healthcare Center database, Guidelines International Network, Wanfang, CNKI, VIP and SinoMed, abiding by the inclusion criteria set for literature. The search time limit was set from each database's inception to November 30, 2022. Two to four evidence researchers independently evaluated the quality of the included literature and synthesized evidence pertaining to the rehabilitative nursing of patients with burn-induced hypertrophic scars, integrating expert opinions.Results:A total of 13 articles were included in total, comprising 2 highest clinical decisions, 8 guidelines, 3 expert consensuses. This led to the formation of 22 best evidences which fell under 7 themes: health education, body positioning, functional exercise, care for pain and itching, scar medication, physical rehabilitation, and psychological rehabilitation.Conclusions:This study summarized the best evidence for rehabilitative nursing of patients with burn-induced hypertrophic scars, providing evidence-based proof for burn rehabilitative nursing practices. The clinical application of this evidence should consider the actual clinical circumstances, aligning with the type and different stage characteristics of the burn patient's scar, and accounting for the divergent rehabilitative needs of adults and children to prudently apply the evidence in a clinical setting.
