Summary of best evidence for the prevention and management of oral mucosal pressure injury in severe neurological patients with tracheal intubation
10.3760/cma.j.cn115682-20230802-00314
- VernacularTitle:神经重症气管插管患者口腔黏膜压力性损伤预防及管理的最佳证据总结
- Author:
Yingying ZHANG
1
;
Bo XU
;
Cheng CHEN
;
Beibei ZHU
;
Juan ZHANG
;
Min FENG
;
Ming LI
;
Zhennan TAO
;
Lu CHEN
Author Information
1. 南京大学医学院附属鼓楼医院神经外科，南京 210008
- Keywords:
Evidence-based nursing;
Severe neurological diseases;
Tracheal intubation;
Oral mucosal pressure injury;
Medical device related pressure injury
- From:
Chinese Journal of Modern Nursing
2024;30(12):1587-1595
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for the prevention and management of oral mucosal pressure injury (OMPI) in severe neurological patients with tracheal intubation.Methods:The clinical decisions, guidelines, expert consensus, evidence summary, systematic reviews, and clinical practice regarding the prevention and management of OMPI in severe neurological patients with tracheal intubation were searched in domestic and foreign databases, guideline websites, and professional association websites. The search period was from database establishment to May 30, 2023. Four researchers who undergone systematic evidence-based training conducted literature quality evaluation and evidence extraction.Results:A total of 15 articles were included, including three evidence summaries, three systematic reviews, two guidelines, three clinical practices, three expert consensus, and one clinical decision. A total of 27 pieces of best evidence were summarized from six aspects of risk assessment, oral mucosal assessment, oral nursing, tracheal intubation management, nutritional support, and organizational training.Conclusions:The best evidence for the prevention and management of OMPI in severe neurological patients with tracheal intubation summarized provides evidence-based evidence for medical and nursing staff to prevent and manage OMPI in severe neurological patients with tracheal intubation.
