Summary of the best evidence for external auditory canal irrigation in patients with cerumen embolism
10.3760/cma.j.cn115682-20240104-00089
- VernacularTitle:耵聍栓塞患者外耳道冲洗的最佳证据总结
- Author:
Ruya YUAN
1
;
Wei XU
;
Xiaolu YANG
;
Yanling DENG
;
Xiaochang HUANG
;
Xiaofen LI
;
Chengcheng LIU
;
Lijing HU
Author Information
1. 中山大学附属第一医院耳鼻咽喉科,广州 510080
- Keywords:
Cerumen;
Embolism;
External auditory canal irrigation;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(31):4234-4240
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for external auditory canal irrigation in patients with cerumen embolism.Methods:The clinical decisions, guidelines, systematic reviews, expert consensus, group standards, evidence summaries, and randomized controlled trials regarding external auditory canal irrigation in patients with cerumen embolism were retrieved from databases and websites such as BMJ Best Practice, UpToDate, Guidelines International Network, National Institute for Health and Clinical Excellence, Joanna Briggs Institute Evidence-Based Health Care Center Database, PubMed, Embase, China National Knowledge Infrastructure, WanFang data, and China Biology Medicine disc. The search period was from database establishment to February 15, 2023. Six researchers screened the literature, evaluated the methodological quality, and extracted and summarized the best evidence for external auditory canal irrigation in patients with cerumen embolism.Results:A total of nine articles were included, including one clinical decision, two guidelines, two systematic reviews, one group standard, and three randomized controlled trials. Sixteen pieces of evidence were summarized from six aspects of operators: pre-operation evaluation and preparation, operation process, post-operation handling, health education, and adverse reactions during operation.Conclusions:This paper summarizes the best evidence for external auditory canal irrigation in patients with cerumen embolism. Medical and nursing staff should carefully select and apply evidence based on clinical scenarios and patient's wishes.