Summary of the best evidence for surrounding skin management in venous leg ulcers
10.3761/j.issn.0254-1769.2024.10.12.006
- VernacularTitle:下肢静脉溃疡周围皮肤护理的最佳证据总结
- Author:
Yu ZHONG
1
;
Huiyan WEI
;
Shujie LIN
;
Leiwen TANG
Author Information
1. 310016 杭州市 浙江大学医学院附属邵逸夫医院伤口造口专科门诊
- Keywords:
Venous Leg Ulcers;
Surrounding Skin;
Evidence-Based Nursing;
Evidence Summary
- From:
Chinese Journal of Nursing
2024;59(12):1446-1453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the relevant evidence of skin management around venous leg ulcers,and to provide a reference for medical staff and patients to manage the skin.Methods According to the 6S model,we searched UpToDate,BMJ Best Practice,Guidelines International Network,Medlive,Joanna Briggs Institute,Cochrane Library,PubMed,CNKI,Wanfang data,Health Service Executive,Wound,Ostomy,and Continence Nurses Society,European Society for Vascular Surgery,Association for the Advancement of Wound Care,Wound Healing Society,New Zealand Wound Care Society for all the articles related to skin management around venous leg ulcers.The retrieved literature included clinical decision-making,guidelines,best practices,expert consensuses,evidence summaries,systematic reviews,and randomized controlled trials.The retrieval period was from the inception of databases to October 11,2023.There were 2 nursing postgraduate who evaluated the quality of the included literature,and the evidence was extracted and summarized combined with the opinions of evidence-based nursing experts and wound care specialists.Results A total of 13 articles were included,including 1 clinical decision,1 evidence summary,6 guidelines,1 best practice,1 systematic review,and 3 RCTs.Finally,5 evidence themes and 24 pieces of best evidence were formed including skin therapy,skin cleaning,skin moisturizing,exudation management,and pressure therapy.Conclusion This study summarized the best evidence for the treatment,nursing,exudation management,and pressure therapy of the skin around the ulcer in patients with venous leg ulcers,to provide resource preparation for clinical transformation and guidance for clinical medical care and patient management of the skin around the ulcer.
