Evidence-based practice on prevention and nursing care of incontinence related dermatitis in patients with multiple myeloma
10.3969/j.issn.1671-8348.2018.09.025
- VernacularTitle:多发性骨髓瘤患者失禁相关性皮炎预防和护理的循证实践
- Author:
Jie SHI
1
;
Jinfang JIANG
Author Information
1. 广西医科大学研究生学院
- Keywords:
incontinence associated dermatitis;
multiple myeloma;
prevention;
evidence-based nursing
- From:
Chongqing Medicine
2018;47(9):1229-1232
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore how to carry out the evidence-based nursing care on multiple myeloma(MM)patients with incontinence associated dermatitis(IAD)by combining with a case of MM in clinic.Methods According to the patient′s situation, the clinical questions were pertinently put forward and converted according to the principle of PICO.And then some databases such as NGC,CDSR,Medline and PubMed were retrieved from January 1,2006 to December 31,2016 for collecting high-quality clinical evidences of the prevention and nursing care of IAD.Results Three clinical practice guidelines,1 expert opinion,3 systematic re-views and 3 RCT were included.According to the final retrieval results and combining with the patient′s condition and wish,the ab-sorbent products were appropriately used,and the contaminated skin was cleaned in time;at the same time the disposable non-woven fabric coordinated with pH balanced skin cleanser was selected to clean skin gently.Based on the principles of cleaning,preserving moisture and skin protection,some superior products,such as 3-in-1 incontinence care wipes or Cavilon transparent protective film, were given priority to select and regularly evaluated.Conclusion Applying the evidence-based evidence can pertinently provide the individualized nursing scheme for the patients,thus reduces the incidence rate of IAD.