Summary of the best evidence for the use of built-in fecal incontinence management device to prevent incontinence associated dermatitis
10.3760/cma.j.cn211501-20241011-02782
- VernacularTitle:运用内置型粪便收集装置预防失禁性皮炎的最佳证据总结
- Author:
Xiaojing WEI
1
;
Jiamei JING
;
Yuhao ZHAO
;
Hongxia LIANG
;
Shichao ZHU
;
Mengjuan JING
;
Yanhong GAO
;
Junjuan ZHANG
Author Information
1. 河南省人民医院重症医学科，郑州 450003
- Publication Type:Journal Article
- Keywords:
Fecal incontinence;
Incontinence associated dermatitis;
Management device;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2025;41(23):1826-1834
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate, and summarize the best evidence of built-in fecal incontinence management device, to inform the management of incontinence dermatitis by clinical healthcare professionals.Methods:BMJ Best Practice, UpToDate, Guideline International Network, Joanna Briggs Institute, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses′Association of Ontario, The Cochrane Library, Medline, Embase, SinoMed, CINAHL, PubMed, Web of Science, OVID, China National Knowledge Infrastructure, Wanfang Database were systematically searched for all evidence regarding the application of fecal collection devices. It included clinical practice, guidelines, systematic reviews, expert consensuses, evidence summaries, and randomized controlled trial. Two researchers independently evaluated the literature quality and extracted the literature that met the standards.Results:A total of 12 pieces of the literature were involved, including 2 best practice, 5 guidelines, 3 expert consensuses, and 2 systematic reviews. This study summarized 26 pieces of best evidence in relation to the following 5 themes: indications and contraindications, device insertion, device maintenance, device removal and effectiveness evaluation.Conclusions:This study scientifically and systematically summarized the best evidence regarding the insertion and maintenance of built-in fecal incontinence management device. We recommend that clinical practitioners integrate this evidence into their practice, while considering individual patient preferences and medical contexts. Adhering to individualization for evidence translation improves standardization and benefits patients in the clinical use of fecal collection devices.
