Evidence map of convex baseplates application in adult ostomy patients
10.3760/cma.j.cn115682-20250213-00640
- VernacularTitle:凸面底盘在成人造口患者中应用的证据图谱
- Author:
Jiaqi XU
1
;
Chen PEI
;
Xue ZHANG
;
Ning LI
;
Longmei SI
;
Qian LU
;
Yujie ZHOU
Author Information
1. 北京大学第三医院护理部，北京 100191
- Publication Type:Journal Article
- Keywords:
Ostomy;
Convex baseplate;
Ostomy care;
Evidence map
- From:
Chinese Journal of Modern Nursing
2025;31(16):2114-2121
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically summarize, describe, and evaluate the evidence related to convex baseplates use in adult ostomy patients through an evidence map, in order to identify research gaps and future directions.Methods:A systematic search was conducted in Chinese and English databases, including China National Knowledge Infrastructure, Wanfang Data, VIP, and PubMed, and others, from database inception to September 2024. Randomized controlled trials and quasi-experimental studies on convex baseplates use in adult ostomy patients were included. Literature quality was assessed using the Cochrane Handbook 5.1.0 bias risk assessment tool and the critical appraisal tool for quasi-experimental studies from the Joanna Briggs Institute Centre for Evidence-Based Healthcare. Based on the PICO principle [participant (P) , intervention (I) , comparison (C) , outcome (O) ] , an evidence mapping coding system was extracted and developed by integrating relevant guidelines and consensus. Data extraction and coding were performed using EPPI-Reviewer software, and key evidence characteristics and literature quality were presented using bubble charts.Results:A total of eight randomized controlled trials and six quasi-experimental studies were included. Most of the 14 studies had a high risk of bias. The target populations for interventions were divided into two categories: prevention and treatment. The main complications involved stoma skin-mucosal separation, stoma peristomal dermatitis, and stoma height issues. The main outcome measures included baseplate seal integrity, wound healing, complication rates, clinical symptoms, adverse events, patient acceptance, and quality of life.Conclusions:Most of the studies on convex baseplates has focused on enterostomy patients. The majority of studies have a high risk of bias, and the number of studies is limited. Further clarification is needed on the selection criteria for convex baseplates with different characteristics, and the clinical application effects of convex baseplates urgently need further evaluation.
