Andriessen Consultants, Ontario, Canada.
J Cutan Med Surg. 2012 Jan-Feb;16(1):23-31. doi: 10.1177/120347541201600106.
This article presents an evidence-supported clinical pathway for dry skin prevention and treatment.
The development of the pathway involved the following: a literature review was conducted and demonstrated that literature on dry skin is scarce. To compensate for the gap in the available literature, a modified Delphi method was used to collect information on prevention and treatment practice through a panel, which included 10 selected dermatologists who currently provide medical care for dermatology patients in Ontario. An advisor experienced in this therapeutic area guided the process, including a central meeting. Panel members completed a questionnaire regarding their individual practice in caring for these patients and responded to questions on assessment of dry skin etiology, frequency of skin care visits for consultation and follow-up, assessment, and referral to other specialties. The panel members reviewed a summary of all responses and reached a consensus. The result was presented as a clinical pathway.
The panel concluded that our current awareness of dry skin and therefore prevention and effective treatment is limited; that identifying dry skin and its clinical issues requires tools such as clinical pathways, which may improve patient outcomes; and that additional research on dry skin etiology, prevention, and treatment is necessary.
本文提出了一种有证据支持的干性皮肤预防和治疗的临床路径。
该路径的开发涉及以下内容:进行了文献回顾,结果表明干性皮肤相关文献稀缺。为了弥补现有文献的空白,采用改良 Delphi 法通过专家组收集预防和治疗实践信息,专家组包括 10 名目前在安大略省为皮肤科患者提供医疗服务的选定皮肤科医生。一位在该治疗领域有经验的顾问指导了这一过程,包括一次中心会议。小组成员完成了一份关于他们个人护理这些患者的实践的问卷,并回答了关于干性皮肤病因评估、咨询和随访、评估以及向其他专业转诊的皮肤护理就诊频率的问题。小组成员审查了所有回复的摘要,并达成了共识。结果以临床路径的形式呈现。
专家组得出结论,我们目前对干性皮肤的认识,以及因此对干性皮肤的预防和有效治疗是有限的;识别干性皮肤及其临床问题需要临床路径等工具,这可能会改善患者的预后;需要进一步研究干性皮肤的病因、预防和治疗。