利用即时亚表皮水分测定仪探测局部水肿和评估压力性损伤风险：范围综述。

Use of point-of-care subepidermal moisture devices to detect localised oedema and evaluate pressure injury risk: A scoping review.

机构信息

School of Nursing and Midwifery, Griffith University, Gold Coast, Southport, Queensland, Australia.

NHMRC Centre of Research Excellence Wiser Wounds, Menzies Health Institute Queensland, Griffith University, Gold Coast, Southport, Queensland, Australia.

出版信息

J Clin Nurs. 2023 Sep;32(17-18):5478-5492. doi: 10.1111/jocn.16630. Epub 2023 Jan 30.

DOI:10.1111/jocn.16630

PMID:36717978

Abstract

AIMS AND OBJECTIVES

To map current literature on bedside clinicians' use of point-of-care subepidermal moisture devices to identify increased pressure injury risk.

BACKGROUND

Pressure injuries are a substantial healthcare burden. Localised oedema occurs before visible or palpable changes, and therefore is a biomarker of increased pressure injury risk. Novel bedside technologies that detect localised oedema may aid early pressure injury preventative practices.

DESIGN

A scoping review.

METHODS

Arksey and O'Malley's six-step framework and the PRISMA-ScR guidelines guided this scoping review. CINAHL Complete, Embase, SCOPUS, Cochrane (wounds) and PubMed databases were searched for primary research and quality improvement projects published in English between 2008-2022. Included studies focused on clinicians' bedside use of subepidermal moisture devices to quantify localised oedema and pressure injury risk. The PAGER framework supported narrative synthesis of the extracted data.

RESULTS

Nine studies were selected from 1676 sources. Two point-of-care subepidermal moisture devices were identified in clinical use, largely by nurses. Inconsistent use and interpretations revealed significant knowledge gaps in clinical practice. Additionally, no included studies engaged patients or the public in their design.

CONCLUSIONS

Nurses recognise the value of objective measures in determining the risk of pressure injury and are the primary end-users of point-of-care subepidermal moisture devices. However, standardising procedural instructions and interpretive criteria to guide preventative measures requires further research.

RELEVANCE TO CLINICAL PRACTICE

International pressure injury clinical practice guidelines advocate for subepidermal moisture devices as an adjunct to routine clinical skin assessment, although little is known about bedside use. This scoping review reveals low adoption of such devices and the need to develop standardised procedures in their use and interpretation.

REGISTRATION

Open Science DOI https://doi.org/10.17605/OSF.IO/AB6Y5-7th of March 2022.

摘要

目的和目标

绘制目前关于床边临床医生使用即时皮下水分设备来识别增加压力性损伤风险的文献图谱。

背景

压力性损伤是一个重大的医疗保健负担。局部水肿发生在可见或可触及的变化之前，因此是增加压力性损伤风险的生物标志物。新型床边技术可以检测到局部水肿，可能有助于早期预防压力性损伤的实践。

设计

范围综述。

方法

阿特赛和奥马利的六步框架和 PRISMA-ScR 指南指导了本次范围综述。在 2008-2022 年期间，在 CINAHL Complete、Embase、SCOPUS、Cochrane（伤口）和 PubMed 数据库中搜索了以英文发表的初级研究和质量改进项目。纳入的研究集中在临床医生床边使用皮下水分设备来量化局部水肿和压力性损伤风险。PAGER 框架支持对提取数据的叙述性综合。