School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China.
Int Wound J. 2023 Aug;20(6):2276-2285. doi: 10.1111/iwj.14109. Epub 2023 Mar 9.
The aim of this study was to summarise the best evidence for the prevention and control of pressure ulcer at the support surface based on the site and stage of the pressure ulcer in order to reduce the incidence of pressure ulcer and improve the quality of care. In accordance with the top-down principle of the 6 S model of evidence-based resources, evidence from domestic and international databases and websites on the prevention and control of pressure ulcer on support surfaces, including randomised controlled trials, systematic reviews, evidence-based guidelines, and evidence summaries, was systematically searched for the period from January 2000 to July 2022. Evidence grading based on the Joanna Briggs Institute Evidence-Based Health Care Centre Evidence Pre-grading System (2014 version), Australia. The outcomes mainly embraced 12 papers, including three randomised controlled trials, three systematic reviews, three evidence-based guidelines, and three evidence summaries. The best evidence summarised included a total of 19 recommendations in three areas: type of support surface selection assessment, use of support surfaces, and team management and quality control.
本研究旨在根据压疮的部位和分期，总结支持面预防和控制压疮的最佳证据，以降低压疮发生率，提高护理质量。本研究遵循循证资源 6S 模型的自顶向下原则，对 2000 年 1 月至 2022 年 7 月国内外数据库和网站中关于支持面压疮预防和控制的文献进行系统检索，包括随机对照试验、系统评价、循证指南和证据总结。采用澳大利亚循证卫生保健中心证据预分级系统（2014 年版）对证据进行分级。研究结果主要纳入 12 篇文献，包括 3 篇随机对照试验、3 篇系统评价、3 篇循证指南和 3 篇证据总结。总结的最佳证据共包括 3 个方面的 19 项推荐意见：支持面选择评估、使用和团队管理及质量控制。
