摘要
目的:对肿瘤病人发生医用粘胶相关性皮肤损伤(MARSI)的危险因素进行范围综述,为临床预防MARSI提供参考。方法:检索the Cochrane Library、PubMed、Web of Science、EMbase、万方数据库、中国知网、维普数据库、中国生物医学文献数据库中肿瘤病人MARSI危险因素的相关文献,检索时限从建库至2023年3月31日。由2名研究者进行筛选文献、提取资料,并报告研究结果。结果:共纳入9篇文献,涉及2673例肿瘤病人,共13个危险因素。包括病人因素如年龄、过敏史、体质指数、皮肤潮湿、MARSI史;医源性因素如经外周静脉置入中心静脉导管(PICC)维护方法、穿刺部位、穿刺次数、化疗用药;疾病因素如糖尿病、生殖系统肿瘤、血液系统肿瘤以及民族等社会人口学因素均与肿瘤病人发生MARSI有关。结论:现有研究证据表明,肿瘤病人发生MARSI的危险因素较多,但纳入研究类型有限,未来须更多高质量研究进行更深层次的验证。
Objective:To provide a range review of risk factors for medical adhesive related skin injury(MARSI)in tumor patients,and to provide reference for clinical prevention of medical adhesive related skin injury.Method:Literature on MARSI risk factors of cancer patients in the Cochrane Library,PubMed,Web of Science,EMbase,WanFang Database,CNKI,VIP and CBM were searched from the database establishment to March 31,2023.Two researchers screened the literature,extracted the data,and reported the results.Results:A total of 9 articles were included,with a total of 2673 cases and 13 risk factors.Include patient factors such as age,allergy history,body mass index,wet skin,MARSI history;Iatrogenic factors,such as peripherally inserted central catheter(PICC)maintenance method,puncture site,puncture frequency,chemotherapy use;Disease factors,such as diabetes,reproductive system tumors,hematological tumors,and ethnic and other sociodemographic factors,were associated with MARSI in tumor patients.Conclusion:Existing studies shows that there are many risk factors for MARSI in cancer patients,but the types of studies included are limited.In the future,more high-quality studies are needed for deeper validation.
作者
李静蕊
章萍
侯蕾
LI Jingrui;ZHANG Ping;HOU Lei(School of Nursing,Nanchang University,Jiangxi 330000 China;不详)
出处
《循证护理》
2024年第8期1360-1364,共5页
Chinese Evidence-Based Nursing
基金
江西省中医药管理局科技计划课题,编号:SZYZD20223058。
关键词
医用粘胶相关性皮肤损伤
肿瘤病人
危险因素
范围综述
循证护理
medical adhesive-related skin injury
tumor patients
risk factors
scope overview
evidence-based nursing
