肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的最佳证据总结

目的 总结肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的相关证据，为临床实践管理提供依据。方法检索Up To Date、BMJ、JBI、RNAO、GIN、NICE、NGC、SIGN、WOCN、PubMed、Web of Science、医脉通、The Cochrane Library、CINAHL、Embase、SinoMed、CNKI、维普和万方数据库关于肠造口患者造口周围潮湿相关性皮肤损伤预防及护理的相关证据。结果 共纳入16篇文献，其中6篇指南、3篇系统评价、3篇专家共识1篇临床决策、3篇证据总结，最后汇总9个方面，共21条证据。结论 肠造口患者造口周围潮湿相关性皮肤损伤的预防及护理的最佳证据总结可为临床应用提供循证依据，在证据转化过程中应结合临床实际，提高护理质量。

Best evidence summary for prevention and nursing of peristomal moisture-associated skin damage in patients with enterostomy

Objective To summarize the best evidence for the prevention and care of peristomal moisture-associated skin damage in patients with enterostomy and to provide reference for clinical management. Methods We searched Up To Date, BMJ, JBI, RNAO, GIN, NICE, NGC, SIGN, WOCN, PubMed, Web of Science, Medlive, The Cochrane Library, CINAHL, Embase, SinoMed, CNKI, VIP and Wanfang for eligible literature. Results Sixteen articles were collected, including 6 guidelines, 3 systematic reviews, 3 expert consensuses/position statement, 1 clinical decision and 3 evidence summaries. Twenty-one pieces of best evidence was summarized into 9 themes. Conclusion Best evidence summary of the prevention and care of peristomal moisture-associated skin damage in patients with enterostomy provides evidence-based reference for clinical application. Clinical practice should be considered during the transition of the evidence so as to improve nursing quality.