Caring for Patients With Malignant Fungating Wounds: A Scoping Literature Review.

IF 1.7 3区 医学 Q2 NURSING
Deni Yasmara, Sin-Hang Tam, Su-Ying Fang
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引用次数: 0

Abstract

Purpose: The aim of this scoping literature review was to identify current knowledge related to management of malignant fungating wounds (MFWs), gaps in this knowledge, and areas for future research.

Methods: This was a scoping literature review.

Search strategy: Six electronic databases (Embase, MEDLINE, Cochrane (CENTRAL), CINAHL, Scopus, and Web of Science) were searched spanning the years 1987 and 2022. The initial electronic database search retrieved 6041 studies. The search is based on 60 articles published between 1987 and 2022, along with 14 additional studies were based on search of reference lists of key articles.

Findings: Studies were divided into 2 main domains; the vast majority (65 of 72, 87.8%) focused on symptom impact, measurement, and management. The remaining articles (n = 9, 12.2%) focused on caring for patients with MFW; these studies focused on nursing care experiences and competencies, along with lay caregiver experiences. Findings indicated that instruments have been developed to evaluate symptoms of MFW but only a few have been validated. Most of the studies reviewed evaluated the influence of MFW on physical and psychosocial function. Local and systematic symptom managements such as modern dressings, wound care strategies, surgery, and radiotherapy as well as chemotherapy were found to be effective in alleviating symptoms. Findings also indicated that families and nurses encounter obstacles and burdens when caring for patients with MFW; limited studies were retrieved that investigated the competence and needs of nurses in their caring journey.

Implications: Future studies should focus on: (1) using better designs to evaluate and compare topical agents and dressings to control odor, (2) validating assessment tools specific to MFW, (3) qualitative studies designed to enhance understanding family and nurses' experiences, and (4) improving the nurse's ability to care for patients with MFWs and their responses to managing these challenging patients.

护理恶性化脓性伤口患者:范围界定文献综述。
目的:本范围性文献综述旨在确定与恶性真菌伤口(MFWs)管理相关的现有知识、知识缺口以及未来研究领域:这是一次范围界定文献综述:检索了六个电子数据库(Embase、MEDLINE、Cochrane (CENTRAL)、CINAHL、Scopus 和 Web of Science),时间跨度为 1987 年至 2022 年。最初的电子数据库搜索检索到 6041 项研究。搜索结果基于 1987 年至 2022 年间发表的 60 篇文章,以及基于关键文章参考文献目录搜索的 14 项额外研究:研究分为两个主要领域;绝大多数(72 篇文章中的 65 篇,87.8%)侧重于症状影响、测量和管理。其余文章(9 篇,占 12.2%)的重点是护理中风患者;这些研究侧重于护理经验和能力,以及非专业护理人员的经验。研究结果表明,目前已开发出用于评估手足口病症状的工具,但只有少数工具经过验证。所审查的大多数研究都评估了中风对身体和社会心理功能的影响。研究发现,局部和系统的症状处理方法,如现代敷料、伤口护理策略、手术、放疗和化疗,对缓解症状很有效。研究结果还表明,家属和护士在护理乳腺纤维瘤患者时会遇到障碍和负担;对护士在护理过程中的能力和需求进行调查的研究有限:今后的研究应侧重于(启示:今后的研究应侧重于:(1)使用更好的设计来评估和比较控制异味的外用药剂和敷料;(2)验证专门针对中耳炎的评估工具;(3)开展定性研究,以加深对家属和护士经历的了解;以及(4)提高护士护理中耳炎患者的能力,以及他们在管理这些具有挑战性的患者时的应对措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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