{"title":"Summary of the Best Evidence for the Prevention and Management of Medical Adhesive-Related Skin Injuries in Patients with Tracheal Intubation.","authors":"Minhua Hu, Jiajia Hu, Peng Sun, Hongyan Zheng, Mingyang Zhang","doi":"10.2147/JMDH.S529677","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to summarize the best evidence for the prevention and management of medical adhesive-related skin injury and to provide a scientific basis for the facial skin care of healthcare professionals and patients undergoing tracheal intubation.</p><p><strong>Methods: </strong>Following the \"6S\" pyramid model, the literature on the prevention and management of adhesive-associated skin lesions was searched from top to bottom of the guideline website, relevant professional association websites, and Chinese and English databases. The time frame of the search was from the creation of the repository to August 10, 2024. Evidence consolidation was completed in September 2024. The quality of the included studies was assessed, and key evidence was extracted and summarized.</p><p><strong>Results: </strong>One guideline, five expert consensus reports, three evidence summaries, one cohort study, and two randomized controlled trials were included. Finally, 30 key evidence items were extracted from 7 areas: risk factor identification, skin assessment, selection and use of medical adhesives, skin care, use of skin protection products and removers, pain management, and education and training. The evidence base is characterized by a high proportion of expert consensus (Level 5, 20%) and case-series evidence (Level 4, 60%), reflecting the current lack of robust RCTs in MARSI prevention for intubated patients. However, 73.3% of recommendations carry Grade A strength, supported by either consistent expert consensus or at least one high-quality RCT, providing a solid foundation for clinical implementation. Future research should prioritize large-scale RCTs to validate interventions in diverse populations.</p><p><strong>Conclusion: </strong>The best evidence for the prevention and management of medical adhesive-associated skin breakdown summarized in this study can be used as a scientific reference for practical nursing care and provide direction for healthcare teams as well as for the care of the facial skin of patients undergoing endotracheal intubation.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"5563-5580"},"PeriodicalIF":2.4000,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423774/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S529677","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this study was to summarize the best evidence for the prevention and management of medical adhesive-related skin injury and to provide a scientific basis for the facial skin care of healthcare professionals and patients undergoing tracheal intubation.
Methods: Following the "6S" pyramid model, the literature on the prevention and management of adhesive-associated skin lesions was searched from top to bottom of the guideline website, relevant professional association websites, and Chinese and English databases. The time frame of the search was from the creation of the repository to August 10, 2024. Evidence consolidation was completed in September 2024. The quality of the included studies was assessed, and key evidence was extracted and summarized.
Results: One guideline, five expert consensus reports, three evidence summaries, one cohort study, and two randomized controlled trials were included. Finally, 30 key evidence items were extracted from 7 areas: risk factor identification, skin assessment, selection and use of medical adhesives, skin care, use of skin protection products and removers, pain management, and education and training. The evidence base is characterized by a high proportion of expert consensus (Level 5, 20%) and case-series evidence (Level 4, 60%), reflecting the current lack of robust RCTs in MARSI prevention for intubated patients. However, 73.3% of recommendations carry Grade A strength, supported by either consistent expert consensus or at least one high-quality RCT, providing a solid foundation for clinical implementation. Future research should prioritize large-scale RCTs to validate interventions in diverse populations.
Conclusion: The best evidence for the prevention and management of medical adhesive-associated skin breakdown summarized in this study can be used as a scientific reference for practical nursing care and provide direction for healthcare teams as well as for the care of the facial skin of patients undergoing endotracheal intubation.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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