老年人皮肤屏障功能障碍的风险因素:系统综述。

IF 1.7 4区 医学 Q2 NURSING
Issei Konya, Inaho Shishido, Moe Nemoto, Rika Yano
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引用次数: 0

摘要

目的:皮肤屏障功能障碍可引发老年人的各种皮肤疾病。皮肤屏障评估对护士和护理人员预防皮肤疾病至关重要;然而,用于临床评估的证据却很有限。本系统综述旨在明确老年人皮肤屏障功能障碍的风险因素:本综述遵循系统综述和元分析首选报告项目(PRISMA)指南。使用与 "老年人 "和 "皮肤屏障 "相关的多个术语对四个数据库进行了检索。该检索于 2023 年 4 月 19 日首次运行,并于 2023 年 10 月 12 日再次运行。收录了经同行评审的英文定量研究,未设定发表时间限制。两位审稿人使用 JBI 工具以盲法独立评估了偏倚风险。由于结果存在异质性,因此进行了叙述性综合:在数据库确定的 4833 项研究中,纳入了 20 项研究。提取的因素分为人口统计学特征、功能特征、慢性疾病、营养状况、皮肤状况和环境因素。然而,由于偏倚风险较高且各研究结果不一致,只有慢性肾病和皮肤干燥被认为是老年人皮肤屏障功能障碍的风险因素:结论:在日常皮肤护理中对慢性肾病和皮肤干燥进行评估可指导制定个性化的护肤方案,以保持老年人皮肤的完整性。此外,需要进行考虑混杂因素和测量可靠性的队列研究,以深入调查皮肤屏障功能障碍和更多风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Risk factors of skin barrier dysfunction in older adults: A systematic review

Risk factors of skin barrier dysfunction in older adults: A systematic review

Aim

Skin barrier dysfunction can trigger various skin disorders in older adults. Skin barrier assessment is essential for nurses and caregivers to prevent skin disorders; however, the evidence available for clinical assessment is limited. This systematic review aimed to clarify the risk factors of skin barrier dysfunction in older adults.

Methods

This review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The four databases were searched using multiple terms related to “aged” and “skin barrier.” The search was initially run on April 19, 2023, and rerun on October 12, 2023. Peer-reviewed quantitative studies in English were included, with no publication time limit being set. Two reviewers assessed the risk of bias in a blinded and independent manner using JBI tools. Owing to the heterogeneity of the results, a narrative synthesis was performed.

Results

Among the database-identified 4833 studies, 20 studies were included. The extracted factors were categorized as demographic characteristics, functional characteristics, chronic diseases, nutritional status, skin condition, and environmental factors. However, owing to high risk of bias and inconsistent results across studies, only chronic kidney disease and dry skin were considered risk factors for skin barrier dysfunction in older adults.

Conclusions

Assessment of chronic kidney disease and dry skin in daily skin care may guide the development of personalized skincare programs to maintain skin integrity in older adults. Furthermore, cohort studies that consider confounding factors and the reliability of measurements are needed for an in-depth investigation into skin barrier dysfunction and more risk factors.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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