scholarly journals Evidence-based nursing intervention to reduce skin integrity impairment in children with diaper dermatitis: A systematic review

2021 ◽  
Vol 43 (s1) ◽  
Author(s):  
Prihatini Dini Novitasari ◽  
Dessie Wanda
Keyword(s):  
Systematic Review ◽  
Health Problem ◽  
Nursing Intervention ◽  
Evidence Based ◽  
Diaper Dermatitis ◽  
Exclusion Criteria ◽  
Health Ministry ◽  
Skin Integrity ◽  
Keywords Child ◽  
Evidence Based Nursing

Diaper dermatitis often occurs in children. In Indonesia, the guidelines for managing this health problem are issued by each hospital in Indonesia, but there are no guidelines for formal prevention and management released by the Indonesian Health Ministry. This study aimed to propose the Air, Barrier, Cleansing, Diapering, Education (ABCDE) approach as an evidence-based independent nursing intervention to prevent and treat impaired skin integrity, particularly diaper dermatitis, in children by nurses. This systematic review was derived from multiple databases using the following keywords: “child,” “diaper dermatitis,” “diaper-free time,” “air,” "barrier,” “cleansing,” “diaper,” and “education.” From these keywords, 393 articles were collected and then filtered using inclusion and exclusion criteria to obtain the final articles to be analyzed. Thirty-one articles passed the criteria. The study found that the ABCDE approach was effective in preventing and treating diaper dermatitis in children. Its indicators of the approach were preventing or decreasing inflammation, repairing damage to the skin, and preventing reoccurrence. Based on the review and analysis of multiple aspects in Indonesia, the authors proposed a modification of the sequence to CBAD-E to implement the approach in Indonesian children. The intervention of the ABCDE approach matches Indonesian children’s situation, and therefore it can be implemented in Indonesia. Accordingly, this recommendation may be useful and feasible to be implemented by nurses in preventing and treating diaper dermatitis in children, thus decreasing its prevalence.

scholarly journals Prognostic Factors for Development of Subsequent Metastases in Localized Osteosarcoma: A Systematic Review and Identification of Literature Gaps

Sarcoma ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Patrick Basile ◽  
Emily Greengard ◽  
Brenda Weigel ◽  
Logan Spector
Keyword(s):  
Systematic Review ◽  
Prognostic Factors ◽  
Predictive Models ◽  
Pulmonary Metastases ◽  
Tumor Location ◽  
Evidence Based ◽  
Review Of The Literature ◽  
Histologic Response ◽  
Exclusion Criteria

Aim. To investigate prognostic factors in pediatric and young adult patients with localized osteosarcoma that could predict the development of subsequent pulmonary metastases and lead to an ability to risk-stratify therapy. We performed a systematic review of the literature published since January 1990 to establish common evidence-based prognostic factors. Methods. PubMed and Embase searches (Jan 1990–Aug 2018) were performed. Two reviewers independently selected papers for patients with localized osteosarcoma with subsequent metastatic development and then reviewed for quality of methods and prognostic factors. Results. Database searches yielded 216 unique results. After screening, 27 full-text articles were studied in depth, with 9 items fulfilling predetermined inclusion and exclusion criteria. Age, tumor location, tumor size/volume, and histologic response carried independent prognostic value in the majority of the studies. Conclusions. Several prognostic factors seemed to be consistent amongst the studies, but the heterogeneity and smaller sizes of the study populations made pooling of results difficult. Standardization of larger patient populations and consistent definitions/cutoffs for prognostic factors are needed to further assess for consistent prognostic factors and potential predictive models to be developed.

Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review

2020 ◽  
Vol 46 (3) ◽  
pp. 318-337
Author(s):  
Megan J. Geldenhuys ◽  
Charlene Downing
Keyword(s):  
Systematic Review ◽  
Nursing Care ◽  
Evidence Based ◽  
Evidence Based Nursing

scholarly journals APLIKASI MODEL KEPERAWATAN COMFORT KOLCABA DALAM ASUHAN KEPERAWATAN PADA ANAK DENGAN KERUSAKAN INTEGRITAS KULIT

2020 ◽  
Vol 9 (2) ◽  
pp. 11-20
Author(s):  
Lina Mahayati
Keyword(s):  
Nursing Practice ◽  
Evidence Based ◽  
Diaper Dermatitis ◽  
Evidence Based Nursing

Diaper dermatitis sering terjadi pada anak anak yang berisiko menimbulkan rasa gatal, nyeri, dan ketidaknyamanan. Pendekatan keperawatan untuk memberikan kenyamanan pada pasien didasarkan pada teori Comfort Kolcaba. Teori ini membahas tentang kenyamanan dalam empat konteks kenyamanan yaitu: fisik, psikospiritual, sosial budaya, dan lingkungan, Perianal care dengan menggunakan air merupakan salah satu Evidence Based Nursing Practice yang dapat diterapkan untuk mencegah dan mengatasi diaper dermatitis sehingga kenyamanan pasien dapat teratasi. Hasil dari penerapan teori ini dilakukan pada anak dengan kerusakan integritas kulit. Teori Kenyamanan Kolcaba dapat meningkatkan kesehatan pasien, kepuasan pasien dan keluarga terhadap pelayanan keperawatan bertambah.  

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