Summary of the best evidence for prevention of pressure injuries related to non-invasive ventilation de-vices in patients with chronic obstructive pulmonary disease
WU Shuang
PENG Jia
JIANG Haiqiang
HUANG Yanjin
LI Peiyi
HALILI Xirongguli
WU Chuanfang
Abstract：Objective To systematically retrieve and summarize effective evidence on the prevention of device-relat-ed pressure injuries(DRPIs)during non-invasive ventilation(NIV)in patients with chronic obstructive pulmonary disease(COPD),providing evidence-based guidance for clinical nursing.Methods Following the"6S"evidence pyramid mod-el,domestic and international databases for literature on the prevention and management of DRPIs during NIV in COPD pa-tients were searched,with a time span from the establishment of the databases to April 30,2024.The literature was evalu-ated and the level of evidence was assessed using the appraisal standards and evidence hierarchy system from the JBI Evi-dence-Based Health Care Center by 2 researchers.Results A total of 8 articles were included,comprising 2 guidelines,3 systematic review,1 expert consensus,and 2 evidence summaries.Ultimately,28 best evidence items were collated cov-ering seven aspects,including patient risk assessment,skin and tissue assessment,preventive skin care,nutrition manage-ment,ventilator mask selection and fitting,support surfaces/dressings,and training and education.Conclusion The best evidence summarized in this study for preventing DRPIs during NIV in COPD patients can be flexibly implemented by healthcare professionals based on clinical contexts,facilitating the effective translation of evidence-based findings into clin-ical practice and reducing the incidence of DRPIs during NIV in COPD patients.
Keywords：chronic obstructive pulmonary diseasenon-invasive ventilationdevice-related pressure injuriesevi-dence summaryevidence-based nursing
Publication Date：2025-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 24-30 )