Quality evaluation of ostomy care guidelines/consensus and content analysis of peripheral skin care products

ZHAO Xiaoyun; TIAN Jinhui; HU Zhiruo; LI Yanming; LI Lin; MA Xiaoting

doi:10.12102/j.issn.1009-6493.2024.03.001

Abstract：Objective:To evaluate the methodological quality of ostomy nursing guidelines,expert consensus and group standards,and analyze the relevant recommendations of skin protection products around ostomy,so as to provide evidence-based basis for the development of comprehensive ostomy nursing guidelines in China.Methods:Guidelines,expert consensus and group standards related to ostomy care were systematically and comprehensively searched in major Chinese and English databases,guideline databases,and websites of guideline societies/associations until December 2022.The quality evaluation tools of guidelines and consensus were used to evaluate the quality of the included literature,and the recommendations related to skin care products around the stoma were extracted and compared.Results:A total of 8 guidelines were included,all of which were foreign guidelines.3 expert consensus,2 from abroad,1 from China;there is only one group standard in China.In the eight guidelines,three can be rated A and are of high quality,while the quality of expert consensus and group standards is generally low.All included guidelines,consensus,and group standards recommend the use of skin protection products for the care of peristomal skin,but most recommendations do not indicate specific selection and use.Conclusions:The overall methodological quality of ostomy care guidelines,expert consensus,and group standards needs to be improved.The recommendations related to skin protection products are not specific,comprehensive,and the evidence base is insufficient.It is expected that domestic researchers can develop comprehensive evidence-based guidelines for localized ostomy care in the later stage,so as to correctly guide the clinical rational selection and use of skin care products around the stoma.