Article type
Abstract
"Background:Percutaneous Endoscopic Gastrostomy (PEG) is an invasive procedure in which a fistula tube is placed through the abdominal skin under endoscope guidance to allow direct access to the stomach. The most common complications of percutaneous endoscopic gastrostomy in children are skin infection and granulation tissue proliferation, which have a great impact on the recovery of disease and quality of life of children . At present, there are nursing guidelines and clinical practice for adult PEG complications at home and abroad, but for children, there are few such nursing studies and lack of evidence-based and normative standards. This study systematically retrieved, evaluated and summarized domestic and international evidence on the management of skin complications after percutaneous endoscopic gastrostomy in children. The purpose of this study is to provide strong evidence for the standardized nursing practice of PEG in children, so as to improve the treatment effect of patients.
Objective To retrieve, evaluate and synthesize the relevant evidence of skin related complications of percutaneous endoscopic gastrostomy in children, so as to provide evidence-based basis for clinical nursing of children's gastrostomy. Methods We searched websites and databases,including UpToDate, BMJ Best Practice,Web of Science,Cochrane Library,PubMed,CINAHL,Embase,Medline,Joanna Briggs Institue,National Institute for Health and Clinical Excellence, Chinese Medical Association，SinoMed，CNKI，Wan Fang Database ,Yimaitong guide network and colected relevant clinical decisions,guidelines, expert consensus,evidence summaries, systematic reviews .The search period was from the establishment of the database to Aug 13,2023.3 researchers independently assessed methodological quality of include papers and extracted data. Results A total of 6 articles were included, including 3 guidelines, 1 clinical decision, and 2 expert consensus. A total of 18 pieces of evidence were summarized including perioperative nursing, ostomy tube nursing, complication management and health education. Conclusion The best evidence of complications of percutaneous endoscopic gastrostomy in children summarized in this study is of high quality and authoritative, which can provide evidence-based basis for clinical medical and nursing staff, so as to reduce the skin complications of percutaneous endoscopic gastrostomy in children and ensure the safety of patients."
Objective To retrieve, evaluate and synthesize the relevant evidence of skin related complications of percutaneous endoscopic gastrostomy in children, so as to provide evidence-based basis for clinical nursing of children's gastrostomy. Methods We searched websites and databases,including UpToDate, BMJ Best Practice,Web of Science,Cochrane Library,PubMed,CINAHL,Embase,Medline,Joanna Briggs Institue,National Institute for Health and Clinical Excellence, Chinese Medical Association，SinoMed，CNKI，Wan Fang Database ,Yimaitong guide network and colected relevant clinical decisions,guidelines, expert consensus,evidence summaries, systematic reviews .The search period was from the establishment of the database to Aug 13,2023.3 researchers independently assessed methodological quality of include papers and extracted data. Results A total of 6 articles were included, including 3 guidelines, 1 clinical decision, and 2 expert consensus. A total of 18 pieces of evidence were summarized including perioperative nursing, ostomy tube nursing, complication management and health education. Conclusion The best evidence of complications of percutaneous endoscopic gastrostomy in children summarized in this study is of high quality and authoritative, which can provide evidence-based basis for clinical medical and nursing staff, so as to reduce the skin complications of percutaneous endoscopic gastrostomy in children and ensure the safety of patients."