癌性傷口氣味管理的最佳證據總結

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Summary of the best evidence for malignant fungating wounds odor management

LONG Huanping LUO Baojia CHEN Jing SHAO Zhuanlan DAI Honghong TANG Xiaoyan WEI Jinbo

1.Sun Yat?sen University Cancer Center Gansu Hospital，Gansu 730050 China；2.Sun Yat?sen University Cancer Center

Corresponding Author  LUO Baojia，E-mail：luobj@sysucc.org.cn

Abstract Objective：To retrieve，evaluate，and summarize the evidence on malignant fungating wounds odor management at home and abroad，and to provide a basis for the formulation of scientific odor management programs for malignant fungating wounds patients.Methods：Based on the evidence-based "6S" model，the relevant clinical decisions，guidelines，evidence summaries，systematic reviews，Meta-analyses，and expert consensus in China and abroad were retrieved from top to bottom.The search period was from January 1，2020，to April 30，2024.Two researchers who had received systematic evidence-based training independently completed the literature search and screening and conducted quality evaluation and evidence extraction.Results：A total of 12 articles were included，including 2 clinical decisions，2 guidelines，4 evidence summaries，3 systematic reviews，and 1 expert consensus.A total of 28 pieces of evidence were summarized from 6 aspects：management goals，odor assessment，odor management，nutritional support，multidisciplinary collaboration，and palliative care.Conclusions：The best evidence summarized for malignant fungating wounds odor management is scientific and practical，which can provide an evidence-based basis for the clinical practice of malignant fungating wounds odor management.

Keywords  malignant fungating wounds; odor; evidence summary; evidence-based nursing

摘要  目的：檢索、評價和總結國內外癌性傷口氣味管理有關證據，為癌性傷口病人科學氣味管理方案的制訂提供依據。（剩余9679字）