关键词: 肠造口术；潮湿相关性皮肤损伤；自我管理；证据总结

Abstract: Objective: To search, evaluate and summarize the relevant evidence of self-management of adult patients with Peristomal Moisture-Associated Skin Damage (PMASD). Methods: Following the top-down principle of the "6S" pyramid model of evidence-based medicine, we systematically and comprehensively searched the relevant databases of self-management evidence of PMASD patients at home and abroad, including guidelines, expert consensus, evidence summary, and systematic evaluation. The retrieval time limit was from the database establishment to July 9, 2022. A total of 2 researchers independently conducted quality evaluation and data extraction, and combined with professional opinions to summarize evidence. Results: A total of 15 documents were included, including 5 guidelines, 3 experts consensuses, 5 evidence summaries, and 2 systematic reviews. A total of 26 pieces of evidence were summarized from the aspects of learning related knowledge, stoma self-management, diet self-management, self-monitoring, and psychological adjustment. Conclusion: The relevant evidence of self-management of adult patients with PMASD summarized in this study is practicable and scientific. The evidence summary can provide references for clinical professionals to carry out health education, guidance and evaluation on patient self-management, and make it more scientific and targeted to regulate the self-management behaviors of adult patients with PMASD.

Key words: ostomy; moisture-associated skin damage; self-management; evidence summary