Abstract: Objective: To apply the evidence on the management of exudates from malignant fungating wounds, and evaluate its effectiveness on improving the exudates management for malignant fungating wounds and quality of care in clinical setting. Methods: Based on the clinical evidence practice and application model of JBI, review indicators were formulated based on the evidence. Baseline reviews were conducted on 54 nurses and 20 patients from April to October 2022 to analyze the obstacles and advantages and carry out reform. A post-reform review was conducted on 54 nurses and 23 patients from April to October 2023 to compare the implementation rate of review indicators before and after the application of the evidence. The nurses' knowledge level of exudates management for malignant fungating wounds and the condition of patients' exudates were also compared. Results: After evidence-based practice, the implementation rate for 7 review indicators increased from 21.1%-81.2% to 78.6%-100.0%, and the scores of nurses' knowledge increased from 141.69±18.55 to 152.87±16.87 (P<0.001). Wound fluid leakage, odor, periwound skin, and comfort were all improved (P<0.05). Conclusion: The evidence-based practice can improve the level of exudates management for malignant fungating wounds by nurses and increase the effectiveness of exudates management from malignant fungating wounds.

Key words: malignant fungating wound; exudate; evidence implementation