108552
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
基于 i-PARIHS 框架对气管插管患者预防医用粘胶相关皮肤损伤（MARSI）的循证转化障碍分析及对策研究
Authors Hu M, Hu J, Sun P, Zheng H, Zhang M
Received 14 April 2025
Accepted for publication 6 September 2025
Published 19 September 2025 Volume 2025:18 Pages 5949—5959
DOI https://doi.org/10.2147/JMDH.S531060
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr David C. Mohr
Minhua Hu, Jiajia Hu, Peng Sun, Hongyan Zheng, Mingyang Zhang
The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, Zhongshan, Guangdong, 528403, People’s Republic of China
Correspondence: Minhua Hu, The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, 2 Sun Wen East Road, Zhongshan, Guangdong, 528403, People’s Republic of China, Email huminhuamail@163.com Mingyang Zhang, The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, 2 Sun Wen East Road, Zhongshan, Guangdong, 528403, People’s Republic of China, Email jdzmy2010@163.com
Objective: To systematically analyze the current status of evidence application for the prevention of medical adhesive-related skin injury (MARSI) in patients undergoing tracheal intubation, identify the multidimensional barriers and facilitators in the process of evidence translation on the basis of the i-PARIHS framework, and construct targeted intervention strategies.
Methods: Review indicators were developed on the basis of the 30 pieces of best evidence for the prevention of medical adhesive-associated skin injury in patients with tracheal intubation obtained from a previous study, and the review results were analyzed for barriers and facilitators by applying the Evidence Application Barrier Identification Assessment Checklist under the i-PARIHS framework.
Results: A total of 30 pieces of evidence were screened for conversion, and 24 review indicators were formulated, of which only 13 items (54.2%) had a compliance rate> 60%, and 11 items (45.8%) had compliance rates< 60%, with 3 key indicators (12.5%) having extremely low compliance rates (< 10%). Key obstacles: Poor feasibility of change implementation: Evidence has not been transformed into easily accessible and actionable practical tools such as flowcharts and checklists; there is a lack of standardized operating procedures to guide clinical execution. Insufficient ability and cognition of change recipients, especially anesthesiologists: lack of relevant knowledge reserves; not receiving sufficient relevant training; lack of understanding and trust in the effectiveness of intervention measures. Organizational support and environmental deficiencies include a lack of effective incentive or constraint mechanisms such as performance linkages and quality feedback. The physical work environment, such as the operating space and equipment layout, has not been optimized to support new practices.
Conclusion: The best evidence for preventing MARSI in endotracheal intubation patients shows significant differences in clinical translation, with nearly half of the reviewed indicators having insufficient compliance and serious missing items (< 10%). It is urgent to develop and implement strengthened intervention strategies to address the multidimensional barriers mentioned above, particularly in terms of change enforceability, anesthesiologist capabilities, organizational mechanisms, and the environment; actively promoting healthcare personnel change; and facilitating the effective clinical translation of the best evidence.
Keywords: tracheal intubation, medical adhesive-related skin injury, MARSI, evidence translation, i-PARIHS framework, barriers
The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, Zhongshan, Guangdong, 528403, People’s Republic of China
Correspondence: Minhua Hu, The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, 2 Sun Wen East Road, Zhongshan, Guangdong, 528403, People’s Republic of China, Email huminhuamail@163.com Mingyang Zhang, The First Department of Surgical Anesthesiology, Zhongshan People’s Hospital, 2 Sun Wen East Road, Zhongshan, Guangdong, 528403, People’s Republic of China, Email jdzmy2010@163.com
Objective: To systematically analyze the current status of evidence application for the prevention of medical adhesive-related skin injury (MARSI) in patients undergoing tracheal intubation, identify the multidimensional barriers and facilitators in the process of evidence translation on the basis of the i-PARIHS framework, and construct targeted intervention strategies.
Methods: Review indicators were developed on the basis of the 30 pieces of best evidence for the prevention of medical adhesive-associated skin injury in patients with tracheal intubation obtained from a previous study, and the review results were analyzed for barriers and facilitators by applying the Evidence Application Barrier Identification Assessment Checklist under the i-PARIHS framework.
Results: A total of 30 pieces of evidence were screened for conversion, and 24 review indicators were formulated, of which only 13 items (54.2%) had a compliance rate> 60%, and 11 items (45.8%) had compliance rates< 60%, with 3 key indicators (12.5%) having extremely low compliance rates (< 10%). Key obstacles: Poor feasibility of change implementation: Evidence has not been transformed into easily accessible and actionable practical tools such as flowcharts and checklists; there is a lack of standardized operating procedures to guide clinical execution. Insufficient ability and cognition of change recipients, especially anesthesiologists: lack of relevant knowledge reserves; not receiving sufficient relevant training; lack of understanding and trust in the effectiveness of intervention measures. Organizational support and environmental deficiencies include a lack of effective incentive or constraint mechanisms such as performance linkages and quality feedback. The physical work environment, such as the operating space and equipment layout, has not been optimized to support new practices.
Conclusion: The best evidence for preventing MARSI in endotracheal intubation patients shows significant differences in clinical translation, with nearly half of the reviewed indicators having insufficient compliance and serious missing items (< 10%). It is urgent to develop and implement strengthened intervention strategies to address the multidimensional barriers mentioned above, particularly in terms of change enforceability, anesthesiologist capabilities, organizational mechanisms, and the environment; actively promoting healthcare personnel change; and facilitating the effective clinical translation of the best evidence.
Keywords: tracheal intubation, medical adhesive-related skin injury, MARSI, evidence translation, i-PARIHS framework, barriers