Summary of Evidence for Wound Care in Patients With Granulomatous Lobular Mastitis
DOI:
https://doi.org/10.56226/122Keywords:
granulomatous lobular mastitis, wound care, nursingAbstract
Background: Granulomatous lobular mastitis (GLM) is a chronic inflammatory breast disease with poorly understood etiology. Current wound management lacks standardized protocols, highlighting the need for evidence synthesis to inform clinical decision-making.
Objectives: To comprehensively search the relevant literature on wound treatment and nursing in patients with granulomatous lobular mastitis at home and abroad, to sort out and analyze the included literature, and to extract, sort out and integrate the items of wound-related interventions, so as to provide a framework and basis for the construction of breast wound care programs for patients with granulomatous lobular mastitis.
Methods: We conducted a Descriptive literature review following the 6S evidence pyramid model (Jan 2023 version). Twelve databases were searched from inception to January 2025, including: BMJ Best Practice, Up to Date, The Journal of the American Medical Association (JAMA), Scottish Intercollegiate Guidelines Network (SIGN), CNKI, Wan fang, CBM. Inclusion criteria covered clinical studies and guidelines addressing GLM wound care. Two reviewers independently performed quality assessment using AMSTAR-2 (for reviews) and JBI tools (for primary studies), with evidence graded (Level 1-5) and recommendations categorized (Grade A/B).
Results: From 1,333 screened records, 19 studies met inclusion criteria:3 systematic reviews,3 consensus guidelines,6 RCTs,6 quasi-experimental studies,1 cohort study. Key findings were synthesized into 38 evidence statements across four domains: Assessment (8 items): Recommended use of GMDAI for inflammatory activity monitoring, Wound care (20 items): Strong evidence (Grade A) for TCM patching in chronic phases. Education (5 items): Structured self-care programs reduced recurrence by 30%. Follow-up (5 items): Combined digital and clinic follow-ups improved compliance.
Conclusion: This study summarized the evidence of wound care for GLM patients through evidence-based nursing methods, and provided evidence support for the clinical formulation of breast wound care programs for GLM patients. Healthcare professionals can apply evidence to the clinic based on the clinical context to improve breast wounds and quality of life.
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