Objective To evaluate and integrate the best evidences on prevention and management of skin tears in elderly patients. Methods According to the methodology of evidence-based nursing, we searched BMJ best practice, JBI evidence-based health care database, Registered Nurses′ Association of Ontario(RNAO)，UpToDate，PubMed, Medlive website, Cochrane Library, website of the International Expert Advisory Group on Skin Tears, and China National Knowledge Base to retrieve evidence on prevention of skin tears in elderly patients. The search time limit is from the establishment of the database to April 30th,2022. Two researchers used the JBI′s literature evaluation standards and evidence grading system to independently evaluate the included literature, and extracted evidence from eligible literature. Results A total of 7 studies were included. Five aspects (including identification and assessment of high-risk factors, prevention, treatment measures, self-care, education and training) and 23 pieces of evidence were summarized. Conclusion The summarized evidence can serve as a reference for prevention and management of skin tears in elderly patients, which could reduce the incidence of skin tears in this population, and improve their quality of life.