产妇及新生儿出院照护计划的证据总结

doi:10.3761/j.issn.1672-9234.2022.05.012

摘要/Abstract

摘要：

目的总结产妇及新生儿出院照护计划的证据。方法计算机检索JBI、UpToDate、Cochrane Library、PubMed、CINHAL、国际妇产科联盟、美国卫生保健政策研究所、美国妇产科医师协会、世界卫生组织、英国国家卫生医疗质量标准署、医脉通、中国知网、万方等数据库及网站中有关产妇及新生儿出院照护计划的相关证据,检索时限为建库至2021年2月。经过文献质量评价后,对证据进行提取。结果最终纳入12篇文献,包括3篇临床实践指南、4篇系统评价、2篇证据总结、2篇专家共识、1篇随机对照试验。最终总结了16条关于产妇及新生儿出院照护计划的证据,包括出院照护计划目的、出院照护计划的参与者、住院期间的指导、出院前评估、出院时指导、出院后随访6个方面。结论本研究总结的证据可为临床护理人员制订产妇及新生儿出院照护计划提供参考,但评估的具体时间、护理人员在出院照护计划中的任务分工等方面仍需要进一步探索。

关键词: 产妇, 婴儿,新生, 出院照护, 循证护理学, 证据总结

Abstract:

Objective To summarize the evidences for maternal and neonatal discharge care planning. Methods Search JBI,UpToDate,Cochrane Library,PubMed,CINHAL,International Federation of Gynecology and Obstetrics,The Agency for Healthcare Research and Quality,American Collage of Obstetricians and Gynecologists,WHO,National Institute for Health and Care Excellence,Yimaitong,CNKI,Wanfang Databases,etc. The search time limit is from the establishment of the database to February 2021. After the literature quality evaluation,the evidence was extracted. Result A total of 12 references were included,including 3 clinical practice guidelines,4 systematic reviews,2 evidence summaries,2 expert consensus,1 randomized controlled trial. Sixteen pieces of evidence were obtained,including purpose of planning for discharge,participants in planning for discharge,guidance during hospitalization,pre-discharge evaluation,guidance on discharge,follow-up after discharge. Conclusion The evidence summarized in this study can provide a reference for clinical nurses to formulate maternal and neonatal discharge care planning,but the specific time of assessment and the division of tasks of nurses in discharge care planning still need further exploration.

Key words: Maternal, Infant,Newborn, Discharge Planning, Evidence-Based Nursing, Evidence summary

耿小婷,李淑英,李秀英,袁晓明,张青. 产妇及新生儿出院照护计划的证据总结[J]. 中华护理教育, 2022, 19(5): 447-452.

GENG Xiao-ting,LI Shu-ying,LI Xiu-ying,YUAN Xiao-ming,ZHANG Qing. Evidence summary for maternal and neonatal discharge care planning[J]. Chinese Journal of Nursing Education, 2022, 19(5): 447-452.

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