新生儿黄疸预防及护理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2023.03.021

Abstract

Abstract:

Objective To summarize the evidence on the prevention and management of neonatal jaundice to provide references for clinical practice. Methods A comprehensive literature search was conducted in Chinese and English databases，such as UpToDate，Cochrane Library，PubMed，Embase，and CNKI. Guidelines，systematic reviews，clinical decisions，evidence summaries and expert consensuses were all eligible for the inclusion criteria. The search time limit was from database inception to April 2022. Two researchers independently evaluated the quality of the included studies，and extracted and summarized the best evidence. Results A total of 14 articles were included，including 4 guidelines，4 systematic reviews，3 clinical decisions，1 evidence summary and 2 expert consensus articles. Twenty-four best pieces of evidence were formed from 4 aspects（prevention and evaluation，management and treatment，health education，and discharge and follow-up）. Conclusion This study summarizes the best evidence on the prevention and management of neonatal jaundice，which can provide some evidence-based basis for nurses and managers in relevant departments. It is suggested that nursing measures should be made according to the actual conditions of departments and newborns in order to improve the health outcomes of newborns.

Key words: Jaundice, Neonatal, Disease Management, Evidence-Based Nursing

GAI Ying, LI Shuying, LI Chang, GENG Xiaoting. Summary of the best evidence for prevention and management of neonatal jaundice[J].Chinese Journal of Nursing Education, 2023, 20(3): 362-367.

Figures/Tables 3

References 25

[1]	王卫平, 孙锟, 常立文. 儿科学[M]. 9版. 北京: 人民卫生出版社, 2018.
[2]	Olusanya B O, Michael K, Hansen T. Neonatal hyperbilirubinaemia:a global perspective[J]. Lancet Child & Adolescent Health, 2018, 2(8):610-620.
[3]	韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEⅡ)工具实例解读[J]. 中国循证儿科杂志, 2013, 8(4):316-319.
[4]	张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具AMSTAR 2解读[J]. 中国循证心血管医学杂志, 2018, 10(1):14-18.
[5]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
[6]	林楠, 诸纪华, 徐红贞, 等. 早产儿体位管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(4):486-492. doi: 10.3761/j.issn.0254-1769.2022.04.016
[7]	王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967.
[8]	Anand P, Chairperson M S, Gopalakrishnan S, et al. Screening,prevention,and management of neonatal hyperbilirubinemia guideline development group(Alphabetical)[J]. Journal of Neonatology, 2020, 34(3):153-169. doi: 10.1177/0973217920974163
[9]	National Institute for Health and Care Excellence. Jaundice in newborn babies under 28 days[EB/OL]. (2016-10-26)[2022-04-02]. https://www.nice.org.uk/guidance/cg98.
[10]	Queensland Clinical Guidelines:Neonatal jaundice[EB/OL]. (2019-06-10)[2022-03-26]. https://guide.medlive.cn/guideline/18351.
[11]	Çoban A, Türkmen MK, Gürsoy T. Turkish Neonatal Society guideline to the approach,follow-up,and treatment of neonatal jaundice[J]. Turk Pediatri Ars, 2018, 53(Suppl 1):S172-S179.
[12]	Feng Q, Huang ZY, Su LJ, et al. Therapeutic efficacy and safety of Yinzhihuang granules with phototherapy in neonatal pathologic jaundice:an updated systematic review and meta-analysis[J]. Phytomedicine, 2022, 100:154051. doi: 10.1016/j.phymed.2022.154051
[13]	van Rostenberghe H, Ho JJ, Lim CH, et al. Use of reflective materials during phototherapy for newborn infants with unconjugated hyperbilirubinaemia[J]. Cochrane Database Syst Rev, 2020, 7:CD012011.
[14]	杨爱玲, 冯雅敏, 张有成. 抚触和穴位按摩配合蓝光照射治疗新生儿黄疸效果的Meta分析[J]. 西部中医药, 2021, 34(6):67-74.
[15]	张霞, 韩姗姗, 丁樱, 等. 清肝利胆口服液治疗新生儿黄疸的有效性和安全性评价[J]. 河南中医, 2019, 39(6):871-877.
[16]	Wong RJ, Bhutani VK. Unconjugated hyperbilirubinemia in term and late preterm infants:management[EB/OL]. (2021-12-02)[2022-03-26]. http://www-uptodate-com-443.bjmu.ilibs.cn/contents/unconjugated-hyperbilirubinemia-in-term-and-late-preterm-infants-management.
[17]	Wong RJ, Bhutani VK. Unconjugated hyperbilirubinemia in term and late preterm infants:screening[EB/OL]. (2021-10-22)[2022-03-26]. http://www-uptodate-com-443.bjmu.ilibs.cn/contents/unconjugated-hyperbilirubinemia-in-term-and-late-preterm-infants-screening.
[18]	Wong RJ, Bhutani VK. Unconjugated hyperbilirubinemia in the newborn:interventions[EB/OL].(2021-11-10)[2022-03-26]. http://www-uptodate-com-443.bjmu.ilibs.cn/contents/unconjugated-hyperbilirubinemia-in-the-newborn-interventions.
[19]	MSpPath GK. Neonatal jaundice:phototherapy[EB/OL]. (2021-04-07)[2022-03-24]. https://ovidsp.dc1.ovid.com/ovid-a/ovidweb.cgi?&S=AIPGFPMIPIACPGIBKPNJAGPMAOMKAA00&Link+Set=S.sh.21%7c1%7csl_190.
[20]	中华医学会儿科学分会新生儿学组,《中华儿科杂志》编辑委员会. 新生儿高胆红素血症诊断和治疗专家共识[J]. 中华儿科杂志, 2014, 52(10):745-748.
[21]	张巍, 侯新琳. 新生儿黄疸管理流程共识[J]. 中国优生与遗传杂志, 2021, 29(3):297-299.
[22]	Wickremasinghe AC, Kuzniewicz MW, McCulloch CE, et al. Efficacy of subthreshold newborn phototherapy during the birth hospitalization in preventing readmission for phototherapy[J]. JAMA Pediatr, 2018, 172(4):378-385. doi: 10.1001/jamapediatrics.2017.5630 pmid: 29482208
[23]	Chang PW, Kuzniewicz MW, McCulloch CE, et al. A clinical prediction rule for rebound hyperbilirubinemia following inpatient phototherapy[J]. Pediatrics, 2017, 139(3):e20162896. doi: 10.1542/peds.2016-2896
[24]	Grosse SD, Prosser LA, Botkin JR. Screening for neonatal hyperbilirubinemia-first do no harm?[J]. JAMA Pediatr, 2019, 173(7):617-618. doi: 10.1001/jamapediatrics.2019.1194 pmid: 31107538
[25]	Ogunlesi TA, Lesi FE, Oduwole O. Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn[J]. Cochrane Database Syst Rev, 2017, 10(10):CD011048.

Summary of the best evidence for prevention and management of neonatal jaundice

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 25

Related Articles 15

Metrics

Comments

Recommended 10

[1]	CHEN Xiangjun, HU Fang, TANG Li, TAN Xiaomei. Analysis of reflective practice level and its influencing factors in clinical nurses [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1120-1125.
[2]	ZHANG Fangyuan, JIAO Jie, LIU Lifeng. Evidence summary of preoperative rehabilitation in lung cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(7): 881-886.
[3]	ZHANG Xueying, ZHANG Xiaocui, YIN Xuemei, XIA Xinhua, WANG Ying, WANG Bei, ZHU Hong. Development and validation of the Iatrogenic Skin Injury Risk Assessment Scale for Critical Neonates [J]. Chinese Journal of Nursing Education, 2024, 21(6): 731-737.
[4]	GU Mengqian, HUANG Yidan, HUANG Lanhui, YANG Shiyi, WU Haizhen, ZOU Junjun, YU Jiaxian. Barrier factors analysis of the best practice for the prevention and management of medical adhesive related skin injuries in adult ICU patients [J]. Chinese Journal of Nursing Education, 2024, 21(5): 599-605.
[5]	ZHU Songying, TAN Ran, GAO Wei. The best evidence summary on management of primary malposition in adult patients with peripherally inserted central catheter/arm port [J]. Chinese Journal of Nursing Education, 2024, 21(5): 613-619.
[6]	ZHANG Jie, LI Xiuchuan, LIU Chunfang, TANG Qi, JIANG Jie, HUO Rui, JI Hongmin. Evidence summary for prevention and nursing of mucocutaneous separation in patients with enterostomy [J]. Chinese Journal of Nursing Education, 2024, 21(4): 486-491.
[7]	JIN Ziheng, SONG Jie, ZHANG Shuxiang, JIANG Shumin, YU Wanhui, LI Ruzhao, LIU Yue. Evidence summary for cardiopulmonary resuscitation in the prone position with invasive mechanical ventilation [J]. Chinese Journal of Nursing Education, 2024, 21(3): 358-364.
[8]	LI Mengjie, GOU Xiaoyu, LU Nan, CHI Jiajing, YU Wanhui, YANG Lijuan. Summary of the best evidence for rehabilitative management of postpartum stress urinary incontinence [J]. Chinese Journal of Nursing Education, 2024, 21(2): 224-230.
[9]	DING Lina, YAO Zhuoya, GENG Junhui, ZHAN Meng, LI Manchun, WANG Junfeng. Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology [J]. Chinese Journal of Nursing Education, 2024, 21(1): 110-118.
[10]	PU Congshan, YANG Yiyun, KONG Xiaonan, SHAN Chunjian, XIA Jiaai, ZHANG Xiangdi, ZHU Zhu, LONG Wei, WANG Yiting. Best evidence summary for prevention of preeclampsia [J]. Chinese Journal of Nursing Education, 2024, 21(1): 81-88.
[11]	ZHANG Yan, XU Rong, LIU Fang, LI Juan, HUANG Jin. The development and prospect of the role of nurses in diabetes management in China [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1038-1044.
[12]	DENG Chunyan,DU Xingmei,RAN Lingyun,YANG Zhongting,WEN Xuan,DENG Rui,HUANG Yuan. Lay-delivered group psychotherapy to relieve perinatal depressive symptoms in Chinese：a systematic review [J]. Chinese Journal of Nursing Education, 2023, 20(6): 707-715.
[13]	CAI Mingjin,HOU Chaoming,GAO Jing,BAI Dingxi,LIU Ruirui,LU Xianying,WANG Wei,GONG Xiaoyan. Intervention effect of aerobic exercise on knee osteoarthritis patients：a network meta-analysis [J]. Chinese Journal of Nursing Education, 2023, 20(6): 745-751.
[14]	LIANG Yiqing, XU Huiling, CAO Songmei, WANG Jingjing, FAN Yimeng, CAI Peixuan. Development of evidence-based popular works of oral health management for older adults in the community [J]. Chinese Journal of Nursing Education, 2023, 20(5): 568-574.
[15]	ZHANG Xiaona, YUAN Ping, LU Hongyan, ZHAO Jie, FENG Xiangkan, LI Xindan, YU Fang. Summary of the best evidence on discharge preparation service for patients with chronic obstructive pulmonary disease [J]. Chinese Journal of Nursing Education, 2023, 20(5): 580-588.