关键词: 围产儿死亡, 哀伤辅导, 指南, 循证护理

Abstract:

Objective To identify all guidelines on perinatal bereavement care and to synthesize the recommendations of guidelines based on the critical appraisal of their methodological quality. Methods We conducted a systematic retrieval of the relevant guidelines on perinatal bereavement care published or updated from January 2010 to August 2020 in authoritative domestic and foreign guideline development websites,professional association websites,Chinese and English databases and Google search engines. The quality of the guidelines meeting inclusion and exclusion criteria was assessed independently by 4 appraisers using the Appraisal of Guidelines for Research and Evaluation Instrument Ⅱ. The recommendations related to caring for families experiencing perinatal death were synthesized. Results A total of 5 guidelines were included in this study. The average standardized scores of quality evaluation for the 6 areas were 91.11% for scope and purpose,90.55% for involved stakeholder,73.24% for rigor of development,81.67% for clarity of presentation,60.00% for application,and 60.83% for editorial independence.For overall quality,a guideline was Grade A and 4 were Grade B. After extraction and integration,5 stages and 32 recommendations related to caring for families experiencing perinatal death were concluded. Conclusion There is still a lack of guidelines for perinatal bereavement care at home and abroad,and the overall quality of developed guidelines needs to be improved,and contents need to be refined. We can combine the international guidelines with the domestic clinical situations,screen and localize the evidence-based recommendations to guide the development of domestic perinatal bereavement care.

Key words: Perinatal Death, Bereavement Care, Guideline, Evidence-Based Nursing