中华护理杂志 ›› 2022, Vol. 57 ›› Issue (16): 1995-2002.DOI: 10.3761/j.issn.0254-1769.2022.16.012
朱珠(), 周春秀, 丛胜楠, 姚渝沁, 张晶晶, 周英凤, 樊雪梅()
收稿日期:
2021-09-18
出版日期:
2022-08-20
发布日期:
2022-08-08
通讯作者:
樊雪梅,E-mail:fanxuemei_njfy@sina.com作者简介:
朱珠:女,本科,副主任护师,护理部主任,E-mail:zz_njfy@sina.com
基金资助:
ZHU Zhu(), ZHOU Chunxiu, CONG Shengnan, YAO Yuqin, ZHANG Jingjing, ZHOU Yingfeng, FAN Xuemei()
Received:
2021-09-18
Online:
2022-08-20
Published:
2022-08-08
摘要: 目的 检索、评价和汇总产妇产程中经口摄入能量管理的最佳证据,为开展临床实践提供参考。方法 根据证据资源“6S”模型,检索计算机决策系统、指南网站、专业协会网站和数据库中关于产妇产程中经口摄入能量管理的证据,包括临床决策、最佳实践、指南、证据总结、专家共识和系统评价等,检索时限为建库至2021年12月,补充检索2018年1月—2021年12月发表的随机对照试验。由2名研究员对文献进行方法学质量评价,对符合标准的文献进行资料提取与证据汇总。结果 共纳入12篇文献,包括临床决策1篇、指南5篇、证据总结1篇、专家共识3篇和随机对照试验2篇,从健康教育、产时动态评估、产程中经口摄入能量的推荐方案和系统支持4个方面总结了19条最佳证据。结论 该研究总结了产妇产程中经口摄入能量管理的最佳证据,可为临床开展循证实践提供依据。医护人员应将最佳证据与临床情景、专家判断及产妇意愿相结合,为不同人群制订个性化的产程中经口摄入能量管理方案,从而保证在能量供应、改善母婴分娩结局的同时提高产妇进食满意度、缓解情绪压力。
朱珠, 周春秀, 丛胜楠, 姚渝沁, 张晶晶, 周英凤, 樊雪梅. 产妇产程中经口摄入能量管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(16): 1995-2002.
ZHU Zhu, ZHOU Chunxiu, CONG Shengnan, YAO Yuqin, ZHANG Jingjing, ZHOU Yingfeng, FAN Xuemei. Evidence summary for oral intake management during labor[J]. Chinese Journal of Nursing, 2022, 57(16): 1995-2002.
[1] | 李琦, 许雅君, 安琳, 等. 孕妇产程中摄入能量电解质液体作用的多中心前瞻性研究[J]. 中国研究型医院, 2021, 8(4):31-35. |
Li Q, Xu YJ, An L, et al. A multi-center prospective study on the effect of intake of energy and electrolyte liquid in pregnant women during labor[J]. J Chin Res Hosp, 2021, 8(4):31-35. | |
[2] | 冯嘉蕾, 岳洁雅, 陈飞, 等. 产妇正常分娩第二三产程护理的循证实践[J]. 中华护理杂志, 2020, 55(12):1777-1783. |
Feng JL, Yue JY, Chen F, et al. Evidence-based practice of midwifery care in the second and third stage of labor in normal delivery[J]. Chin J Nurs, 2020, 55(12):1777-1783. | |
[3] | Bouvet L, Garrigue J, Desgranges FP, et al. Women’s view on fasting during labor in a tertiary care obstetric unit. A prospective cohort study[J]. Eur J Obstet Gynecol Reprod Biol, 2020, 253:25-30. |
[4] | Ahadi Yulghunlu F, Sehhatie Shafaie F, Mirghafourvand M, et al. The effects of intravenous dextrose 5%,Ringer’s solution,and oral intake on the duration of labor stages in nulliparous women:a double-blind,randomized,controlled trial[J]. J Matern Fetal Neonatal Med, 2020, 33(2):289-296. |
[5] | MacKinnon HJ, Schiff MA, Hoppe KK, et al. Increased length of active labor is associated with adverse perinatal outcomes among nulliparous women undergoing labor induction[J]. J Ma-tern Fetal Neonatal Med, 2020:1-7. |
[6] | 陈慧娟, 吴蕾, 付锦艳. 新产程标准中第二产程时长对产妇和新生儿结局的影响研究[J]. 中华护理杂志, 2016, 51(10):1170-1173. |
Chen HJ, Wu L, Fu JY. The effects research of second stage of labor duration in new obstetrics labor standards on maternal and neonatal outcomes[J]. Chin J Nurs, 2016, 51(10):1170-1173. | |
[7] | Infante-Torres N,Molina-Alarcón M,Arias-Arias A,et al. Relationship between prolonged second stage of labor and short-term neonatal morbidity:a systematic review and meta-analysis[J]. Int J Environ Res Public Heal, 2020, 17(21):7762. |
[8] | Technical Working Group, World Health Organization. Care in normal birth:a practical guide[J]. Birth, 1997, 24(2):121-123. |
[9] | Huang CY, Luo BR, Hu J. Investigation on the status of oral intake management measures during labor in China[J]. Medi-cine, 2020, 99(23):e20626. |
[10] | Edmund FF, Errol RN. Management of normal labor and delivery[EB/OL].[2021-09-10]. https://www.uptodate.cn/contents/management-of-normal-labor-and-delivery?. |
[11] | 中国妇幼保健协会助产士分会, 中国妇幼保健协会促进自然分娩专业委员会. 正常分娩临床实践指南[J]. 中华围产医学杂志, 2020, 23(6):371-375. |
Midwife branch of Chinese Maternal and Child Health Association, Professional Committee of Promoting natural Childbirth of Chinese Maternal and Child Health Association. Clinical practice guidelines for normal delivery[J]. Chin J Pe-rina Med, 2020, 23(6):371-375. | |
[12] | American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Practice Guidelines for Obstetric Anesthesia[J]. Anesthesiology, 2016, 124(2):270-300. |
[13] | 朱政, 胡雁, 邢唯杰, 等. 不同类型循证问题的构成[J]. 护士进修杂志, 2017, 32(21):1991-1994. |
Zhu Z, Hu Y, Xing WJ, et al. The composition of different types of evidence based problems[J]. J Nurses Train, 2017, 32(21):1991-1994. | |
[14] | Alper BS, Haynes RB. EBHC pyramid 5.0 for accessing prea-ppraised evidence and guidance[J]. Evid Based Med, 2016, 21(4):123-125. |
[15] | Foster MJ, Shurtz S. Making the critical appraisal for summa-ries of evidence(CASE) for evidence-based medicine (EBM):critical appraisal of summaries of evidence[J]. J Med Libr Assoc, 2013, 101(3):192-198. |
[16] | 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. |
Wei D, Wang CY, Xiao XJ, et al. Example interpretation of appraisal of guidelines for research and evaluation(AGREE Ⅱ)[J]. Chin J Evid Based Pediatr, 2013, 8(4):316-319. | |
[17] | The Joanna Briggs Institute. Critical appraisal tools[EB/OL].( 2017-07-15)[2021-12-28]. https://joannabriggs.org/critical-appraisal-tools. |
[18] | 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. |
Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[19] | 中华医学会围产医学分会胎儿医学学组, 中华医学会妇产科学分会产科学组. 非免疫性胎儿水肿临床指南[J]. 中华围产医学杂志, 2017, 20(11):769-775. |
Obstetric Subgroup, Society of Obstetrics and Gynecology,Chinese Medical Association,Society of Perinatal Medicine,Chinese Medical Association. Guideline of normal birth[J]. Chin J Perinat Med, 2017, 20(11):769-775. | |
[20] | Queensland Health. Queensland clinical guideline:normal birth[EB/OL].( 2018-06-11)[2021-12-28]. https://www.health.qld.gov.au/__data/assets/pdf_file/0014/142007/g-normalbirth.pdf. |
[21] | Bohren M. WHO recommendations:intrapartum care for a posi-tive childbirth experience[M]. Geneva: World Health Organiza-tion, 2018. |
[22] | Alhafez L, Berghella V. Evidence-based labor management:first stage of labor(part 3)[J]. Am J Obstet Gynecol MFM, 2020, 2(4):100185. |
[23] | ACOG. ACOG committee opinion no. 766:approaches to limit intervention during labor and birth[J]. Obstet Gynecol, 2019, 133(2):e164-e173. |
[24] | 中华医学会麻醉学分会. 中国椎管内分娩镇痛专家共识[EB/OL].( 2021-07-05)[2021-12-28]. https://www.csahq.cn/guide/detail_1634.html. |
Society of Anesthesiology,Chinese Medical Association. Consensus of Chinese experts on intraspinal labor analgesia[EB/OL].( 2021-07-05)[2021-12-28]. https://www.csahq.cn/guide/detail_1634.html. | |
[25] | American College of Nurse-Midwives. Providing oral nutrition to women in labor[J]. J Midwifery Womens Health, 2016, 61(4):528-534. |
[26] | Simonet T, Gakuba C, Desmeulles I, et al. Effect of oral carbohy-drate intake during labor on the rate of instrumental vaginal delivery:a multicenter,randomized controlled trial[J]. Anesth Analg, 2020, 130(6):1670-1677. |
[27] | Taavoni S, Fathi L, Nazem-Ekbatani N, et al. The effect of oral intake of honey syrup on the pain intensity of active phase of parturition of nulliparous women:a randomized clinical trial[J]. Caspian J Intern Med, 2019, 10(1):98-101. |
[28] | Ciardulli A, Saccone G, Anastasio H, et al. Less-restrictive food intake during labor in low-risk singleton pregnancies:a systematic review and meta-analysis[J]. Obstet Gynecol, 2017, 129 (3):473-480. |
[29] | Singata M, Tranmer J, Gyte GM. Restricting oral fluid and food intake during labour[J]. Cochrane Database Syst Rev, 2010 (1):CD003930. |
[30] | Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia[J]. Am J Obstet Gynecol, 1946, 52:191-205. |
[31] | Scheepers HCJ, Thans MCJ, de Jong PA, et al. A double-blind,randomised,placebo controlled study on the influence of carbohydrate solution intake during labour[J]. BJOG, 2002, 109(2):178-181. |
[32] | Sperling JD, Dahlke JD, Sibai BM. Restriction of oral intake during labor:whither are we bound?[J]. Am J Obstet Gyne-col, 2016, 214(5):592-596. |
[33] | Phelps K, Deavers J, Seehusen DA, et al. PURL:let low-risk moms eat during labor?[J]. J Fam Pract, 2018, 67(6):379-380. |
[34] | 陈小芳, 孙晓琴, 陈志芳, 等. 无痛分娩中入量管理途径的研究[J]. 护理学杂志, 2020, 35(14):25-28. |
Chen XF, Sun XQ, Chen ZF, et al. Comparison of varied intake management approaches during painless delivery[J]. J Nurs Sci, 2020, 35(14):25-28. | |
[35] | 王晓娇, 顾春怡, 张铮, 等. 非药物性分娩镇痛在阴道试产产妇产程管理中的证据总结[J]. 中华护理杂志, 2021, 56(7):1086-1092. |
Wang XJ, Gu CY, Zhang Z, et al. Evidence summary of management of non-pharmacological labor analgesia for women with trial of labor[J]. Chin J Nurs, 2021, 56(7):1086-1092. | |
[36] | Malin G, Bugg G, Thornton J, et al. Does oral carbohydrate supplementation improve labour outcome? A systematic review and individual patient data meta-analysis[J]. BJOG Int J Ob-stet Gynaecol, 2016, 123(4):510-517. |
[37] | Nascimento AC, Goveia CS, Guimarães GMN, et al. Assessment of gastric emptying of maltodextrin,coffee with milk and orange juice during labour at term using point of care ultrasound:a non-inferiority randomised clinical trial[J]. Anaesthesia, 2019, 74(7):856-861. |
[38] | Tian YP, Xu XF. Research progress on diet management during labor[J]. Nurs Rehabil, 2018, 17:40-43. |
[39] | 周雪梅, 钱红继, 吴娟, 等. 经皮冠状动脉介入术后患者规范化饮水的审查指标及障碍因素分析[J]. 中华护理杂志, 2021, 56(7):1031-1037. |
Zhou XM, Qian HJ, Wu J, et al. Establishment and obstacles analysis of evidence-based nursing examination indicators for oral hydration to prevent contrast-induced nephropathy in patients after emergency percutaneous coronary intervention[J]. Chin J Nurs, 2021, 56(7):1031-1037. |
[1] | 胡丽莎, 彭红华, 米元元, 曹咪, 胡敏, 祝玲, 喻红君, 彭淑华. 肿瘤靶向治疗患者皮肤不良反应预防及管理的证据总结[J]. 中华护理杂志, 2022, 57(9): 1061-1069. |
[2] | 孙倩倩, 叶红芳, 杨莉. 接纳与承诺疗法对乳腺癌患者干预效果的Meta分析[J]. 中华护理杂志, 2022, 57(9): 1070-1078. |
[3] | 张晓梅, 秦毅, 陈瑜, 王伶俐, 李静逸, 王娅. 经中心静脉通路装置采血的最佳证据总结[J]. 中华护理杂志, 2022, 57(9): 1134-1140. |
[4] | 任宣霖, 樊落, 田金徽, 朱伟, 郝雅茹. ICU气管插管患者拔管指南的质量评价与内容分析[J]. 中华护理杂志, 2022, 57(8): 1001-1007. |
[5] | 古钰君, 张国增, 冯宪凌, 白杨, 岳岚, 王梦. 癌症患者化疗所致脱发心理体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(7): 872-879. |
[6] | 罗桢蓝, 胡三莲, 朱凌燕, 徐梦琦, 阮甜甜. 慢性心力衰竭患者自我容量管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(7): 880-886. |
[7] | 穆文方, 王娴, 肖星婷, 王燕, 许志玮. 下肢静脉溃疡患者自我管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(6): 740-747. |
[8] | 鲁佳, 谢开红, 陈文思, 陈肖敏. 肿瘤患者输液港相关性血栓预防及管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(5): 544-550. |
[9] | 毛越, 徐剑锋, 李梅, 朱蓓蓓, 杨丹燕, 莫权峰, 何杰. 经导管主动脉瓣置换术患者Ⅰ期心脏康复的最佳证据应用[J]. 中华护理杂志, 2022, 57(5): 563-568. |
[10] | 孙闽闽, 吴娟, 李文霞, 王逸楠, 王莉. 心肌梗死患者出院后重返社会体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(4): 415-423. |
[11] | 林楠, 诸纪华, 徐红贞, 周红琴. 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. |
[12] | 包磊, 朱丽群, 唐为定, 陈吉祥, 周英凤, 韩小云, 舒芳芳, 曹松梅, 庄若, 殷婷. 非药物管理对成人择期手术术前焦虑影响的系统评价再评价[J]. 中华护理杂志, 2022, 57(4): 493-501. |
[13] | 高洪莲, 王春美, 王晓敏, 许丽娜, 王瑞知, 李书彦, 李滕, 李兴国. 非药物干预促进胃肠道恶性肿瘤患者术后功能恢复的最佳证据总结[J]. 中华护理杂志, 2022, 57(2): 215-222. |
[14] | 董珊, 袁玲, 陈秋菊, 吴玲, 魏敏, 张倩文. 肠造口周围潮湿相关性皮肤损伤预防与管理的最佳证据总结[J]. 中华护理杂志, 2022, 57(2): 223-229. |
[15] | 韦小夏, 符鑫, 沈傲梅, 王玉洁, 张力川, 路潜. 乳腺癌患者淋巴水肿自我管理的证据总结[J]. 中华护理杂志, 2022, 57(2): 237-244. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||