关键词: 高龄, 二胎, 孕产妇, 优化护理, 产妇卫生保健服务, 循证护理学

Abstract:

Objective To select and obtain relevant evidence on postpartum optimal nursing management for older second-birth parturients,and summarize the best evidence. Methods Computer search of BMJ Best Practice,Joanna Briggs Institute Evidence-based Health Care Center Database,Up to date,Cochrane Library,British Guide Network,American Guide Network,China Guide Network,Evidence-based Medicine Database,PubMed,EMbase,Ontario Registered Nursing Association of Canada,China Biomedical Database,CNKI and American Association of Obstetricians and Gynaecologists was conducted for all relevant evidence on optimal maternal care and management,including guidelines,evidence summary,best clinical practice information sheet,systematic review,recommended practice and original research. Quality evaluation and data extraction of included literature were carried out by two researchers and documents that met quality standards were summarized. The retrieval period was from the establishment of the database to February 2019. Results A total of 15 documents including 6 guidelines,6 systematic reviews,1 cohort study and 2 randomized controlled trials were included. Totally 11 items of best evidence were summarized. Conclusion This study summarized the best evidence forolder second—birth parturients of postpartum optimal nursing and management. When applying evidence in clinical practice,it is necessary to carry out individualized evaluation of parturients. Attention should be paid to the renewal of the best evidence. Postpartum problems of second-birth parturients should be solved by scientific nursing approaches to improve quality of nursing.

Key words: Advanced Maternal Age, Second-Child, Pregnant Women and Puerpera, Optimized Care, Maternal Health Services, Evidence-Based Nursing