早产儿体位管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2022.04.016

摘要/Abstract

摘要：

目的检索、评价并整合国内外早产儿体位管理的相关证据,为临床实践提供参考。方法计算机检索国际指南网、英国国家健康与临床优化研究所网站、苏格兰学院指南网、美国指南网、加拿大安大略注册护士协会网站、乔安娜布里格斯研究所循证卫生保健中心数据库、BMJ Best Practice、PubMed、Embase、OVID、万方数据库、中国知网、医脉通等网站或数据库中关于早产儿体位管理的所有证据,包括指南、证据总结、最佳临床实践手册、临床决策及系统评价,检索时限为建库至2020年8月31日。结果共纳入10篇文献,其中指南3篇、系统评价5篇、技术报告1篇、临床决策1篇。从体位评估、体位摆放、体位辅助工具及使用、特殊疾病或情境下的体位管理4个方面总结了21条证据。结论该研究总结了早产儿体位管理的最佳证据,为规范早产儿体位管理提供了循证依据,建议护理人员在应用证据时综合考虑临床实际情况选择性应用最佳证据,促进早产儿健康。

关键词: 早产儿, 体位, 循证护理学, 儿科护理学

Abstract:

Objective To retrieve,evaluate and integrate relevant evidence on the positioning management of preterm infants to provide clinical references. Methods We searched Guidelines International Network（GIN）,National institute for Health and Care Excellence（NICE）,Scottish Intercollegiate Guide Network（SIGN）,National Guideline Clearinghouse（NGC）,Registered Nurses’ Association of Ontario（RNAO）,Joanna Briggs Institute（JBI）,BMJ Best Practice,PubMed,Embase,OVID,Wanfang Database,CNKI,Yimaitong and other websites on all evidence on the positioning management of preterm infants,including guidelines,evidence summaries,best clinical practice manuals,clinical decision-making and systematic reviews,and the search time limit is from the establishment of the databases to August 31,2020. Results Totally 10 articles were involved,including 3 guidelines,5 systematic reviews,1 technical report and 1 clinical decision support. Finally,21 pieces of best evidence about positioning assessment,positioning the preterm infants,positioning equipment and positioning management of exceptional case were summarized. Conclusion This study summarizes the current best evidence on the positioning management of preterm infants and provides an evidence-based basis for standardizing the positioning management of preterm infants. It is recommended that medical staff should consider the clinical situation when applying the evidence,and selectively apply the best evidence to promote health of preterm infants.

Key words: Preterm Infants, Body Positioning, Evidence-Based Nursing, Pediatric Nursing

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.

LIN Nan, ZHU Jihua, XU Hongzhen, ZHOU Hongqin. Best evidence summary of positioning management for preterm infants[J]. Chinese Journal of Nursing, 2022, 57(4): 486-492.

图/表 3

表1 纳入文献的一般特征（n=10）

Table 1 Characteristics of included studies（n=10）

表2 指南的质量评价结果（n=3）

Table 2 Quality evaluation results of the guidelines（n=3）

表3 早产儿体位管理的最佳证据总结

Table 3 Evidence summary of positioning management for preterm infants

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