妊娠所致腹直肌分离预防及康复护理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2024.18.012

摘要/Abstract

摘要：

目的检索、评价、汇总妊娠所致腹直肌分离预防及康复护理的最佳证据，为开展临床实践提供依据。方法检索计算机决策支持系统、指南网、专业协会网站和数据库中关于妊娠所致腹直肌分离预防及康复护理的相关证据，包括指南、专家共识、临床决策、系统评价及随机对照试验，检索时限为建库至2024年1月。由4名研究者独立对纳入文献的质量进行评价，对符合标准的文献进行资料提取与证据汇总。结果共纳入18篇文献，包括临床决策2篇、指南4篇、专家共识5篇、系统评价3篇、随机对照试验4篇。最终从产前预防、团队建设、护理评估、干预策略和效果评价5个方面总结了24条证据。结论该研究总结了妊娠所致腹直肌分离预防及康复护理的最佳证据，为护理人员临床实践提供循证依据，从而以科学的方法护理腹直肌分离产妇，提高其生活质量。

关键词: 腹直肌分离, 预防, 产后护理, 证据总结, 循证护理学

Abstract:

Objective To retrieve，evaluate and summarize the best evidence summary for prevention and nursing care of pregnancy-induced diastasis recti abdominis and to provide references for clinical practice. Methods We systematically searched computer decision support systems，guideline websites，association official websites and databases for evidence on prevention and nursing care of pregnancy-induced diastasis recti abdominis，including guidelines，expert consensuses，clinical decision-making，systematic reviews and randomized controlled trials. The retrieval period was from the inception of databases to January 2024. There were 4 researchers who evaluated the quality of the included literature independently，extracted and summarized the evidence according to the subject. Results A total of 18 articles were included，including 2 clinical decisions，4 guidelines，5 expert consensuses，3 systematic reviews，and 4 randomized controlled trials. 24 pieces of best evidence were summarized from 5 aspects，including the antenatal prevention，team building，nursing assessment，intervention strategies，and effecti-veness evaluation. Conclusion This study summarizes the best evidence summary for prevention and nursing care of pregnancy-induced diastasis recti abdominis，which can provide a reference basis for nurses to manage diastasis recti abdominis and improve the life quality of maternal woman.

Key words: Diastasis Recti Abdominis, Prevention, Postpartum Nursing, Evidence Summary, Evidence-Based Nursing

李敏, 韩文萍, 郝丽敏, 柴佩珊, 孙桥, 曹艳行, 宋佳欣. 妊娠所致腹直肌分离预防及康复护理的最佳证据总结[J]. 中华护理杂志, 2024, 59(18): 2261-2268.

LI Min, HAN Wenping, HAO Limin, CHAI Peishan, SUN Qiao, CAO Yanxing, SONG Jiaxin. The best evidence summary for prevention and rehabilitation nursing of pregnancy-induced diastasis recti abdominis[J]. Chinese Journal of Nursing, 2024, 59(18): 2261-2268.

图/表 4

图1 PubMed的检索策略

Figure 1 Searching strategy of PubMed

表1 纳入文献的一般特征（n=18）

Table 1 Characteristics of included studies（n=18）

表2 指南的质量评价结果（n=4）

Table 2 Quality evaluation of guidelines（n=4）

表3 妊娠所致腹直肌分离预防及康复护理的最佳证据总结

Table 3 The best evidence summary for prevention and nursing care of pregnancy-induced diastasis recti abdominis

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