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

摘要：

目的 对国内外围产期哀伤辅导相关指南进行质量评价和内容分析,汇总推荐意见。 方法 系统检索国内外权威指南网站、专业协会网站、中英文数据库及谷歌搜索引擎中围产期哀伤辅导指南,检索时限为2010年1月—2020年8月。4名研究者采用临床指南研究与评估工具Ⅱ对符合纳入和排除标准的指南独立进行质量评价,汇总围产期哀伤辅导的推荐意见。 结果 共纳入5篇指南,质量评价6个领域的平均标准化得分分别为:范围和目的91.11%、参与人员90.55%、制订的严谨性73.24%、清晰性与可读性81.67%、应用性60.00%和编辑的独立性60.83%。指南总体质量评价为l篇A级,4篇B级。经提取与整合,最终得出5个阶段、32条围产期哀伤辅导推荐意见。 结论 国内外围产期哀伤辅导指南数量较少,指南的总体质量有待提高,内容有待细化。可以将国际上的指南与国内的临床情境相结合,筛选基于证据的推荐意见并将其本土化,指导国内围产期哀伤辅导工作的开展。

关键词: 围产儿死亡, 哀伤辅导, 指南, 循证护理