摘要
目的 全面检索与评价孕期丧失胎儿家庭丧亲管理相关证据,并提取、翻译、汇总、分类与整合最佳证据,为建立孕期丧失胎儿家庭丧亲管理实践标准提供循证参考.方法 按照6S证据模型,系统检索国内外数据库和相关网站有关孕期丧失胎儿家庭丧亲管理文献,包括临床决策、指南、证据总结、系统评价、专家共识、专家意见,检索时限为建库至2023年10月.由2名研究者独立进行文献质量评价及证据的提取总结.结果 共纳入11篇文献,包括2篇专家共识指南、5篇证据总结、3篇系统评价、1篇专家共识.共提取出17条最佳证据,包括组建丧亲关怀与照护多学科团队,孕期丧失胎儿诊断管理,流产、引产或分娩期间管理,孕期丧失胎儿后管理及丧亲管理的工作人员支持5个方面.结论 本研究总结的孕期丧失胎儿家庭丧亲管理的最佳证据,为开展临床实践提供循证依据.
Abstract
Objective To comprehensively retrieve,evaluate and summarize the best evidence for bereavement management in families with pregnancy loss,and to provide evidence-based reference for establishing practice standard for bereavement management in families with pregnancy loss.Methods According to the 6S evidence model,literature on bereavement management of families with pregnancy loss,including clinical decision,guideline,evidence summary,systematic review and expert consensus and expert opinion was systematically searched from domestic and foreign databases and related websites from the inception to October 2023.Two researchers independently evaluated literature quality and extracted and summarized the evidence.Results A total of 11 articles were collected,including 2 expert consensus guidelines,5 evidence summaries,3 systematic reviews,and 1 expert consensus,with 17 pieces of best evidence summarized from 5 aspects:the establishment of bereavement care multidisciplinary team,management of pregnancy loss during diagnosis,management during abortion,induction of labor or delivery,management during subsequent pregnancy loss,and support for bereavement management staff.Conclusion This research summarizes the best evidence for bereavement management in families with pregnancy loss,providing an evidence-based basis for clinical practice.
国家科技期刊平台
NSTL
万方数据