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1. 遵义医科大学珠海校区
2. 遵义医科大学第五附属(珠海)医院产科
纸质出版日期:2021,
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[1]卢舒颖,刘宁,魏璐华,梁冬梅.新型冠状病毒肺炎孕产妇围产期护理管理的证据汇总[J].保健医学研究与实践,2021,18(02):86-93.
Lu Shuying, Liu Ning, Wei Luhua, et al. Evidence summary regarding perinatal nursing management of COVID-19 pregnant women[J]. Health Medicine Research and Practice, 2021,18(2):86-93.
目的检索、评价有关新型冠状病毒肺炎孕产妇围产期护理管理的最新文献
并汇总相关证据
为临床实践提供参考。方法依据"6S"证据模型
检索UpToDate、BMJBestPractice、CochraneLibrary、澳大利亚JBI循证卫生保健中心、CINAHL、Pub Med、中国生物医学数据库(CBM)、世界卫生组织(WHO)、英国国家卫生与保健研究所(NICE)、中国期刊全文数据库(CNKI)、法国妇产科医师学会(CNGOF)、英国皇家妇产科医师学会(RCOG)、美国妇产科医师学会(ACOG)、澳大利亚和新西兰皇家妇产科协会(RANZCOG)、国际妇产科联盟(FIGO)和国内外疾病预防及控制中心(CDC)等网站及数据库有关新型冠状病毒肺炎孕产妇围产期护理管理的文献。由2名经过循证护理系统培训的研究员进行文献质量的评价和内容的提取汇总
并归纳相关证据。结果本研究共纳入19篇文献
其中包括1篇临床决策、9篇临床指南、2篇系统评价、1篇病例对照研究、3篇病例系列研究和3篇专家共识
最终从评估与监测、转诊、治疗措施、分娩管理、产后管理、母乳喂养、心理护理、产科防控管理和健康宣教9个方面汇总了45条建议。结论新型冠状病毒肺炎孕产妇妊娠晚期易发生不良分娩结局
因此
临床上要充分考虑孕产妇的实际情况
选择合适的治疗方案
掌握好分娩的时机和方式。同时要关注新型冠状病毒肺炎孕产妇的心理状态
防止产后焦虑、抑郁等不良情绪的发生
如发现COVID-19孕产妇情绪有异常
应及时进行心理干预
并给予适当的关怀与支持
提升临床护理质量。
Objective This paper searches and evaluates the latest literature on the perinatal care management of pregnant women with COVID-19 and summarizes relevant evidence to provide references for clinical practice. Methods Based on the "6 S" evidence model
this paper searches Up to Date
BMJ Best Practice
Cochrane Li-brary
The Joanna Briggs Institute of Australia(JBI)
CINAHL
Pub Med
China Biology Medicine(CBM)
World Health Organization(WHO)
National Institute for Health and Care Excellence(NICE)
China National Knowledge Infrastructure(CNKI)
The French College of Gynecologists and Obstetricians(CNGOF)
Royal Col-lege of Obstetricians and Gynecologists(RCOG)
American College of Obstetricians and Gynecologists(ACOG)
The Royal Australian and New Zealand College of Obstetricians and Gynecologists(RANZCOG)
International Federation of Gynecology and Obstetrics(FIGO)
the Centers for Disease Control(CDC) at home and abroad and other databases and websites related to the perinatal care management of pregnant women with COVID-19. Two researchers were trained in evidence-based nursing to independently evaluate the quality of the literature and sum-marize the content. Results Nineteen articles were reviewed in this study
including 1 clinical decision
9 clinical guidelines
2 systematic reviews
1 case study
3 serial case studies
and 3 expert consensus. Finally
45 recom-mendations were summarized from 9 aspects: evaluation and monitoring
referral
treatment measures
delivery management
postpartum management
breastfeeding
psychological care
obstetric prevention and control man-agement
and health education. Conclusion COVID-19 pregnant women are prone to adverse childbirth out-comes in the third trimester. Therefore
it is necessary to fully consider the actual situation of the pregnant women in clinical practice
choose the appropriate treatment plan
and grasp the timing and method of delivery. At the same time
we must pay attention to the psychological state of pregnant women with COVID-19 to prevent postpartum anxiety
depression
and other negative emotions. If abnormal emotions are found in pregnant women with COVID-19
psychological intervention should be carried out in time
and appropriate care and support should be given to improve clinical care quality.
新型冠状病毒肺炎孕产妇围产期护理管理循证护理学
COVID-19PregnancyPerinatalnursing managementEvidence-based nursing
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