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程丽楠, 崔文香, 崔英善. 循证护理对中国自然分娩产妇产程结局干预效果meta分析[J]. 中国公共卫生, 2015, 31(3): 288-291. DOI: 10.11847/zgggws2015-31-03-10
引用本文: 程丽楠, 崔文香, 崔英善. 循证护理对中国自然分娩产妇产程结局干预效果meta分析[J]. 中国公共卫生, 2015, 31(3): 288-291. DOI: 10.11847/zgggws2015-31-03-10
CHENG Li-nan, CUI Wen-xiang, CUI Ying-shan. Effect of evidence-based nursing on labor outcomes among puerperae with natural childbirth in China:a meta-analysis[J]. Chinese Journal of Public Health, 2015, 31(3): 288-291. DOI: 10.11847/zgggws2015-31-03-10
Citation: CHENG Li-nan, CUI Wen-xiang, CUI Ying-shan. Effect of evidence-based nursing on labor outcomes among puerperae with natural childbirth in China:a meta-analysis[J]. Chinese Journal of Public Health, 2015, 31(3): 288-291. DOI: 10.11847/zgggws2015-31-03-10

循证护理对中国自然分娩产妇产程结局干预效果meta分析

Effect of evidence-based nursing on labor outcomes among puerperae with natural childbirth in China:a meta-analysis

  • 摘要: 目的系统评价循证护理措施在预防中国自然分娩产妇产程结局中应用的效果, 为临床护理工作提供参考依据。方法检索中国学术期刊网全文数据库(中国知网)、万方数据库、中文科技期刊全文数据库、维普期刊资源(在线)等中文数据库, 利用Note Express软件进行筛选和查重后, 应用Rev Man 5.2软件对纳入符合标准的随机或随机对照试验文献进行meta分析。结果共纳入14篇文献, 累计2 028名干预组人群和1 984名对照组人群;meta分析结果显示, 循证护理可缩短第一产程2.31 h(MD=-2.31,95%CI=-2.60~-2.01)、第二产程0.41 h(MD=-0.41,95%CI=-0.54~-0.28)、第三产程0.05 h(MD=-0.05,95%CI=-0.05~-0.04), 进行循证护理新生儿窒息发生的风险为未进行循证护理新生儿的0.36倍(OR=0.36,95%CI=0.27~0.49)。结论应用循证护理可以缩短中国自然分娩产妇的产程时间及降低新生儿窒息的发生率, 值得在临床推广使用。

     

    Abstract: ObjectiveTo systematically assess the effect of evidence-based nursing on labor outcomes among Chinese puerperae with natural childbirth and to provide evidences for clinic nursing.MethodsRelevant literatures were searched through Chinese databases such as Chinese National Knowledge Infrastructure(CNKI),Wanfang,and Weipu via internet according to the inclusion and the exclusion criteria.Note Express software was used in screening and duplicate checking of the literatures and RevMan 5.2 software was adopted in the analyses.ResultsA total of 14 studies were included in the study,with totally 2 028 participants in the intervention group and 1 984 in the control group.The results of meta-analysis showed that evidence-based nursing could shorten the time(in hour) of first stage of labor,with a mean difference(MD)of-2.3 and its 95% confidence interval(95%CI)of -2.60--2.01),the time of second stage of labor(MD=-0.41,95%CI:-0.54--0.28),and the time of third stage of labor(MD=-0.05,95%CI:-0.05--0.04).Moreover,the implementation of evidence-based nursing could significantly decrease the rate of neonatal asphyxia,with an odds ratio of 0.36(95%CI=0.27-0.4). ConclusionApplication of evidence-based nursing can shorten parturient labor time of natural childbirth and reduce the incidence of neonatal asphyxia and its clinical application should be promoted.

     

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