以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (12): 18-22.doi: 10.16460/j.issn1008-9969.2020.12.018

• 循证护理 • 上一篇    下一篇

产后出血预防及管理的最佳证据总结

卢舒颖1, 刘宁1, 魏璐华2, 梁冬梅2, 李妍3   

  1. 1.遵义医科大学珠海校区 护理学系,广东 珠海 519041;
    2.遵义医科大学附属第五（珠海）医院 产科,广东 珠海 519041;
    3.伦敦国王学院 护理学院,英国 伦敦 WC2R2LS
  • 收稿日期:2019-11-26 出版日期:2020-06-25 发布日期:2020-07-08
  • 通讯作者: 刘宁（1981-）,女,陕西西安人,博士,副教授,南方医院JBI循证护理合作中心导师库成员。E-mail：761066906@qq.com
  • 作者简介:卢舒颖（1998-）,女,福建龙岩人,本科在读,护士。
  • 基金资助:
    贵州省科技计划项目（[26]1223,1226）; 遵义市“15851人才精英工程”科技项目（黔科合基础[27]1223）; 遵义医学院博士启动基金（F-750）; 遵义医学院硕士启动基金（NO:24）; 遵义医科大学珠海校区教学教育改革计划项目（XQJG2018-03-01,XQJG2018-03-02）

Best Evidence Summary Regarding Prevention and Management of Postpartum Hemorrhage

LU Shu-ying1, LIU Ning1, Wei Lu-hua2, Liang Dong-mei2, LI Yan3   

  1. 1. Department of Nursing, Zhuhai Campus, Zunyi Medical University, Zhuhai 519041, China;
    2. Dept. of Obstetrics,the Fifth Affiliated Hospital (Zhuhai) of Zunyi Medical University, Zhuhai 519041, China;
    3. School of Nursing,King's College London, London WC2R2LS, England
  • Received:2019-11-26 Online:2020-06-25 Published:2020-07-08

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摘要： 目的 总结与产后出血预防及管理有关的最佳证据,为临床提供理论参考。方法 根据循证护理的方法确立问题,并利用计算机按“6S 证据模型”,检索有关产后出血预防及管理的证据资源类型,包括临床指南、临床决策、专家共识和证据总结,由2名完成循证护理培训的研究员对纳入的文献独立评价,并对符合质量标准的文献进行证据提取。结果 共纳入证据9篇,包括临床决策1篇,临床指南 6 篇,专家共识1篇以及证据总结1篇,并对相关证据进行汇总,最后从6个维度总结了21条最佳证据。结论 临床管理者应加强对产后大出血应急处置流程的管理和医护人员的规范化培训,提高临床医护人员防治产后出血的能力,尽可能降低产后出血的发生率及死亡率。

关键词: 产后出血, 预防, 管理, 最佳证据, 循证护理

Abstract: Objective To summarize the best evidence regarding the prevention and management of postpartum hemorrhage, and to provide reference for clinical nurses. Methods Evidence-based nursing method helped to identify the problems then we searched articles pertaining to the prevention and management of postpartum hemorrhage with 6S evidence model. The literature included clinical guidelines, clinical decisions, expert consensus, and summary of evidence. Two researchers worked independently to assess the quality and extract data meeting quality standards. Results Nine pieces of evidence were included, with 1 best practice recommendations reports, 6 guidelines, 1expert consensus and 1 evidence summaries. Finally, 21 pieces of best evidence from 6 dimensions were summarized. Conclusion Clinical managers should strengthen the management of emergency treatment procedures for postpartum hemorrhage and the standardized training of clinical medical staff, improve the prevention and treatment of postpartum hemorrhage, and reduce the incidence and mortality of postpartum hemorrhage as much as possible.

Key words: postpartum hemorrhage, prevention, management, best evidence, evidence-based nursing

中图分类号: 

  • R473.71
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