妊娠期女性身体活动指南的质量评价及内容分析

doi:10.16460/j.issn1008-9969.2023.04.049

摘要/Abstract

摘要： 目的对国外妊娠期女性身体活动指南进行质量评价及内容分析,以期为我国妊娠期女性身体活动推荐意见、指导方案及指南的形成提供借鉴。方法检索指南网站及数据库发布的妊娠期女性身体活动相关指南。2名研究者独立进行资料提取,2名评价者独立对指南进行评价。使用内容分析法汇总指南推荐意见。结果共纳入10部指南,其中3部专家共识,7部循证指南。循证指南中A级3部,B级4部,AGREEⅡ的6个领域平均标准化得分依次为：范围和目的（92%）、清晰性（81%）、参与人员（81%）、独立性（73%）、应用性（68%）、严谨性（61%）。评价者间ICC得分均>0.75。内容分析总结出适用对象、禁忌证、活动处方、活动举例、活动警告信号、活动注意事项及特殊孕妇活动策略7方面的内容。结论妊娠期女性身体活动相关指南质量较高,内容丰富,指导性强,可为我国妊娠期女性身体活动相关推荐意见、指导方案及指南的形成提供一定的借鉴。但在借鉴国外指南的内容时,需根据我国妊娠期女性身体素质、文化背景、社会环境等对推荐的内容进行具体分析。

关键词: 妊娠期, 身体活动, 指南, 质量评价, 内容分析

Abstract: Objective To access the quality and analyze the content of foreign guidelines of physical activity during pregnancy, and to provide reference for the formation of recommendations and guidelines on physical activity during pregnancy in China. Methods Guidelines for women's physical activity during pregnancy published on websites and included in databases were retrieved. Two researchers extracted data independently, and two evaluators accessed the guidelines independently. Content analysis was used to summarize the guidance and recommendations. Results Ten guidelines were collected, including 3 expert consensuses and 7 evidence-based guidelines. Among the evidence-based guidelines, 3 were grade-A ones and 4 grade-B. The average standardized scores of the 6 fields of AGREE Ⅱ were as follows: scope and purpose (92%), clarity (81%), participants (81%), independence (73%), application (68%), and rigor (61%). The ICC scores of all guidelines were>0.75. Content analysis summarized 7 aspects of applicable objects, contraindications, activity prescriptions, and activity examples, activity warning signals, activity precautions and special pregnant women's activity strategies. Conclusion The guidelines on physical activity of pregnant women are of high quality and comprehensive in content, which can provide reference for the formation of recommendations and guidelines on physical activity of pregnant women in China. However, when referring to the contents of foreign guidelines, the recommended contents should be specifically analyzed according to the physical quality, and cultural background of pregnant women and social environment in China.

Key words: pregnancy, physical activity, guide, quality evaluation, content analysis

中图分类号:

R473.71

卜丝丝, 李玉红, 丁礼雪, 李文娟. 妊娠期女性身体活动指南的质量评价及内容分析[J]. 护理学报, 2023, 30(4): 49-54.

BU Si-si, LI Yu-hong, DING Li-xue, LI Wen-juan. Quality evaluation and content analysis of guidelines of physical activity for pregnant women[J]. Journal of Nursing, 2023, 30(4): 49-54.

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