【摘要】 目的 基于护理视角,系统回顾、评价并整合子痫前期管理临床实践指南的最佳推荐意见。方法计算机检索中英文数据库及相关指南网站,检索时限为2013—2023年。采用AGREEⅡ对纳入指南进行质量评价,通过描述性分析和框架法对提取的最佳推荐意见进行分析和整合,用GRADE分级系统评估证据质量和推荐强度。结果 纳入的10篇指南中有8篇被评为“强烈推荐使用的临床实践指南”,提取并分析整合最佳推荐意见后,最终总结了31条推荐意见,包含46条细则:1)产前护理(18条推荐意见),包括对子痫前期进行评估和常规监测、标准化血压测量、预防与健康教育、降压药及硫酸镁的使用监测;2)产时护理(4条推荐意见);3)产后护理(9条推荐意见),包括产后常规护理监测、母乳喂养护理与长期健康咨询指导。关于证据质量,大多数证据被评为“极低”(19/50)或“中等”(15/50);而在推荐强度方面,30条被评为“强推荐”,16条被评为“弱推荐”。结论 该研究可为护理人员的岗前培训与子痫前期患者的健康教育提供专业的参考依据,并为及时发现、治疗子痫前期,延缓子痫发生并改善妊娠结局提供了循证护理资源。更多还原

【Abstract】 Objectives: To review, evaluate, and synthesize the recommendations of guidelines on preeclampsia(PE)from a nursing perspective.Methods: This is a systematic review of international and national guidelines on PE. Electronic databases and related guideline websites were searched from 2013 to 2023. After systematic retrieval and screening, we used the AGREE II tool to appraise the methodological quality of guidelines that met the eligibility criteria. Then, we analyzed and summarized the recommendations using descriptive analysis and the framework method. Furthermore, we rated the quality of evidence and the strength of the recommendations using the GRADE approach.Results: Ten guidelines were included, among which eight were deemed “clinically useful” and records were extracted. In total, 31 recommendations, including 46 items on the nursing management of PE,were summarized from three aspects: 1) antenatal care(18 recommendations), including the assessment and regular monitoring of PE, standardized blood pressure(BP) measurement, prevention education for PE, antihypertensive agent monitoring, and magnesium sulfate(Mg SO4) use; 2) intrapartum care(4recommendations), including childbirth care; 3) postpartum care(9 recommendations), including regular nursing monitoring, breastfeeding care and longer-term health counseling. Most of the evidence was rated as “very low”(19/46) or “moderate”(15/46) quality. For the strength of the recommendations, 30items were graded as “strong” and 16 items were rated as “weak”.Conclusions: This study provides professional, evidence-based nursing care resources both for preservice education for nursing staff and health care education for women with PE to help them detect and treat PE in a timely manner.更多还原