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Implementing the Richmond Agitation-Sedation Scale in a respiratory critical care unit: a best practice implementation project. 在呼吸重症监护病房实施里士满激动镇静量表:最佳实践实施项目。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-004011
Jui-Yuan Su, C. Lockwood, Yi-Chen Tsou, P. Mu, Shu-Chen Liao, Wei-Chih Chen
INTRODUCTIONAdequate sedation can lead to patient-ventilator synchrony, facilitation of treatment, and decreased physical and psychological discomfort for patients with respiratory failure in the intensive care unit (ICU). The Richmond Agitation-Sedation Scale (RASS) is considered to be the most appropriate tool in sedation assessment.OBJECTIVESThis aim of this project was to implement evidence-based recommendations for sedation assessment using the RASS in mechanically ventilated patients in the ICU.METHODSThis implementation project was conducted in an ICU at a tertiary medical center in Taiwan. Using the JBI Practical Application of Clinical Evidence System software, a baseline audit was conducted in the ICU, followed by an identification of barriers of RASS assessment and an implementation of management of strategies to improve the consistency of sedation assessment.RESULTSResults of the baseline audit showed that four of the six selected criteria had 0% compliance. Following the implementation of the strategies, which included education, visual management and development of a "RASS Reminder Card", there was an improvement in all the criteria audited, with each criterion achieving 83-100% of compliance.CONCLUSIONThe project successfully improved the implementation of RASS assessment in the respiratory ICU. Following the development and implementation of evidence-based resources, a high level of compliance was achieved for nurses using the RASS in the ICU to assess sedation in patients with a ventilator.
适当的镇静可导致重症监护病房(ICU)呼吸衰竭患者与呼吸机同步,促进治疗,减少身心不适。里士满激动镇静量表(RASS)被认为是最合适的镇静评估工具。目的:本项目旨在为ICU机械通气患者使用RASS进行镇静评估提供循证建议。方法本研究在台湾某三级医疗中心的ICU进行。采用JBI临床证据系统实际应用软件,对ICU进行基线审计,识别RASS评估的障碍,实施策略管理,提高镇静评估的一致性。结果基线审计结果显示,6个选定标准中有4个的符合性为0%。在实施包括教育、可视化管理和开发“RASS提醒卡”在内的战略之后,所有审计的标准都有所改善,每个标准的符合率达到83% -100%。结论本项目成功地促进了RASS评估在呼吸内科ICU的实施。随着循证资源的开发和实施,护士在ICU使用RASS评估呼吸机患者的镇静作用时达到了很高的依从性。
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引用次数: 2
Mothers' perceptions of the practice of kangaroo mother care for preterm neonates in sub-Saharan Africa: a qualitative systematic review protocol. 母亲对撒哈拉以南非洲早产儿袋鼠妈妈护理做法的看法:一项定性系统审查方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-004027
Pontius Bayo, Gasthony Alobo, Garumma Tolu Feyissa, Loubna Belaid

Objective: The objective of this review is to explore the experiences of mothers with the practice of kangaroo mother care (KMC) for preterm neonates at home in sub-Saharan Africa.

Introduction: About 7000 newborn babies die every day around the world. About 80% of these deaths occur in sub-Saharan Africa and southern Asia. Preterm birth and low birth weight (LBW) are major causes of newborn deaths in these regions. Kangaroo mother care is an alternative way to care for LBW preterm neonates; however, the rate of practice remains low. Studies have identified a range of barriers, primarily at the healthcare system level, but there is a dearth of evidence on the factors and enablers at the community level.

Inclusion criteria: The review will consider studies conducted in sub-Saharan Africa on the perceptions and experiences of mothers who have given birth to preterm babies and have practiced KMC at home. Qualitative studies in English and French conducted from January 1979 to the present that exclusively use qualitative research methods including, but not limited to, phenomenology, grounded theory, ethnography, action research and feminist research will be included.

Methods: PubMed, Embase, Web of Science, Scopus, African Index Medicus (AIM), Academic Search Complete, CINAHL complete, Education Source and Health source: Nursing/Academic Edition will be searched. Eligible studies will be critically appraised using the standardized Joanna Briggs Institute tool. Findings will be pooled using the meta-aggregative approach, and confidence will be assessed according to the ConQual approach.

目的:本综述的目的是探讨在撒哈拉以南非洲地区,母亲在家中采用袋鼠妈妈护理(KMC)治疗早产儿的经验。导读:全世界每天约有7000名新生儿死亡。其中约80%的死亡发生在撒哈拉以南非洲和南亚。早产和低出生体重是这些地区新生儿死亡的主要原因。袋鼠妈妈护理是照顾LBW早产儿的另一种方式;然而,实践的比率仍然很低。研究已经确定了一系列障碍,主要是在卫生保健系统层面,但缺乏关于社区层面因素和促成因素的证据。纳入标准:审查将考虑在撒哈拉以南非洲进行的关于生过早产儿并在家中实践过KMC的母亲的看法和经验的研究。从1979年1月至今专门使用定性研究方法的英语和法语定性研究,包括但不限于现象学、扎根理论、民族志、行动研究和女权主义研究。方法:检索PubMed、Embase、Web of Science、Scopus、African Index Medicus (AIM)、Academic Search Complete、CINAHL Complete、Education Source和Health Source: Nursing/Academic Edition。合格的研究将使用标准化的乔安娜布里格斯研究所工具进行严格评估。研究结果将使用综合方法汇总,并根据征服方法评估信心。
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引用次数: 1
The impact of parent-targeted eHealth educational interventions on infant procedural pain management: a systematic review protocol. 以家长为目标的电子健康教育干预对婴儿程序性疼痛管理的影响:一项系统评价方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-D-19-00007
Brianna Richardson, Britney Benoit, Kallen Rutledge, Justine Dol, Ruth Martin Misener, Margot Latimer, Michael Smit, Patrick McGrath, Marsha Campbell-Yeo

Objective: The objective of this review is to determine if electronic health (eHealth) educational interventions for infant procedural pain and pain management impact parental outcomes (mental health outcomes, knowledge utilization outcomes, and parental involvement in care outcomes) and infant outcomes (morbidity outcomes, pain outcomes, health system outcomes).

Introduction: Pain in infants is a common concern for parents. Routine postpartum care for infants in early life requires them to endure painful procedures, yet infants often receive little to no pain management. While research has shown that parents can reduce their infant's pain during procedures by breastfeeding or skin-to-skin contact, parents may not be aware of their role in pain management. Despite the recent rapid increase in eHealth resources to educate parents about infant pain management, their impact has yet to be evaluated.

Inclusion criteria: This review will consider studies that include eHealth educational interventions targeted at parents during pregnancy and up to one year postpartum. All experimental study designs will be included. Primary outcomes will include: parental stress and anxiety, self-efficacy, knowledge, attitudes, eHealth intervention usage, acceptance of eHealth intervention, involvement in pain management, and infant pain response.

Methods: PubMed, CINAHL, PsycINFO, Embase, Scopus, Web of Science, and SciELO will be searched for studies published in English. Critical appraisal and data extraction will be conducted by two independent reviewers using standardized tools. Quantitative data, where possible, will be pooled in statistical meta-analysis, or if statistical pooling is not possible, the findings will be reported narratively.

目的:本综述的目的是确定婴儿程序性疼痛和疼痛管理的电子健康(eHealth)教育干预是否会影响父母的结果(心理健康结果、知识利用结果和父母参与护理结果)和婴儿的结果(发病率结果、疼痛结果、卫生系统结果)。婴儿疼痛是父母共同关心的问题。婴儿早期的常规产后护理需要他们忍受痛苦的过程,但婴儿往往很少或根本没有疼痛管理。虽然研究表明,父母可以通过母乳喂养或皮肤接触来减轻婴儿在手术过程中的疼痛,但父母可能没有意识到他们在疼痛管理中的作用。尽管最近电子健康资源迅速增加,教育父母关于婴儿疼痛管理,其影响尚未得到评估。纳入标准:本综述将考虑包括针对怀孕期间和产后一年的父母的电子健康教育干预措施的研究。所有的实验研究设计都将包括在内。主要结局将包括:父母的压力和焦虑、自我效能、知识、态度、电子健康干预的使用、电子健康干预的接受程度、参与疼痛管理和婴儿疼痛反应。方法:检索PubMed, CINAHL, PsycINFO, Embase, Scopus, Web of Science, SciELO等英文文献。关键评估和数据提取将由两名独立审稿人使用标准化工具进行。定量数据,在可能的情况下,将汇集在统计荟萃分析中,或者如果统计汇集不可能,将以叙述的方式报告结果。
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引用次数: 5
Tranexamic acid as adjuvant treatment for postpartum hemorrhage: a systematic review protocol. 氨甲环酸辅助治疗产后出血:系统评价方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-003978
Charles G Fahrenholtz, Laura S Bonanno, Jennifer B Martin

Objective: The objective of this review is to evaluate the effectiveness of intravenous administration of tranexamic acid (TXA) within three hours of birth in mothers with a diagnosis of postpartum hemorrhage (PPH).

Introduction: Postpartum hemorrhage, that is, blood loss exceeding 500 mL for vaginal births or 1000 mL for cesarean sections within 24 hours of delivery, is the leading cause of maternal deaths worldwide. The World Health Organization recommends intravenous TXA as an adjuvant therapy for the treatment of PPH, in addition to standard recommended treatments, within three hours of birth. This review will determine whether TXA administration to patients experiencing PPH leads to a reduction in blood loss, the requirement for transfusion of packed red blood cells and the need for emergency hysterectomies, in both developed and developing nations.

Inclusion criteria: This review will consider studies that include women under 40 with a diagnosis of postpartum hemorrhage. Studies that evaluate intravenous administration of TXA within three hours of birth as adjuvant treatment of postpartum hemorrhage will be considered. The comparator will be groups that have not received TXA as part of the treatment for postpartum hemorrhage, with or without placebo.

Methods: MEDLINE, Embase, CINAHL, CENTRAL, Scopus, Web of Science and ProQuest Nursing and Allied Health will be searched for eligible studies. The search for unpublished studies will include: ProQuest Dissertations and Theses (PQDT), ClinicalTrials.gov and New York Academy of Medicine Grey Literature Report. Retrieval of full-text studies, assessment of methodological quality and data extraction will be performed independently by two reviewers. Meta-analysis will be performed, if possible.

目的:本综述的目的是评估诊断为产后出血(PPH)的母亲在出生后3小时内静脉注射氨甲环酸(TXA)的有效性。产后出血,即阴道分娩时失血超过500毫升或剖宫产时在分娩24小时内失血超过1000毫升,是全世界孕产妇死亡的主要原因。世界卫生组织建议在婴儿出生后3小时内,除标准推荐治疗外,静脉注射TXA作为治疗PPH的辅助疗法。本综述将确定在发达国家和发展中国家,对PPH患者给予TXA是否会减少失血量、输血填充红细胞的需求和紧急子宫切除术的需要。纳入标准:本综述将纳入诊断为产后出血的40岁以下妇女的研究。将考虑在出生后3小时内静脉给予TXA作为产后出血辅助治疗的研究。比较者将是没有接受TXA作为产后出血治疗的一部分,有或没有安慰剂的组。方法:MEDLINE, Embase, CINAHL, CENTRAL, Scopus, Web of Science和ProQuest Nursing and Allied Health将检索符合条件的研究。搜索未发表的研究将包括:ProQuest学位论文和论文(PQDT), ClinicalTrials.gov和纽约医学研究院灰色文献报告。全文研究的检索、方法学质量评估和数据提取将由两名审稿人独立完成。如有可能,将进行meta分析。
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引用次数: 3
Glycemic control outcomes of manual and computerized insulin titration protocols: a systematic review protocol. 人工和计算机胰岛素滴定方案的血糖控制结果:系统评价方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-003866
Andrew C Majeste, Eva Tatum, Robin Christian, Michelle Palokas

Objective: The object of this systematic review is to determine the effectiveness of computerized insulin titration protocols compared to manual insulin titration protocols for glycemic control in hospitalized adult patients.

Introduction: Hyperglycemia is common during acute illness, and current recommendations for patients with altered glucose metabolism is the use of intravenous insulin therapy. Due to the narrow therapeutic index of insulin, euglycemia is difficult to achieve and requires frequent dose titrations and blood glucose checks. Dose titrations can be accomplished through the use of manual or computerized insulin titration protocols.

Inclusion criteria: This review will consider studies that compare manual and computerized insulin titration protocols for hospitalized adult patients requiring intravenous insulin therapy for hyperglycemia. Studies must have considered one or more glycemic control outcomes.

Methods: This systematic review will use the JBI methodology for evidence of effectiveness. The search will be limited to studies published in English from 1984, as this was the approximate year that the first pilot study of a computerized titration protocol was implemented. The databases to be searched include: Cochrane Central Register of Controlled Trials, CINAHL, PubMed, Embase, Health Technology Assessments and Ovid Healthstar. The trial registers to be searched include: US National Library of Medicine (ClinicalTrials.gov). The search for unpublished studies will include ProQuest Dissertations and Theses, and MedNar. Retrieval of full-text studies, assessment of methodological quality and data extraction will be performed independently by two reviewers. Meta-analysis will be performed if possible, and a Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Summary of Findings presented.

Systematic review registration number: PROSPERO CRD42019142776.

目的:本系统综述的目的是确定与人工胰岛素滴定方案相比,计算机胰岛素滴定方案对住院成人患者血糖控制的有效性。简介:高血糖在急性疾病中很常见,目前对于糖代谢改变的患者推荐使用静脉注射胰岛素治疗。由于胰岛素的治疗指标较窄,难以达到正常血糖,需要频繁的剂量滴定和血糖检查。剂量滴定可以通过使用手动或计算机胰岛素滴定方案来完成。纳入标准:本综述将考虑对需要静脉注射胰岛素治疗高血糖的住院成人患者进行人工和计算机胰岛素滴定方案比较的研究。研究必须考虑一个或多个血糖控制结果。方法:本系统综述将使用JBI方法作为有效性证据。检索将限于1984年以来用英文发表的研究,因为这是计算机滴定方案的第一次试点研究实施的大约一年。检索的数据库包括:Cochrane Central Register of Controlled Trials、CINAHL、PubMed、Embase、Health Technology Assessments和Ovid Healthstar。要检索的试验注册包括:美国国家医学图书馆(ClinicalTrials.gov)。搜索未发表的研究将包括ProQuest的论文和论文,和MedNar。全文研究的检索、方法学质量评估和数据提取将由两名审稿人独立完成。如果可能的话,将进行荟萃分析,并提交一份建议、评估、发展和评价评分(GRADE)总结。系统评价注册号:PROSPERO CRD42019142776。
{"title":"Glycemic control outcomes of manual and computerized insulin titration protocols: a systematic review protocol.","authors":"Andrew C Majeste,&nbsp;Eva Tatum,&nbsp;Robin Christian,&nbsp;Michelle Palokas","doi":"10.11124/JBISRIR-2017-003866","DOIUrl":"https://doi.org/10.11124/JBISRIR-2017-003866","url":null,"abstract":"<p><strong>Objective: </strong>The object of this systematic review is to determine the effectiveness of computerized insulin titration protocols compared to manual insulin titration protocols for glycemic control in hospitalized adult patients.</p><p><strong>Introduction: </strong>Hyperglycemia is common during acute illness, and current recommendations for patients with altered glucose metabolism is the use of intravenous insulin therapy. Due to the narrow therapeutic index of insulin, euglycemia is difficult to achieve and requires frequent dose titrations and blood glucose checks. Dose titrations can be accomplished through the use of manual or computerized insulin titration protocols.</p><p><strong>Inclusion criteria: </strong>This review will consider studies that compare manual and computerized insulin titration protocols for hospitalized adult patients requiring intravenous insulin therapy for hyperglycemia. Studies must have considered one or more glycemic control outcomes.</p><p><strong>Methods: </strong>This systematic review will use the JBI methodology for evidence of effectiveness. The search will be limited to studies published in English from 1984, as this was the approximate year that the first pilot study of a computerized titration protocol was implemented. The databases to be searched include: Cochrane Central Register of Controlled Trials, CINAHL, PubMed, Embase, Health Technology Assessments and Ovid Healthstar. The trial registers to be searched include: US National Library of Medicine (ClinicalTrials.gov). The search for unpublished studies will include ProQuest Dissertations and Theses, and MedNar. Retrieval of full-text studies, assessment of methodological quality and data extraction will be performed independently by two reviewers. Meta-analysis will be performed if possible, and a Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Summary of Findings presented.</p><p><strong>Systematic review registration number: </strong>PROSPERO CRD42019142776.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":"17 8","pages":"1626-1633"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2017-003866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10081763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of adults participating in infertility support groups: a qualitative systematic review protocol. 成人参与不孕症支持小组的经验:一项定性系统评价方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-003831
Sarah C Bedi, Christina Ferrell, Janet Y Harris

Objective: The objective of this review is to identify and synthesize the best available evidence on the experiences of adults participating in infertility support groups to understand the value of support groups for this population.

Introduction: Infertility can impact a person physically, mentally, emotionally, spiritually and financially. Infertility support groups may represent a beneficial tool that these adults can utilize to improve their quality of life. The findings may inform or promote more effective and appropriate health care and, based on the results, a change in the standard of care for the treatment of infertility.

Inclusion criteria: This review will consider studies that include infertile women, men and couples of any age, race or marital status, in any geographic region and with any co-morbidity who participate in infertility support groups. Studies published in English that focus on qualitative data, without any restriction of year of publication, will be considered. This review will consider studies that utilize any media of material for infertility support groups.

Methods: The key information sources to be searched are: CINAHL, PubMed, PsycINFO, Psychology and Behavioral Sciences Collection, Scopus, MedNar and ProQuest Dissertations and Theses. A three-step search strategy will be undertaken to find both published and unpublished studies and will include searching of reference lists within articles selected for critical appraisal. Each of the included studies will be assessed for methodological quality independently by two reviewers, and findings will be extracted and synthesized.

目的:本综述的目的是识别和综合有关参加不孕症支持小组的成年人经验的最佳现有证据,以了解支持小组对这一人群的价值。不孕不育会影响一个人的身体、精神、情感、精神和经济。不孕症支持小组可能是一个有益的工具,这些成年人可以利用它来提高他们的生活质量。研究结果可能为更有效和适当的卫生保健提供信息或促进,并根据研究结果改变治疗不孕症的护理标准。纳入标准:本综述将纳入研究,包括不孕妇女、男性和任何年龄、种族或婚姻状况的夫妇,在任何地理区域,并有任何合并症参加不孕症支持小组。以英文发表的专注于定性数据,不受出版年份限制的研究将被考虑。本综述将考虑不育支持团体使用任何介质材料的研究。方法:检索主要信息源为:CINAHL、PubMed、PsycINFO、Psychology and Behavioral Sciences Collection、Scopus、MedNar和ProQuest。将采取三步搜索战略,查找已发表和未发表的研究,并将包括在为进行批判性评价而选定的文章中搜索参考文献清单。每项纳入的研究都将由两名审稿人独立评估方法学质量,并提取和综合研究结果。
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引用次数: 2
Mobile health at critical moments: how bold is global health? 关键时刻的移动医疗:全球卫生有多大胆?
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-D-19-00243
P. Okwen
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引用次数: 1
Impact of mobile health (mHealth) interventions during the perinatal period for mothers in low- and middle-income countries: a systematic review. 围产期移动保健(mHealth)干预措施对低收入和中等收入国家母亲的影响:系统审查。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-004022
J. Dol, B. Richardson, G. Tomblin Murphy, M. Aston, D. McMillan, M. Campbell-Yeo
OBJECTIVEThe primary objective of this review was to determine the impact of mother-targeted mobile health (mHealth) educational interventions available during the perinatal period in low- and middle-income countries (LMICs) on maternal and neonatal outcomes.INTRODUCTIONThere has been significant growth of mHealth projects in LMICs. The use of mHealth interventions across the perinatal period offers the ability to share information with mothers about essential newborn care and to encourage mothers to attend perinatal clinics to obtain additional in-person support as needed. The impact of perinatal mHealth educational interventions on maternal behavior change and early neonatal mortality and morbidity outcomes in LMICs is unknown.INCLUSION CRITERIAThis review considered studies that included mHealth educational interventions targeting mothers living in LMICs during the antenatal or postnatal period using mobile devices. The intervention must have been initiated during the antenatal period (conception through birth) through six weeks postnatally. All experimental study designs were included. Outcomes included maternal knowledge, maternal self-efficacy, antenatal/postnatal care attendance and newborn early morbidity and mortality.METHODSPubMed, Embase and CINAHL were searched on March 19, 2018 for studies published in English. The search was updated on June 7, 2018. Critical appraisal was undertaken by two independent reviewers using standardized critical appraisal instruments. Quantitative data were extracted from included studies independently by two reviewers using a standardized data extraction tool. All conflicts were resolved through consensus with a third reviewer. Quantitative data were, where possible, pooled in statistical meta-analysis. Where statistical pooling was not possible, the findings were reported narratively.RESULTSA total of 1514 articles were screened, and 71 full-text papers were assessed for eligibility, with 23 articles critically appraised. Following appraisal, three articles were excluded due to poor quality. Of the 20 articles included, 16 were peer reviewed articles and four were gray literature reports. Eight papers targeted antenatal education, eight covered postnatal education and four covered both antenatal and postnatal education. Studies varied in terms of design, country, approach, frequency and content. Mothers who received an mHealth intervention attended a significantly greater number of antenatal care contacts (mean difference = 0.67, 95% confidence interval, 0.35 to 0.99, P = 0.0001) and were significantly more likely to have at least one postnatal care contact between six and eight weeks (odds ratio = 1.36, 95% confidence interval, 1.00 to 1.85, P = 0.05). Maternal knowledge, self-efficacy and neonatal mortality and morbidity were inconsistently reported across studies.CONCLUSIONSmHealth education interventions are associated with increased maternal contact antenatally and postnatally i
本综述的主要目的是确定中低收入国家(LMICs)围产期针对母亲的移动健康(mHealth)教育干预措施对孕产妇和新生儿结局的影响。中低收入国家的移动医疗项目有了显著增长。在整个围产期使用移动保健干预措施,可以与母亲分享有关基本新生儿护理的信息,并鼓励母亲到围产期诊所就诊,以便在需要时获得额外的当面支持。围产期移动健康教育干预对中低收入国家产妇行为改变和早期新生儿死亡率和发病率结局的影响尚不清楚。纳入标准本综述考虑了针对低收入国家母亲在产前或产后使用移动设备进行移动健康教育干预的研究。干预必须在产前(从受孕到分娩)至产后6周期间开始。包括所有的实验研究设计。结果包括产妇知识、产妇自我效能、产前/产后护理出席率和新生儿早期发病率和死亡率。方法检索spubmed、Embase和CINAHL于2018年3月19日发表的英文文献。该搜索于2018年6月7日更新。批判性评估由两名独立的评论者使用标准化的批判性评估工具进行。定量数据由两名评论者使用标准化数据提取工具独立地从纳入的研究中提取。所有的冲突都是通过与第三位审稿人达成共识来解决的。在可能的情况下,将定量数据汇总到统计荟萃分析中。在无法进行统计汇总的情况下,以叙述方式报告调查结果。结果共筛选文献1514篇,71篇全文入选,其中23篇为批判性评价。经鉴定,有3篇文章因质量差被排除。在纳入的20篇文章中,16篇是同行评议的文章,4篇是灰色文献报告。八篇论文针对产前教育,八篇论文涉及产后教育,四篇论文涉及产前和产后教育。研究在设计、国家、方法、频率和内容方面各不相同。接受移动健康干预的母亲参加了更多的产前护理接触(平均差异= 0.67,95%可信区间,0.35至0.99,P = 0.0001),并且在6至8周期间至少有一次产后护理接触的可能性显著增加(优势比= 1.36,95%可信区间,1.00至1.85,P = 0.05)。各研究报告的孕产妇知识、自我效能和新生儿死亡率和发病率不一致。结论健康教育干预与低收入国家产前和产后孕产妇接触增加有关。由于移动健康干预措施的实施国家、方法、频率和内容之间的研究存在异质性,因此对其他孕产妇和新生儿结局的影响尚无定论。未来使用移动医疗针对围产期孕产妇教育的工作应侧重于内容和结果评估的标准化。
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引用次数: 22
Experiences of transgender men in seeking gynecological and reproductive health care: a qualitative systematic review protocol. 跨性别男性寻求妇科和生殖健康护理的经验:一项定性系统评价方案。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-004029
Julia D Sbragia, Beth Vottero

Objective: The purpose of this review is to synthesize the existing qualitative literature examining the experiences of transgender men seeking gynecological and reproductive health in all healthcare settings globally.

Introduction: Existing literature clearly identifies that fear of mistreatment and discrimination is an ongoing concern among the transgender community. Transgender men face challenges and barriers when seeking health care. When female reproductive organs and genitalia are retained, transgender men will need to access reproductive and gynecological health care and screening examinations. Synthesis of the literature examining those experiences is the focus of this review.

Inclusion criteria: This review will consider all qualitative studies that include natal females who identify as transgender, genderqueer, non-binary or gender expressive and their experiences when seeking and receiving care related to gynecological or reproductive care. All studies on this type of care in any setting will be included.

Methods: CINAHL Complete and PubMed will be searched and eligible studies published in English after 1979 will be included. Titles and abstracts will be screened by two independent reviewers for assessment against the inclusion criteria. The full text of articles will be assessed for inclusion and all potential articles will then be appraised for methodological quality using standardized critical appraisal tools. Data will be extracted by two independent reviewers. Findings will be pooled with a meta-aggregation approach to categorize findings. These synthesized findings will be graded to establish confidence in the output.

目的:本综述的目的是综合现有的定性文献,研究全球所有医疗机构中变性男性寻求妇科和生殖健康的经历。现有文献清楚地表明,对虐待和歧视的恐惧是跨性别群体持续关注的问题。跨性别男子在寻求医疗保健时面临挑战和障碍。当女性生殖器官和生殖器被保留时,变性男子将需要获得生殖和妇科保健和筛查检查。综合研究这些经验的文献是本综述的重点。纳入标准:本综述将纳入所有定性研究,包括认同为跨性别、性别酷儿、非二元或性别表达的出生女性,以及她们在寻求和接受妇科或生殖保健相关护理时的经历。在任何情况下关于这类护理的所有研究都将被纳入。方法:检索CINAHL Complete和PubMed,纳入1979年以后发表的符合条件的英文研究。题目和摘要将由两名独立的审稿人根据纳入标准进行筛选。将评估文章全文是否纳入,然后使用标准化的关键评估工具评估所有潜在文章的方法学质量。数据将由两名独立审稿人提取。研究结果将通过荟萃聚合方法进行汇总,以对研究结果进行分类。将对这些综合发现进行分级,以建立对产出的信心。
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引用次数: 5
Exploring the origin of low back pain sub-classification: a scoping review protocol. 探索腰背痛亚分类的起源:范围界定审查协议。
Pub Date : 2019-08-01 DOI: 10.11124/JBISRIR-2017-003805
Mary-Anne Jess, Sharon Hamilton, Cormac G Ryan, Shaun Wellburn, Denis Martin

Objective: This scoping review aims to map the different working definitions currently being used for the duration of acute, subacute and chronic low back pain (LBP), and to establish where these definitions originated and the rationale provided for the timeframes used.

Introduction: Low back pain is a major social and economic problem worldwide. One of the most commonly used approaches to classify and manage patients with LBP is the traditional duration-based classification (acute, subacute and chronic). There are significant differences between studies in the timeframes used for what constitutes acute, subacute and chronic LBP. These discrepancies lead to heterogeneity in study results, making it difficult to compare or summarize findings.

Inclusion criteria: Studies that include participants with non-specific LBP, regardless of sex, will be considered. Studies that include children or participants with specific causes of LBP will be excluded.

Methods: The following electronic databases will be searched: MEDLINE, Embase, CINAHL and PsycINFO. All types of studies will be included, provided they give a rationale for the definition of duration that they use. Studies will be limited to those published in English. Two independent reviewers will screen the retrieved articles against the eligibility criteria for the scoping review. A narrative synthesis will describe the definitions used in the study and the rationale given for the timeframes reported. This scoping review will give an insight into the background of the variation of timeframes used for duration-based classification of LBP.

目的:本范围界定综述旨在绘制目前对急性、亚急性和慢性腰背痛(LBP)的持续时间所使用的不同工作定义,并确定这些定义的起源以及所使用的时间范围的理由:腰背痛是全球范围内的一个主要社会和经济问题。在对腰背痛患者进行分类和管理时,最常用的方法之一是传统的病程分类法(急性、亚急性和慢性)。不同的研究对急性、亚急性和慢性枸杞痛的时间范围有很大差异。这些差异导致了研究结果的异质性,从而难以对研究结果进行比较或总结:包括非特异性 LBP 患者(不分男女)的研究将被考虑。纳入标准:包括非特异性椎间盘突出症患者(不分男女)的研究将被考虑,包括儿童或有特定椎间盘突出症病因的患者的研究将被排除:将检索以下电子数据库:方法:将检索以下电子数据库:MEDLINE、Embase、CINAHL 和 PsycINFO。所有类型的研究都将被包括在内,但前提是这些研究必须说明其使用的持续时间定义的理由。研究仅限于以英文发表的研究。两名独立审查员将根据范围界定审查的资格标准对检索到的文章进行筛选。叙述性综述将描述研究中使用的定义以及报告时限的理由。该范围界定综述将有助于深入了解基于持续时间的枸杞多糖症分类所使用的不同时间框架的背景。
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JBI database of systematic reviews and implementation reports
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