伊朗对孕产妇和新生儿产后护理的临床指南的调整和实施:研究协议
Leila Abdoli Najmi1, Sakineh Mohammad-Alizadeh-Charandabi1, Shayesteh Jahanfar2
1Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IR, Iran.
这项研究适应了国际产后护理指南,并将其应用于随机试验,预计将改善母亲和婴儿的结果. 这些发现支持加强产后护理,以改善家庭福利和国家人口政策.
科学领域:
- 孕产妇和儿童的健康
- 基于证据的实践.
- 临床指导方针的调整
背景情况:
- 产后护理旨在以最小的干预为目标,以世卫组织等组织为指导,以最优的家庭健康为目标.
- 产后护理的国际临床指南需要适应当地实施.
- 这项研究解决了改进和评估基于证据的产后护理策略的需要.
研究的目的:
- 适应国际临床指导方针用于产后护理.
- 在随机对照试验中实施适应的指导方针.
- 确定适应的关于母亲和新生儿结局的指南的有效性.
主要方法:
- 第一个阶段:使用 ADAPTE 方法,系统审查,AGREE-II 质量评估 (优先考虑WHO 和 NICE 准则) 调整指南.
- 第二阶段:对272名女性进行随机对照试验,将适应的指导方针与常规护理进行比较.
- 产后2周和6周的结果评估,使用经过验证的抑郁,焦虑,母亲功能和婴儿护理等等级.
主要成果:
- 世卫组织和NICE的指导方针是根据专家评估选择和调整的.
- 该研究已注册 (IRCT20120718010324N76),并于2023年3月开始.
- 数据分析将使用独立的t测试和ANCOVA来比较组.
结论:
- 基于证据的指导方针的实施预计将提高孕产妇和新生儿的结果.
- 改善产后体验可以为国家人口政策和增加生育率做出贡献.
- 这项研究为基于证据的产后护理改进提供了一个框架.
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