在新生儿以家庭为中心的护理试验中确定结果和结果指标:系统性审查
Cansel Kocakabak1, Agnes van den Hoogen2, Melissa Rothfus3
1School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK. cansel.kocakabak@plymouth.ac.uk.
这次审查发现,新生儿单位的家庭中心照顾 (FCC) 干预措施的结果和措施不一致. 标准化结果是必要的,以改善证据,并确定婴儿和父母护理的最佳实践.
科学领域:
- 新生儿护理研究新生儿护理研究
- 基于证据的实践实践.
- 系统审查方法论系统审查方法论
背景情况:
- 针对以家庭为中心的护理 (FCC) 干预措施的临床试验报告了婴儿和父母的不同结果.
- 本系统性审查侧重于新生儿护理单位的实验研究.
研究的目的:
- 识别和分类FCC干预研究中使用的结果,结果指标和时间点.
- 突出新生儿FCC研究中结果报告的异质性.
主要方法:
- 在9个数据库中进行系统的文献搜索 (更新于2023年11月).
- 包括新生儿环境中FCC干预的实验研究.
- 使用JBI检查清单进行批判性评估和叙事合成;结果按彗星分类学分类.
主要成果:
- 分析了42项研究,确定了60个结局 (42个婴儿,18个父母).
- 结果分为12个婴儿和5个家长领域,通过97个不同的措施来衡量.
- 报告了25个婴儿和27个父母的时间点,显示了显著的差异.
结论:
- 确定了FCC干预结果,措施和时间点的显著异质性和不一致性.
- 缺乏标准化的报告阻碍了数据综合和结论性的建议.
- 对于FCC研究的核心结果,对于对比和推进新生儿护理的最佳实践至关重要.
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