在医疗保健,社区和电子健康中实施产后营养干预措施:系统审查
Emilie Bernier1,2,3, Charlotte Simoneau1,2, Sophie Desroches1,2
1École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.
产后营养干预措施是有效和可接受的,但实施需要解决参与者报告的挑战,如时间限制和医疗条件,以更好地应用现实世界.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 实施科学 实施科学
背景情况:
- 证据支持对产后妇女进行生活方式干预,特别是饮食干预.
- 将这些干预措施转化为临床实践和社区服务仍然是一个挑战.
研究的目的:
- 评估产后营养干预措施的实施结果.
- 评估在医疗保健,社区或电子卫生环境中提供的干预措施.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,Web of Science,CINAHL,Cochrane Library) 中进行系统的文献搜索.
- 包括报告8个实施结果 (可接受性,采用性,适当性,成本,可行性,忠实性,透性,可持续性) 的研究.
- 数据提取和描述性分析由两个独立的审稿人.
主要成果:
- 从8907项独特研究中,包括了26项干预措施 (24项出版物).
- 可接受性,可行性和忠实性是最常见的实施结果.
- 干预措施通常是可以接受和有用的,建议更频繁的接触和更长的程序持续时间.
- 招募,留住和透的情况有很大差异;挑战包括时间限制和产后医疗状况.
结论:
- 产后营养干预措施显示出实际实施的潜力.
- 解决已识别的挑战对于在多样化的环境中成功交付至关重要.
- 进一步的研究应侧重于优化干预交付和参与者参与.
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