针对早产卵巢衰竭的护士导向的管理框架:整合指导方针和共识建议
Li Jiang1, Qianjun Xia2,3, Min Yang4
1School of Health Sciences, Jiangsu Vocational Institute of Commerce, Nanjing, Jiangsu, China.
International journal of nursing sciences
|December 10, 2025
概括
这项研究评估了早期卵巢衰竭 (POI) 的临床实践指南,并创建了一个以护士为中心的管理框架. 该框架旨在提高护士遵守指南的程度,并为POI患者提供基于证据的护理服务.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 基于证据的实践.
- 护理管理 护理管理
背景情况:
- 过早卵巢衰竭 (POI) 管理需要标准化,基于证据的方法.
- 现有的临床实践指南 (CPG) 和共识声明需要对临床适用性进行质量评估.
- 护士在POI患者护理中发挥着至关重要的作用,需要量身定制的管理框架.
研究的目的:
- 评估最近CPG和POI的共识声明的方法质量.
- 开发一个以护士为导向的POI管理框架.
- 促进护士遵守指南,并在POI护理中推进基于证据的护理实践.
主要方法:
- 对POI CPG和共识声明 (2019-2024) 的系统文献搜索.
- 使用AGREE II对CPG和JBI检查表进行共识声明的方法质量评估.
- 将建议提取和综合成一个以护士为导向的框架,通过专家咨询来改进.
主要成果:
- 包括四个CPG和两个共识声明,所有这些都被认为是高质量的.
- 建议分为管理高风险人群,POI患者和POI相关并发症.
- 在质量评估过程中,获得了高的inter-rater可靠性 (0.79-1.0).
结论:
- 所有包含的POI指导方针和共识陈述均建议用于临床使用.
- 制定了一个以护士为导向的管理框架,以加强遵守指南和基于证据的实践.
- 需要进一步的研究来支持POI管理中的基于证据的医疗保健.
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