推拿防治小儿黄疸临床研究的方法学要素分析

Clinical Research On the Key Methodological Factors of Massage Therapy for Infants with Jaundice: A Systematic Literature Review

目的:分析评价推拿防治小儿黄疸临床研究中的方法学要素情况。方法:通过系统性文献检索和评价,分析和提取文献特征及研究设计、研究对象、干预措施、结局评价等方法学要素。结果:共纳入37篇文献,相关研究普遍存在研究设计和过程阐述不清晰、研究对象界定及基础治疗(护理)措施不明确、组间不均衡、合并干预措施多、效应测量方式不统一等问题。结论:当前该领域临床研究的方法学方面存在一定的局限性,今后研究应结合疾病和小儿生理病理特点进行考虑,并加强方法学的科学和合理性。

Objective： To analyze and evaluate the clinical research on the key methodological factors of massage therapy in prevention and treatment for infants with jaundice. Methods： Based on the systematic literature review,methodological factors,such as characteristics of the literature,study design,eligibility of patients,intervention,and outcome assessment were assessed. General features were extracted and summarized. Results： A total of 37 eligible articles were included in the analysis. The number of published clinical researches per year in the area of massage therapy for infants with jaundice was increased,and the articles were mainly published in the domain of nursing. However,the quality of these publications was generally poor. The design and process of some studies were not clearly reported; the criteria of eligible participants was not reasonably defined; details of conventional therapy or nursing care were not presented;combined interventions between intervention and control groups were not balanced; the measuring method of the outcomes were not consistent between the individuals. Conclusions： Some limitations of methodology existed in current clinical researches on massage for infantile jaundice,therefore,future researches should consider the characteristics of jaundice and the physiological and pathological of infants,and improve the study＇s methodological scientificity and rationality.