产后出血预防及管理的最佳证据总结

Best Evidence Summary Regarding Prevention and Management of Postpartum Hemorrhage

目的总结与产后出血预防及管理有关的最佳证据,为临床提供理论参考。方法根据循证护理的方法确立问题,并利用计算机按“6S证据模型”,检索有关产后出血预防及管理的证据资源类型,包括临床指南、临床决策、专家共识和证据总结,由2名完成循证护理培训的研究员对纳入的文献独立评价,并对符合质量标准的文献进行证据提取。结果共纳入证据9篇,包括临床决策1篇,临床指南6篇,专家共识1篇以及证据总结1篇,并对相关证据进行汇总,最后从6个维度总结了21条最佳证据。结论临床管理者应加强对产后大出血应急处置流程的管理和医护人员的规范化培训,提高临床医护人员防治产后出血的能力,尽可能降低产后出血的发生率及死亡率。

Objective To summarize the best evidence regarding the prevention and management of postpartum hemorrhage,and to provide reference for clinical nurses.Methods Evidence-based nursing method helped to identify the problems then we searched articles pertaining to the prevention and management of postpartum hemorrhage with 6S evidence model.The literature included clinical guidelines,clinical decisions,expert consensus,and summary of evidence.Two researchers worked independently to assess the quality and extract data meeting quality standards.Results Nine pieces of evidence were included,with 1 best practice recommendations reports,6 guidelines,1expert consensus and 1 evidence summaries.Finally,21 pieces of best evidence from 6 dimensions were summarized.Conclusion Clinical managers should strengthen the management of emergency treatment procedures for postpartum hemorrhage and the standardized training of clinical medical staff,improve the prevention and treatment of postpartum hemorrhage,and reduce the incidence and mortality of postpartum hemorrhage as much as possible.