预防新生儿出生后低体温的最佳证据综合

The best evidence summary for prevention of hypothermia at birth in newborn

目的遴选并获取国内外预防新生儿出生后低体温的相关证据,并对最佳证据进行总结。方法系统检索Up To Date、BMJ Best Practice、英国国家卫生与临床优化研究所、澳大利亚JBI循证卫生保健中心数据库、Cochrane Library、加拿大安大略省注册护士协会、美国心脏学会、中国指南网、Web of Science、PubMed、中国生物医学文献数据库、中国知网和万方等数据库关于预防新生儿出生后低体温的相关证据,包括循证指南、证据总结、系统评价、专家共识等,检索时限为建库至2020年10月10日。由2名研究者独立进行文献质量评价,对符合标准的文献进行资料提取。结果共纳入文献6篇,其中临床决策1篇,循证指南2篇,系统评价1篇,专家共识2篇,总结了19条证据。结论本研究总结了预防新生儿出生后低体温的最佳证据,为临床实践提供循证依据。

Objective To retrieve and summarize evidence for prevention of hypothermia at birth in newborn.Methods Databases such as Up To Date,BMJ Best Practice,National Institute for Health and Care Excellence(NICE),Joanna Briggs Institute(JBI),Cochrane Library,Registered Nurses′Association of Ontario(RNAO),American Heart Association(AHA),Web of Science,PubMed,Chinese Biology Medical Literature database,Wanfang Med Online were searched to collect relevant evidence for prevention of hypothermia at birth in newborn,including guidelines,systematic reviews,evidence summaries and expert consensus.Two researchers independently evaluated the quality of the literature and extracted the data of the literature which met the criteria.Results Six articles were selected,including 1 clinical decision support system,2 guidelines,1 systematic review and 2 expert consensuses.Nineteen pieces of best evidence were summarized.Conclusions This study summarized the best evidence for the prevention of hypothermia at birth in newborn,and provided evidence-based support for clinical practice.