中期引产患者焦虑、抑郁与悲伤预防和干预的证据总结

Summary of evidences for prevention and intervention of anxiety,depression,and sadness in patients undergoing induction of labor in second trimester

目的检索、评价、整合中期引产患者焦虑、抑郁、悲伤预防和干预的最佳证据,为临床制定有效护理干预及预防提供依据。方法根据“6S”模型的循证护理方法检索相关文献,时间从建库到2022年2月,采用JBI循证卫生保健中心的文献质量评价标准和证据推荐等级(2014版),对不同类型研究的质量及证据推荐等级进行评价。结果共纳入7篇文献,随机对照试验2篇、质性研究2篇、队列研究1篇、个案1篇、综述1篇。最终总结13条最佳证据,内容包括引产前、引产时、引产后、随访4个方面。结论缓解中期引产患者焦虑、抑郁、悲伤情绪的护理,应遵循以证据为基础的护理预防和干预措施,证据转化时应与文化差异、临床条件、产妇意愿有效结合,从而有效拓展优质护理的开展和应用。

Objective To search,evaluate,and integrate the best evidences for prevention and intervention of anxiety,depression,and sadness in patients undergoing induction of labor in second trimester,and to provide a basis for the clinical development of effective nursing intervention measures.Methods Evidence-based nursing method was applied and relevant literatures were retrieved according to the 6S model.The literature retrieval time was from database construction to February 2022.The quality evaluation and evidence recommendation rating system(2014 edition)of the Joanna Briggs Institute(JBI)Evidence-based Healthcare Centre was used to evaluate the quality and evidence recommendation rating of various studies.Results A total of 7 articles were included,including 2 randomized controlled trials,2 qualitative studies,1 cohort study,1 case study,and 1 review.Finally,13 best evidences were summarized,including four aspects:before,during,and after induction of labor and follow-up.Conclusions The nursing for alleviating anxiety,depression,and sadness in patients undergoing induction of labor in second trimester should follow evidence-based nursing prevention and intervention measures,and the transformation of evidences should be effectively combined with cultural differences,clinical conditions,and maternal wills,so as to promote the development and application of high-quality nursing.