剖宫产产妇参与皮肤接触体验质性研究的Meta整合

Experience of caesarean section women participating in skin-to-skin contact:Meta-integration qualitative study

目的系统总结剖宫产产妇参与皮肤接触的真实体验,为剖宫产术皮肤接触的推广提供依据。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、EBSCO、中国生物医学数据库、万方数据库、中国知网及维普数据库中有关剖宫产产妇参与皮肤接触体验的质性研究,检索时限为建库至2022年5月。使用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价工具进行评价,采用汇集性整合方法进行整合分析。结果共纳入了11篇文献,提炼出49个研究结果,将相似结果归纳为12个新类别,并综合形成4个整合结果:剖宫产产妇的需求;剖宫产产妇皮肤接触后的正性体验;皮肤接触实践强化母亲角色且促进母乳喂养;剖宫产术皮肤接触面临的困难与挑战。结论皮肤接触对剖宫产母婴产生积极影响,医护人员需关注剖宫产产妇参与皮肤接触的感受和需求,优化信息、环境、人文支持,改善剖宫产术皮肤接触实践;医疗机构应合理配置产科资源,解决剖宫产术皮肤接触实践中的问题。

Objective To systematically review qualitative research on maternal participation in skin-to-skin contact experience during cesarean delivery,the promotion of skin-to-skin contact in cesarean section.Methods We searched databases including the PubMed,Embase,Web of Science,Cochrane Library,Ebsco,SinoMed,Wan Fang,CNKI,VIP.All of the qualitative research on the real experience of skin-to-skin contact from the participation of caesarean section women were collected.The search time limit was from the establishment of the databases to May 2022.The JBI Critical Appraisal Tool for qualitative studies from Australia was used to evaluate the methodology quality of the included research,and the meta-aggregation was used to conduct the synthesis.Results Totally 11 qualified studies were included and integrated into 49 valuable findings.Similar results were summarized into 12 groups,and 4 integrated results were synthesized,including the needs of cesarean section mothers;positive experience after skin-to-skin contact in caesarean section;skin-to-skin contact practice strengthen the role of mothers and promotes breastfeeding;difficulties and challenges of skin-to-skin contact during cesarean section.Conclusions Skin-to-skin contact positively affects mother and infant delivered by cesarean section.Medical staff need to pay attention to the feelings and needs of cesarean section women participating in skin-to-skin contact,optimize information,environment,and humanistic support,and improve skin-to-skin contact practices.Medical institutions should rationally allocate obstetric resources to alleviate the difficulties faced by skin-to-skin contact practices.