新生儿戒断综合征评估与管理的最佳证据总结

Summary of the best evidence for assessment and management of neonatal abstinence syndrome

目的检索并总结新生儿戒断综合征评估与管理的最佳证据。方法计算机检索BMJ Best Practice、UpToDate、澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库、国际指南协作网、美国国立指南库、英国国家卫生与临床优化研究所、美国儿科学会网站、加拿大药理学和治疗学学会网站、Cochrane Library、PubMed、医脉通、中国知网、万方数据库及维普网等数据库中关于新生儿戒断综合征评估与管理的证据。检索时限为建库至2022年12月31日。由2名研究者对相关文献进行独立质量评价,并对符合质量标准的文献进行证据提取和汇总。结果共纳入11篇文献,包括证据总结1篇、临床决策1篇、指南4篇、系统评价5篇。从新生儿戒断综合征的评估、非药物干预措施、药物干预措施、出院及随访、团队组建与培训等5个方面汇总了19条最佳证据。结论总结的新生儿戒断综合征评估与管理的最佳证据可为医护人员提供循证依据。

Objective To retrieve and summarize the best evidence for evaluating and managing neonatal abstinence syndrome.Methods Using computers to search for BMJ Best Practice,UpToDate,Joanna Briggs Institute(JBI)Evidence-based Healthcare Center Database in Australia,Guidelines International Network,National Guideline Clearinghouse,National Institute for Health and Clinical Excellence,American Academy of Pediatrics website,Canadian Society of Pharmacology and Therapeutics website,Cochrane Library,PubMed,Medlive,CNKI,Wanfang,VIP and other databases for evidence on assessment and management of neonatal abstinence syndrome.The search period was from the establishment of the database to December 31,2022.Two researchers conducted independent quality evaluations of relevant literature,and extracted and summarized evidence from literature that met quality standards.Results A total of 11 articles were included,including 1 evidence summary,1 clinical decision-making,4 guidelines and 5 systematic evaluations.A total of 19 best evidences were summarized from 5 aspects,such as evaluation of neonatal abstinence syndrome,non-drug intervention,drug intervention,discharge and follow-up,team building and training.Conclusions The best evidence for evaluating and managing neonatal abstinence syndrome summarized can provide evidence-based evidence for medical staff.