重症监护病房中患有严重孕产妇疾病的产科患者的社会决定因素及孕产妇遭受亲密伴侣暴力的情况：一项系统综述方案
Social determinants and maternal exposure to intimate partner violence of obstetric patients with severe maternal morbidity in the intensive care unit: a systematic review protocol.
作者信息
Ayala Quintanilla Beatriz Paulina, Taft Angela, McDonald Susan, Pollock Wendy, Roque Henriquez Joel Christian
机构信息
The Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.
Mercy Hospital for Women, Melbourne, Victoria, Australia.
出版信息
BMJ Open. 2016 Nov 28;6(11):e013270. doi: 10.1136/bmjopen-2016-013270.
INTRODUCTION
Maternal mortality is a potentially preventable public health issue. Maternal morbidity is increasingly of interest to aid the reduction of maternal mortality. Obstetric patients admitted to the intensive care unit (ICU) are an important part of the global burden of maternal morbidity. Social determinants influence health outcomes of pregnant women. Additionally, intimate partner violence has a great negative impact on women's health and pregnancy outcome. However, little is known about the contextual and social aspects of obstetric patients treated in the ICU. This study aimed to conduct a systematic review of the social determinants and exposure to intimate partner violence of obstetric patients admitted to an ICU.
METHODS AND ANALYSIS
A systematic search will be conducted in MEDLINE, CINAHL, ProQuest, LILACS and SciELO from 2000 to 2016. Studies published in English and Spanish will be identified in relation to data reporting on social determinants of health and/or exposure to intimate partner violence of obstetric women, treated in the ICU during pregnancy, childbirth or within 42 days of the end of pregnancy. Two reviewers will independently screen for study eligibility and data extraction. Risk of bias and assessment of the quality of the included studies will be performed by using the Critical Appraisal Skills Programme (CASP) checklist. Data will be analysed and summarised using a narrative description of the available evidence across studies. This systematic review protocol will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines.
ETHICS AND DISSEMINATION
Since this systematic review will be based on published studies, ethical approval is not required. Findings will be presented at La Trobe University, in Conferences and Congresses, and published in a peer-reviewed journal.
TRIAL REGISTRATION NUMBER
CRD42016037492.
引言
孕产妇死亡是一个潜在可预防的公共卫生问题。孕产妇发病情况对于降低孕产妇死亡率愈发重要。入住重症监护病房（ICU）的产科患者是全球孕产妇发病负担的重要组成部分。社会决定因素影响着孕妇的健康结局。此外，亲密伴侣暴力对女性健康和妊娠结局有极大的负面影响。然而，对于在ICU接受治疗的产科患者的背景和社会层面情况知之甚少。本研究旨在对入住ICU的产科患者的社会决定因素及亲密伴侣暴力暴露情况进行系统评价。
方法与分析
将在2000年至2016年期间对MEDLINE、CINAHL、ProQuest、LILACS和SciELO进行系统检索。将识别以英文和西班牙文发表的、与孕期、分娩期间或妊娠结束后42天内在ICU接受治疗的产科女性的健康社会决定因素数据报告和/或亲密伴侣暴力暴露情况相关的研究。两名评审员将独立筛选研究的纳入资格并进行数据提取。将使用批判性评估技能计划（CASP）清单对纳入研究的偏倚风险和质量进行评估。将通过对各项研究现有证据的叙述性描述来分析和总结数据。本系统评价方案将按照系统评价和Meta分析方案的首选报告项目（PRISMA-P）指南进行报告。
伦理与传播
由于本系统评价将基于已发表的研究，因此无需伦理批准。研究结果将在拉筹伯大学、会议和大会上展示，并发表在同行评审期刊上。
试验注册号
CRD42016037492。
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