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向照顾接受女性生殖器切割的妇女和女孩的医疗保健提供者提供有关女性生殖器切割后果的信息:一项系统综述。

Providing information about the consequences of female genital mutilation to healthcare providers caring for women and girls living with female genital mutilation: A systematic review.

作者信息

Oringanje Chioma M, Okoro Anthony, Nwankwo Ogonna N, Meremikwu Martin M

机构信息

GIDP Entomology and Insect Science, University of Tucson, Tucson, AZ, USA.

Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.

出版信息

Int J Gynaecol Obstet. 2017 Feb;136 Suppl 1:65-71. doi: 10.1002/ijgo.12057.

Abstract

BACKGROUND

The persistence of female genital mutilation (FGM) in some countries, despite an overall decline in the prevalence of the practice, calls for improvement in the capacity of healthcare workers and institutions to provide optimal care for this population.

OBJECTIVES

To determine the impact of providing information on FGM and its consequences to healthcare providers on their attitudes toward FGM, and quality of care and patient satisfaction.

SEARCH STRATEGY

The following major databases were searched from inception to August 2015: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, SCOPUS, Web of Science, and ClinicalTrials.gov, without language restrictions.

SELECTION CRITERIA

Controlled studies were included based on use of objective measures.

DATA COLLECTION AND ANALYSIS

Two team members independently screened and collected data. Relative risks and proportions were calculated and evidence assessed using the GRADE (Grade of Recommendation, Assessment, Development and Evaluation) approach.

RESULTS

One study was identified. Based on this study there was no evidence to suggest change in healthcare provider outcomes after the intervention.

CONCLUSIONS

Despite a comprehensive search, only one study of low methodological quality was included. This precludes a definitive conclusion regarding the impact of providing information on FGM to healthcare providers. More research is needed.

PROSPERO REGISTRATION

CRD42015024570.

摘要

背景

尽管女性生殖器切割(FGM)的总体发生率有所下降,但在一些国家该行为仍持续存在,这就需要提高医护人员和机构为这一人群提供最佳护理的能力。

目的

确定向医护人员提供有关女性生殖器切割及其后果的信息对他们对女性生殖器切割的态度、护理质量和患者满意度的影响。

检索策略

检索了以下主要数据库,从建库至2015年8月:Cochrane对照试验中心注册库(CENTRAL)、医学索引数据库(MEDLINE)、Scopus数据库、科学引文索引数据库(Web of Science)和美国国立医学图书馆临床试验注册库(ClinicalTrials.gov),无语言限制。

选择标准

纳入基于客观测量方法的对照研究。

数据收集与分析

两名团队成员独立筛选和收集数据。计算相对风险和比例,并使用GRADE(推荐分级、评估、制定与评价)方法评估证据。

结果

确定了一项研究。基于该研究,没有证据表明干预后医护人员的结果有变化。

结论

尽管进行了全面检索,但仅纳入了一项方法学质量较低的研究。这使得无法就向医护人员提供女性生殖器切割信息的影响得出明确结论。需要更多研究。

国际前瞻性系统评价注册库(PROSPERO)注册号:CRD42015024570。

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