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对足月儿健康新生儿进行皮肤接触护理的系统评价。

Systematic Review of Skin-to-Skin Care for Full-Term, Healthy Newborns.

作者信息

Cleveland Lisa, Hill Catherine M, Pulse Wendi Strauss, DiCioccio Heather Condo, Field Tiffany, White-Traut Rosemary

出版信息

J Obstet Gynecol Neonatal Nurs. 2017 Nov-Dec;46(6):857-869. doi: 10.1016/j.jogn.2017.08.005. Epub 2017 Sep 23.

DOI:10.1016/j.jogn.2017.08.005
PMID:28950108
Abstract

OBJECTIVE

To determine the effect of skin-to-skin mother-infant holding, touch, and/or massage on full-term, healthy newborns and their primary caregivers.

DATA SOURCES

A seven-member scientific advisory panel searched the databases PubMed, CINAHL, and Scopus using the search terms massage, skin-to-skin contact, kangaroo care, touch, therapeutic touch, and full-term newborns for research with human participants published in English with no date parameters.

STUDY SELECTION

The initial search yielded 416 articles. After reviewing titles and retaining only articles that met the review criteria, 280 articles remained. The panel co-chairs reviewed and discussed the abstracts of these articles and retained 90 for review.

DATA EXTRACTION

Each article was assigned to one panel member and one co-chair for review. Members of the panel met via teleconference to present articles and to determine whether they had scientific merit and addressed the research question. Articles that did not meet these standards were eliminated. Forty articles included relevant evidence: 33 articles on skin-to-skin holding and 7 on infant massage.

DATA SYNTHESIS

We created a table that included the purpose, design, and findings of each study. This information was synthesized into a feasibility report by the co-chairs.

CONCLUSION

Evidence supports recommendations for skin-to-skin care for all full-term, healthy newborns. Although there is inadequate evidence to recommend massage as standard care for all newborns, massage has been shown to help consolidate sleep patterns and reduce jaundice.

摘要

目的

确定母婴肌肤接触、抚摸和/或按摩对足月健康新生儿及其主要照料者的影响。

资料来源

一个由七名成员组成的科学咨询小组在PubMed、CINAHL和Scopus数据库中进行检索,使用的检索词为按摩、肌肤接触、袋鼠式护理、抚摸、治疗性触摸和足月新生儿,检索发表于英文且无日期限制的人体研究文章。

研究选择

初步检索得到416篇文章。在查看标题并仅保留符合综述标准的文章后,还剩下280篇。小组联合主席对这些文章的摘要进行了审阅和讨论,并保留了90篇以供进一步审阅。

资料提取

每篇文章分配给一名小组成员和一名联合主席进行审阅。小组成员通过电话会议介绍文章,并确定其是否具有科学价值以及是否回答了研究问题。不符合这些标准的文章被剔除。40篇文章包含相关证据:33篇关于母婴肌肤接触,7篇关于婴儿按摩。

资料综合

我们创建了一个表格,其中包括每项研究的目的、设计和结果。联合主席将这些信息综合成一份可行性报告。

结论

有证据支持对所有足月健康新生儿进行肌肤接触护理的建议。虽然没有足够的证据推荐将按摩作为所有新生儿的标准护理,但按摩已被证明有助于巩固睡眠模式并减轻黄疸。

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