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预防和控制第三产程出血的护理技术:一项系统综述

Care technologies to prevent and control hemorrhage in the third stage of labor: a systematic review.

作者信息

Rangel Rita de Cássia Teixeira, Souza Maria de Lourdes de, Bentes Cheila Maria Lins, Souza Anna Carolina Raduenz Huf de, Leitão Maria Neto da Cruz, Lynn Fiona Ann

机构信息

Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.

Universidade do Vale do Itajaí, Itajaí, SC, Brasil.

出版信息

Rev Lat Am Enfermagem. 2019 Aug 19;27:e3165. doi: 10.1590/1518-8345.2761.3165.

Abstract

OBJECTIVE

to identify evidence concerning the contribution of health technologies used to prevent and control hemorrhaging in the third stage of labor.

METHOD

systematic review with database searches. First, two researchers independently selected the papers and, at a second point in time, held a reconciliation meeting. The Kappa coefficient was used to assess agreement, while the Grading of Recommendations, Assessment, Development and Evaluation was adopted to assess risk of bias and classify level of evidence.

RESULTS

in this review, 42 papers were included, 34 of which addressed product technologies, most referred to pharmacological products, while two papers addressed the use of blood transparent plastic bags collector and the contribution of birth spacing and prenatal care. The eight papers addressing process technologies included the active management of the third stage of labor, controlled cord traction, uterine massage, and educational interventions.

CONCLUSION

product and process technologies presented high and moderate evidence confirmed in 61.90% of the papers. The levels of evidence confirm the contribution of technologies to prevent and control hemorrhaging. Clinical nurses should provide scientific-based care and develop protocols addressing nursing care actions.

摘要

目的

确定关于用于预防和控制第三产程出血的卫生技术贡献的证据。

方法

通过数据库检索进行系统评价。首先,两名研究人员独立筛选论文,然后在第二个时间点召开协调会议。采用Kappa系数评估一致性,同时采用推荐分级、评估、制定与评价来评估偏倚风险并对证据水平进行分类。

结果

本评价纳入了42篇论文,其中34篇涉及产品技术,大多数提及药物产品,另外两篇涉及使用血袋收集器以及生育间隔和产前护理的贡献。涉及过程技术的八篇论文包括第三产程的主动管理、控制脐带牵引、子宫按摩和教育干预。

结论

产品和过程技术在61.90%的论文中呈现出高和中等证据。证据水平证实了这些技术对预防和控制出血的贡献。临床护士应提供基于科学的护理,并制定护理措施方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0c/6703106/c6e9820d6834/0104-1169-rlae-27-e3165-gf01.jpg

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