Hou R, Chen M, Li S J
School of Nursing, Peking University, Beijing 100191, China.
Nursing Department, First Hospital, Peking University, Beijing 100034, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Mar 6;55(3):386-393. doi: 10.3760/cma.j.cn112150-20200828-01165.
To systematically review and summarize the relevant evidence of safe sleep protection strategies for infants at home and abroad, to provide a reference for clinical evidence-based decision-making and guideline formulation. "Infant Death/Sudden Unexpected Infant Death/Sudden Infant Death Syndrome" and "Sleep protecting program/Sleep safety/Sleeping environment" were used as search keywords. The literature retrieval for all the Chinese and English evidence on safe sleep protection strategies for infants published before March 2020 was conducted by using the National Guideline Clearinghouse (NGC), Registered Nurse' Association of Ontario (RNAO), National Institute for Health and Clinical Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), Guidelines International Network (GIN), JBI, Clinical Evidence, China Evidence-based Medicine Center, PubMed, Embase, CINAHL, Wanfang Data, CNKI and other databases. Inclusion criteria were guidelines, evidence summary and systematic reviews on infant safe sleep protection strategies for infants aged 0 to 1 years. The full text was available. Exclusion criteria include duplicates, directly translated documents as well as guide abstracts, discussion drafts, draft guides, interpretations, excerpts. The Appraisal of Guideline for research & Evaluation Instrument (AGREE Ⅱ) and A Measure Tool to Assess Systematic Reviews (AMSTAR 2) were used to compare and evaluate the selected literature, and extracted evidence from the literature that meets the quality standards. A total of 12 articles were incorporated into study, including 1 Summary of evidence from UptoDate, 3 guidelines, and 8 systematic reviews. The results of the AGREE II quality evaluation showed that the overall quality of 3 guidelines was high. Among them, there was 1 with a recommendation level of "A", and 2 with a rating of "B". The AMSTAR 2 quality evaluation showed that the contents of the systematic reviews were relatively complete except for one literature. In the end, totally 39 terms of evidences were summarized, including 6 aspects of assessment, planning, implementation, health education (pregnant women, parents and other infant caregivers), evaluation, organization and policy. The evidence summary of infant safe sleep protection provides evidence support for formulating infant safe sleep care standards and carrying out scientific and high-quality clinical nursing practices.
系统回顾和总结国内外婴儿家庭安全睡眠保护策略的相关证据，为临床循证决策和指南制定提供参考。以“婴儿死亡/婴儿意外猝死/婴儿猝死综合征”和“睡眠保护计划/睡眠安全/睡眠环境”作为检索关键词。通过国家指南库（NGC）、安大略省注册护士协会（RNAO）、英国国家卫生与临床优化研究所（NICE）、苏格兰校际指南网络（SIGN）、指南国际网络（GIN）、循证卫生保健国际协作网（JBI）、临床证据、中国循证医学中心、PubMed、Embase、护理学与健康领域数据库（CINAHL）、万方数据、中国知网等数据库，检索2020年3月以前发表的关于婴儿安全睡眠保护策略的所有中英文证据。纳入标准为0至1岁婴儿安全睡眠保护策略的指南、证据总结和系统评价。全文可获取。排除标准包括重复文献、直接翻译文档以及指南摘要、讨论稿、指南草案、解读、摘录。采用指南研究与评价工具（AGREEⅡ）和系统评价质量评估工具（AMSTAR 2）对纳入文献进行比较和评价，从符合质量标准的文献中提取证据。共纳入12篇文献进行研究，包括1篇来自UpToDate的证据总结、3篇指南和8篇系统评价。AGREEⅡ质量评价结果显示，3篇指南的整体质量较高。其中，推荐等级为“A”的有1篇，等级为“B”的有2篇。AMSTAR 2质量评价显示，除1篇文献外，系统评价的内容相对完整。最终，共总结出39条证据条款，包括评估、计划、实施、健康教育（孕妇、父母及其他婴儿照护者）、评价、组织与政策6个方面。婴儿安全睡眠保护的证据总结为制定婴儿安全睡眠护理标准和开展科学、高质量的临床护理实践提供了证据支持。
