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高收入国家学校护士主导的青少年性与生殖健康促进教育干预措施:一项混合方法系统评价方案

School nurse-led educational interventions for sexual and reproductive health promotion in adolescents in high-income countries: a mixed-methods systematic review protocol.

作者信息

Choi Yu Mi, Noh Suyeon, Seo Hyun-Ju, Yoon Jaehee

机构信息

Graduate School of Chungnam National University, Daejeon, Korea (the Republic of).

College of Nursing, Ewha Womans University, Seoul, Korea (the Republic of).

出版信息

BMJ Open. 2025 Feb 18;15(2):e087528. doi: 10.1136/bmjopen-2024-087528.

DOI:10.1136/bmjopen-2024-087528
PMID:39965949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11836855/
Abstract

INTRODUCTION

As educators and health professionals, school nurses are in an optimal position to improve and advocate for adolescent reproductive and sexual health. This report outlines a protocol for a systematic review to synthesize evidence on the effects of school nurse-led education interventions and barriers and facilitators to implementing the interventions to improve students' knowledge, attitudes and behaviours related to sexual and reproductive health in high-income countries.

METHODS AND ANALYSIS

We will develop a protocol to systematically review school nurse-led education interventions aimed at promoting adolescent sexual and reproductive health. This protocol will be based on the methodology of the . The search will be conducted in Ovid-MEDLINE, CINAHL, Cochrane Library, Ovid-Embase, PsycINFO, Koreamed and ScienceON using relevant Medical Subject Headings and text words to identify the literature on different types of studies examining school nurse-led sexual and reproductive health education interventions in April 2024. Two independent reviewers will select relevant studies and extract data using a predefined template. We will assess methodological quality using the risk-of-bias tools appropriate for study designs and will resolve discrepancies through discussion with the review team. Where appropriate, we will conduct meta-analyses to estimate the effectiveness of school nurse-led sexual and reproductive health education interventions. Additionally, a qualitative evidence synthesis will be performed for the qualitative research included in the review. Finally, both a quantitative synthesis and a qualitative synthesis will be combined into a secondary synthesis addressing the facilitators and barriers of sexual and reproductive health educational interventions provided by school nurses to adolescents.

ETHICS AND DISSEMINATION

This review will synthesise publicly available resources and does not require ethical approval. The findings will provide insights into how school nurses can improve students' sexual and reproductive health. The results will be disseminated through peer-reviewed publications, reports and academic conferences.

PROSPERO REGISTRATION NUMBER

CRD42022347625.

摘要

引言

作为教育工作者和健康专业人员,学校护士处于改善和倡导青少年生殖与性健康的最佳位置。本报告概述了一项系统评价方案,以综合关于学校护士主导的教育干预措施的效果以及实施这些干预措施以改善高收入国家学生与性健康和生殖健康相关的知识、态度和行为的障碍及促进因素的证据。

方法与分析

我们将制定一项方案,系统评价旨在促进青少年性健康和生殖健康的学校护士主导的教育干预措施。该方案将基于……的方法。检索将在Ovid-MEDLINE、CINAHL、Cochrane图书馆、Ovid-Embase、PsycINFO、Koreamed和ScienceON中进行,使用相关医学主题词和文本词来识别2024年4月关于不同类型研究的文献,这些研究考察了学校护士主导的性健康和生殖健康教育干预措施。两名独立评审员将选择相关研究并使用预定义模板提取数据。我们将使用适合研究设计的偏倚风险工具评估方法学质量,并通过与评审团队讨论解决分歧。在适当情况下,我们将进行荟萃分析以估计学校护士主导的性健康和生殖健康教育干预措施的有效性。此外,将对纳入评价的定性研究进行定性证据综合。最后,定量综合和定性综合将合并为二次综合,以探讨学校护士为青少年提供性健康和生殖健康教育干预措施的促进因素和障碍。

伦理与传播

本评价将综合公开可用资源,无需伦理批准。研究结果将深入了解学校护士如何改善学生的性健康和生殖健康。结果将通过同行评审出版物、报告和学术会议进行传播。

PROSPERO注册号:CRD42022347625。

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