主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

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住院新生儿母乳喂养相关临床实践指南的AGREE评价

施姝澎 张玉侠 杨飘羽   

  1. 复旦大学附属儿科医院(施姝澎,张玉侠);复旦大学护理学院(杨飘羽)
  • 出版日期:2016-07-25 发布日期:2016-07-25
  • 基金资助:
    复旦大学护理学院科研基金资助项目(FNF201305)

Evaluating clinical practice guidelines related to breastfeeding in hospitalized neonates with AGREE II

  • Online:2016-07-25 Published:2016-07-25

摘要: 目的:采用AGREE II 工具评价住院新生儿母乳喂养相关临床实践指南的质量,为我国开展住院新生儿母乳喂养提供参考。方法:计算机检索Pubmed、万方数据库、中国期刊数据库及美国国立指南文库、英国国家临床优化研究所等指南制定机构,收集国内外发表的住院新生儿母乳喂养相关临床实践指南,按照指南的纳入排除标准进行筛选。使用AGREE II 工具评价最终纳入指南的质量。结果:共纳入10 份住院新生儿母乳喂养相关指南,均为英文版本,其中5 份为捐献母乳库运行指南;8 份为循证指南,其余2 份制定方法不详。10份指南6 个领域的平均得分分别为88.8%、54.6%、65.2%、85.0%、48.9%、40.0%,8 份指南为积极推荐,2份不确定。结论:住院新生儿母乳喂养的相关指南总体质量较高,但是在指南制作的严谨性、指南的应用性和编辑的独立性方面仍有待提高;积极推荐的临床实践指南可以对我国住院新生儿开展母乳喂养提供可靠的证据和建议,但在使用时不能生搬硬套,需要结合我国国情适当地应用。

Abstract: Objective: To evaluate the quality of the clinical practice guidelines related to breastfeeding in hospitalized neonates by using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, and to provide reference for the development of breastfeeding guideline in China. Methods: The clinical guidelines for breastfeeding were identified and accessed by searching PUBMED database, WANFANG database, CNKI database, NGC, NICE etc.AGREE instrument was used to evaluate the quality of the latest versions of the clinical guidelines. Results: Ten guidelines were enrolled, and all were in English. Among them, 4 were breastmilk bank operation guidelines, and 8 were evidencebased guidelines. The results showed that the average scores in the 6 fields were 88.8%, 54.6%, 65.2%, 85.0%, 48.92% and 40%, respectively. Eight guidelines were positively recommended, and 2 were uncertain. Conclusion: The quality of the 10 clinical practice guidelines related to breastfeeding in hospitalized neonates was relatively high. But in the aspects of rigor in guideline development, applicability and independence, the guidelines need to be improved. The guidelines positively recommended could give good evidence and reference to promote breastfeeding in China. However, guidelines should be used according to our clinical situation, and local clinical practice guideline should be developed.