母婴分离早产儿母亲母乳采集的最佳证据总结

目的检索、评价和总结母婴分离早产儿母亲母乳采集的最佳证据,为相关医护人员开展母乳喂养指导提供高质量的证据。方法检索包括UpToDate、WHO、母乳医学会(ABM)、Cochrane Library、Joanna Briggs Institute Library、加拿大安大略注册护士协会(RNAO)、美国指南网(NGC)、PubMed、Embase、中国生物医学数据库、中国知网、万方数据库、维普以及复旦大学循证护理数据库,检索时限为2008年1月—2018年12月,包括指南、系统评价、推荐实践及证据总结等。结果共筛选文献7篇,包括指南2篇、临床决策1篇、系统评价2篇、证据总结2篇,从医护培训、父母教育、吸奶器选择、采集前准备、泵乳操作技巧、促进泌乳措施和监测采集效果7个方面共汇总证据19条。结论临床医护人员应结合所在机构环境有针对性地选择证据,制订符合产妇个体化的护理措施,确保母乳尽早开始采集和获得足量母乳,满足早产儿生长发育所需。

A summary of best evidence on breast milk expression of premature infants'mothers in maternal separation

Objective To retrieve,assess and summarize the best evidence on breast milk expression of premature infants'mothers in maternal separation so as to provide high-quality evidence for medical staff to carry out breast feeding guide.Methods Guidelines,systematic reviews,recommended practices and evidence summaries were retrieved in the UpToDate,WHO,Academy of Breastfeeding Medicine(ABM),Cochrane Library,Joanna Briggs Institute Library,Registered Nurses'Association of Ontario(RNAO),National Guideline Clearinghouse(NGC),PubMed,Embase,Chinese Biological Medicine,Chinese National Knowledge Infrastructure,WanFang data,VIP and the evidence-based nursing database of Fudan University from January 2008 to December 2018.Results A total of 7 literatures were included,two guidelines,one clinical decision,two systematic reviews and two evidence summaries.A total of 19 evidences were gathered in 7 aspects,such as training for medical staff,parents'education,selection of breast pump,preparation before expression,operational skills of breast expression,measures for increasing lactation and expression effects monitor.Conclusions Clinical medical staff should lay down the individualized nursing measures for maternal women to ensure breast milk collected as soon as possible,gain enough breast milk and fill the bill of growth and development of premature infants.