Quality appraisal of evidence-based guidelines on prevention and repair of perineal injury at vaginal delivery
10.3761/j.issn.0254-1769.2018.02.007
- VernacularTitle:顺产产妇会阴损伤预防与修复循证指南的质量评价
- Author:
Jinfang WANG
1
;
Yang XU
;
Yanting CHEN
;
Liu HAN
;
Yuting JIANG
;
Junqiang ZHAO
;
Xuejing LI
;
Jingya MA
;
Yufang HAO
Author Information
1. 100029,北京市 北京中医药大学护理学院
- Keywords:
Perineal Injury;
Natural Childbirth;
Evidence-Based Nursing;
Guidelines;
AGREE Ⅱ
- From:
Chinese Journal of Nursing
2018;53(2):162-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the methodological quality of evidence-based guidelines on prevention and repair of perineal injury at vaginal delivery,and analyze the characteristics of guidelines to provide references for evidence-based decision-making.Methods We systematically searched websites of professional organizations,websites of clinical practice guidelines and databases for guidelines on prevention and repair of perineal injury,and used AGREE Ⅱ to evaluate the chosen guidelines.Results We identified totally 7 relevant evidence-based guidelines in this field.The average standardized scores of guidelines in 6 domains of AGREE Ⅱ were 90.21％(scope and purpose),68.25％ (stakeholder involvement),69.94％ (rigor of development),89.41％ (clarity of presentations),70.63％ (applicability),and 68.25％(independence),respectively.The overall standardized score for 7 guidelines was 75.65％,and the total score was 5.67 (7 points).For overall quality,4 of them were grade A and 3 of them were grade B.Conclusion The overall quality of included guidelines were high,but stakeholder involvement,rigor of development and independence in some guidelines needs to be improved.There was no Chinese evidence-based gui-deline in this field,and high-quality foreign guidelines could be used as evidence in combination with local conditions.
