新生兒低體溫預(yù)防和處理的最佳證據(jù)總結(jié)

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Summary of the best evidence for the prevention and treatment of neonatal hypothermia

SU Lina，YANG Xuelan，F(xiàn)ANG Xiaochun，ZHOU Liping，ZOU Wenxia*Guangdong Provincial Hospital for Women and Children Health Care，Guangdong 510000 China*Corresponding Author ZOU Wenxia，E-mail：Zouwenxia3861@126.com

Abstract Objective：To retrieve，evaluate，and summarize the best evidence for the prevention and treatment of neonatal hypothermia in China and abroad，in order to provide a reference for clinical practice and reduce the incidence of neonatal hypothermia.Methods：The "PICO" strategy was used to establish the question，and the "6S" evidence model was used to systematically retrieve relevant literature，including clinical decision-making，systematic review，evidence summary，clinical practice guidelines，etc.The search time limit was from the establishment of the database to October 20，2023.Two researchers who had received evidence-based training independently conducted literature quality evaluation and evidence extraction.Results：A total of 45 articles were included，including 4 clinical decision-making articles，18 systematic reviews，15 guidelines，2 expert consensus articles，and 6 evidence summaries.A total of 45 pieces of best evidence were summarized from 9 aspects：risk factors，preparation before delivery，management during and after delivery，neonatal resuscitation，neonatal transfer，neonatal rewarming，intervention measures after entering the NICU or ward，temperature monitoring，and quality management.According to the feasibility，suitability，clinical significance，and effectiveness attributes of the evidence，39 A-level and 6 B-level recommended pieces of evidence were determined.Conclusions：The summarized best evidence for the prevention and management of neonatal hypothermia in China and abroad can provide an evidence-based basis for clinical medical staff.

Keywords neonate;hypothermia;prevention;evidence-based nursing;best evidence;evidence summary

摘要 目的：檢索、評(píng)價(jià)并總結(jié)國(guó)內(nèi)外關(guān)于新生兒低體溫預(yù)防和處理的最佳證據(jù)，為臨床實(shí)踐提供參考，降低新生兒低體溫的發(fā)生。（剩余16366字）