护理学报2024,Vol.31Issue(23):59-66,8.DOI:10.16460/j.issn1008-9969.2024.23.059
产后母乳喂养行为中断风险预测模型的系统评价
Risk prediction models for postpartum breastfeeding behavior interruption:a systematic review
摘要
Abstract
Objective To systematically search and evaluate the risk prediction models of postpartum breastfeeding behavior interruption,and to provide reference for clinical development,optimization and application of appropriate models.Methods The literature on risk prediction models of breastfeeding behavior interruption were searched in Web of Science,Cochrane Library,PubMed,Embase,CINAHL,CNKI,CBM,VIP and Wanfang Data.The retrieval time spanned from the inception to April 17,2024.Two researchers independently screened the literature and extracted data,and the included studies were evaluated using the prediction model risk of bias assessment tool(PROBAST).Results A total of 13 studies were included,involving 18 models.Differentiation was reported in 11 studies;calibration methods were reported in 7 studies;internal validation was performed in 6 studies;external validation was performed in 3 studies,and a combination of internal and external validation was used in 1 study.Maternal age,previous feeding experience,breastfeeding self-efficacy,and multiple pregnancies were the most common predictors reported.Six studies had good applicability but a higher risk of overall bias.Conclusion The research on risk prediction models of breastfeeding behavior interruption is still in the development stage.The risk of bias of the models is generally high,which is mainly reflected in data analysis.In the future,the reporting process and statistical analysis should be further standardized,and the effectiveness and feasibility of the model in clinical practice should be evaluated through external verification.关键词
母乳喂养中断/预测模型/系统评价/循证护理Key words
breastfeeding interruption/predictive model/systematic review/evidence-based nursing分类
医药卫生引用本文复制引用
杨丽娜,黄蓉,姚梅琦,王竹青,徐怡婷,谢佩敏..产后母乳喂养行为中断风险预测模型的系统评价[J].护理学报,2024,31(23):59-66,8.基金项目
中国卫生人才培养项目2023-2024年度研究课题(RCLX2320052) (RCLX2320052)
中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRI2022011) (CMAPH-NRI2022011)
上海交通大学医学院2024年度护理科研项目(Jyhz2428) (Jyhz2428)
上海市第六人民医院2023年度医院管理健康联合体科研专项(lylht202302) (lylht202302)
上海市第一妇婴保健院2022年人才蓄水池计划 ()