Abstract：
BACKGROUND: The death of a child may be the most traumatic event a family can experience. Bereavement care for parents is essential for their physical and mental well-being and is a psychosocial standard of care. Childhood mortality is higher in low- or middle-income countries (LMICs); however, little is known regarding bereavement support or interventions for parents in LMICs.
OBJECTIVE: To identify programs, services, initiatives, or interventions offered to bereaved parents in LMICs in hospital settings.
METHODS: A systematic search was executed following the Preferred Reported Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles from LMICs describing interventions, programs, or resources provided to parents after the death of a child (0-18 years old) from any cause were included. Extracted data was categorized by demographics, study design, outcomes, and quality assessment using the McGill Mixed Methods Appraisal Tool (MMAT).
RESULTS: We retrieved 4428 papers and screened their titles and abstracts, 36 articles were selected for full-text assessment, resulting in nine articles included in the final analysis. Most interventions described support for parents whose child died during the prenatal or neonatal period. The primary interventions included psychological counseling, creating mementos (such as photographs or footprints), and bereavement workshops. Only one paper described a fully established bereavement program for parents. Eight of the papers met high-quality criteria.
CONCLUSIONS: Although bereavement care is crucial for parents whose child has died, only a few studies have documented bereavement interventions in LMICs. More research may help with bereavement program implementation and improved care for bereaved parents in LMICs.
OBJECTIVE: To identify programs, services, initiatives, or interventions offered to bereaved parents in LMICs in hospital settings.
METHODS: A systematic search was executed following the Preferred Reported Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles from LMICs describing interventions, programs, or resources provided to parents after the death of a child (0-18 years old) from any cause were included. Extracted data was categorized by demographics, study design, outcomes, and quality assessment using the McGill Mixed Methods Appraisal Tool (MMAT).
RESULTS: We retrieved 4428 papers and screened their titles and abstracts, 36 articles were selected for full-text assessment, resulting in nine articles included in the final analysis. Most interventions described support for parents whose child died during the prenatal or neonatal period. The primary interventions included psychological counseling, creating mementos (such as photographs or footprints), and bereavement workshops. Only one paper described a fully established bereavement program for parents. Eight of the papers met high-quality criteria.
CONCLUSIONS: Although bereavement care is crucial for parents whose child has died, only a few studies have documented bereavement interventions in LMICs. More research may help with bereavement program implementation and improved care for bereaved parents in LMICs.
摘要：
背景：儿童的死亡可能是家庭可能经历的最痛苦的事件。父母的丧亲关怀对他们的身心健康至关重要，是一种社会心理关怀标准。低收入或中等收入国家的儿童死亡率较高；然而，在低收入国家中，对父母的丧亲支持或干预措施知之甚少。
目标：为了确定项目，服务,倡议,或在医院环境中对LMICs失去亲人的父母提供干预措施。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统检索。来自LMICs的文章描述了干预措施，programs,包括任何原因导致儿童（0-18岁）死亡后提供给父母的资源。提取的数据按人口统计分类，研究设计，结果，并使用麦吉尔混合方法评估工具(MMAT)进行质量评估。
结果：我们检索了4428篇论文，并筛选了它们的标题和摘要，选择36篇文章进行全文评估，最后分析了九篇文章。大多数干预措施都描述了对孩子在产前或新生儿期死亡的父母的支持。主要干预措施包括心理咨询，创造纪念品（如照片或脚印），和丧亲讲习班。只有一篇论文描述了一个完全建立的父母丧亲计划。其中八篇论文符合高质量标准。
结论：尽管丧亲关怀对孩子去世的父母至关重要，只有少数研究记录了低收入国家的丧亲干预措施。更多的研究可能有助于实施丧亲计划，并改善对LMIC中丧亲父母的照顾。
目标：为了确定项目，服务,倡议,或在医院环境中对LMICs失去亲人的父母提供干预措施。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统检索。来自LMICs的文章描述了干预措施，programs,包括任何原因导致儿童（0-18岁）死亡后提供给父母的资源。提取的数据按人口统计分类，研究设计，结果，并使用麦吉尔混合方法评估工具(MMAT)进行质量评估。
结果：我们检索了4428篇论文，并筛选了它们的标题和摘要，选择36篇文章进行全文评估，最后分析了九篇文章。大多数干预措施都描述了对孩子在产前或新生儿期死亡的父母的支持。主要干预措施包括心理咨询，创造纪念品（如照片或脚印），和丧亲讲习班。只有一篇论文描述了一个完全建立的父母丧亲计划。其中八篇论文符合高质量标准。
结论：尽管丧亲关怀对孩子去世的父母至关重要，只有少数研究记录了低收入国家的丧亲干预措施。更多的研究可能有助于实施丧亲计划，并改善对LMIC中丧亲父母的照顾。
