中华护理杂志 ›› 2024, Vol. 59 ›› Issue (6): 662-668.DOI: 10.3761/j.issn.0254-1769.2024.06.003

• 妊娠期糖尿病护理专题 • 上一篇    下一篇

妊娠期糖尿病非药物管理患者指南

复旦大学循证护理中心, (执笔:邢年路(), 周英凤(), 陈姝宇, 方园, 李丽, 顾艳荭, 赵敏慧, 潘秀红)   

  1. 200032 上海市 复旦大学护理学院(邢年路,周英凤,陈姝宇,方园);复旦大学附属妇产科医院门诊(李丽);复旦大学附属第五人民医院护理部(顾艳荭);上海市第一妇婴保健院护理部(赵敏慧);复旦大学附属浦东医院护理部(潘秀红)
  • 收稿日期:2023-07-10 出版日期:2024-03-20 发布日期:2024-03-08
  • 通讯作者: 周英凤,E-mail:zyingfeng@fudan.edu.cn
  • 作者简介:邢年路:女,硕士,E-mail:xingnianlu1998@163.com
  • 基金资助:
    国家自然科学基金面上项目(71874035);复旦大学循证护理中心“循证护理全链条创新研究项目”(FNDGJ202004)

The development of a patient guideline on non-pharmacological management of gestational diabetes mellitus

Center for Evidence-based Nursing,Fudan University, (Writing Committee:XING Nianlu(), ZHOU Yingfeng(), CHEN Shuyu, FANG Yuan, LI Li, GU Yanhong, ZHAO Minhui, PAN Xiuhong)   

  • Received:2023-07-10 Online:2024-03-20 Published:2024-03-08

摘要:

目的 构建妊娠期糖尿病非药物管理患者指南,为妊娠期糖尿病患者自我管理提供决策支持。方法 以循证方法为指导,通过文献分析、个人深度访谈和现场调查确定健康问题;系统检索国内外指南网站、专业协会网站和综合数据库,依据推荐分级的评价、制定与评估系统进行证据质量分级;采用EtD框架汇总证据初步形成推荐意见;通过1轮专家共识形成会议和2轮德尔菲法专家函询对推荐意见进行修改并达成共识,形成患者指南终稿。结果 妊娠期糖尿病非药物管理患者指南核心内容包括筛查与诊断、产前管理、分娩期管理、新生儿低血糖管理和产后管理5个部分。结论 该患者指南制订过程严谨,充分考虑了患者意愿,形成的推荐意见具有良好的科学性、可接受性、可操作性和可读性,可为妊娠期糖尿病患者自我管理提供决策依据。

关键词: 妊娠期糖尿病, 非药物管理, 患者指南, 循证护理学

Abstract:

Objective To construct a patient guideline for the non-pharmacological management of gestational diabetes mellitus(GDM) to provide decision support for the self-management of patients with GDM. Methods Utilizing evidence-based methods,health problems were identified through literature analysis,personal interviews,and on-site investigations. Systematic search was conducted on domestic and international guideline websites,professional association websites,and comprehensive databases. The quality of evidence was graded according to the GRADE system. The Evidence-to-Decision(EtD) framework was employed to summarize the evidence,leading to the initial formulation of recommendations. These recommendations were then refined,and the consensus was achieved through a round of expert consensus meetings and 2 rounds of Delphi method for expert correspondence,resulting in the final draft of the patient guideline. Results The core content of the patient guideline encompasses 5 aspects:screening and diagnosis of GDM,prenatal management,labor and delivery management,neonatal hypoglycemia management,and postpartum management. Conclusion This patient guideline,developed through a rigorous process,takes into account patients’ preferences,and it is scientifically sound,acceptable,operable,and readable. It can provide a foundation for decision-making in the self-management of patients with GDM.

Key words: Gestational Diabetes Mellitus, Non-Pharmacological Management, Patient Guidelines, Evidence-Based Nursing