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

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