关键词: 妊娠期糖尿病, 新生儿低血糖, 审查指标, 障碍因素, 证据转化, 循证护理

Abstract: Objective To comprehensively evaluate the clinical status of blood glucose management in neonates delivered by mothers with gestational diabetes in obstetrics，and to develop review indicators of evidence based nursing，analyze obstacles and contributing factors. Methods With JBI health care model as the evidence based theoretical framework，clinical problems were identified；literature retrieval，evaluation and evidence were collected；review indicators and review methods were developed. According to the results of baseline review,the obstacle factors were analyzed,and methods and countermeasures were developed. Result Totally 10 pieces of best evidence were included and 14 clinical review indicators were formulated,of which there are only 2 indicators with the compliance rate of 100%. After detailed analysis of the results,it is concluded that the main obstacles are the lack of process management,insufficient training of nurses on hypoglycemia and the lack of awareness of mothers and family members. The main contributing factors are strong leadership and team work. According to implementation of the corresponding countermeasures,compliance rates of 14 indicators were all above 90%,of which 10 were 100%. Conclusion The obstacles and contributing factors in practice were scientifically and comprehensively evaluated,and corresponding countermeasures were properly proposed,which can effectively promote the application of evidence in clinical practice.

Key words: Gestational Diabetes Mellitus, Neonatal Hypoglycemia, Review Indicators, Obstacle Factors, Evidence Translation, Evidence-Based Nursing