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