以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (3): 31-36.doi: 10.16460/j.issn1008-9969.2020.03.031

• 循证护理 • 上一篇    下一篇

妊娠期糖尿病产妇分娩新生儿低血糖管理的最佳证据总结

王焕焕1, 程湘玮1, 王培红1, 丁颖1, 周英凤2, 张纹1, 熊彩霞1, 吕永利1, 屠凤鸣1   

  1. 1.华中科技大学同济医学院附属协和医院 妇产科,湖北 武汉 430022;
    2.复旦大学 护理学院,上海 200032
  • 收稿日期:2019-11-15 出版日期:2020-02-10 发布日期:2020-07-20
  • 通讯作者: 程湘玮（1980-）,女,湖北武汉人,硕士研究生,主管护师,护士长。E-mail:excellentzh_w199@163.com
  • 作者简介:王焕焕（1990-）,女,湖北武汉人,硕士研究生,护师。
  • 基金资助:
    复旦大学循证护理中心证据转化与临床应用项目（Fudanebn201902）

Best Evidence Summary for Management of Hypoglycaemia in Neonates of Mother with Gestational Diabetes Mellitus

WANG Huan-huan1, CHENG Xiang-wei1, WANG Pei-hong1, DING Ying1, ZHOU Ying-feng2, ZHANG Wen1, XIONG Cai-xia1, LV Yong-li1, TU Feng-ming1   

  1. 1. Dept. of Gynecology and Obstetrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022,China;
    2. School of Nursing, Fudan University, Shanghai 200032, China
  • Received:2019-11-15 Online:2020-02-10 Published:2020-07-20

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摘要： 目的 检索并梳理妊娠期糖尿病产妇分娩新生儿低血糖管理的相关证据,为临床实践提供参考,以提高妊娠期糖尿病产妇分娩新生儿低血糖早期识别率、规范低血糖管理流程,提升母婴同室妊娠期糖尿病产妇分娩新生儿护理质量。方法 采取循证护理的方法,针对妊娠期糖尿病产妇分娩新生儿低血糖管理提出循证问题,检索相关文献,采用澳大利亚JBI循证卫生保健中心的文献质量评价标准及证据分级系统,对检索的各类研究进行评价及分级。结果 本研究最终纳入11篇文献,其中包含2篇临床决策,1篇证据总结,7篇指南,1篇系统评价,共总结出20条妊娠期糖尿病产妇分娩新生儿低血糖管理相关证据,包含低血糖预防、血糖监测、低血糖治疗及转科时机、出院及随访、健康教育及系统支持5个方面。结论 本研究总结了目前关于妊娠期糖尿病产妇分娩新生儿低血糖管理的最佳证据,为相关科室护士及管理者提供一定的循证依据。通过最佳证据的应用,有益于妊娠期糖尿病产妇分娩新生儿低血糖的科学管理,提升护理质量。

关键词: 妊娠期糖尿病, 新生儿, 低血糖, 循证护理学

Abstract: Objective To search and obtain relevant evidence of management of hypoglycaemia in neonates of mother with gestational diabetes mellitus (GDM) and to provide reference for clinical practice to improve early recognition rate, standardize the management process and improve the nursing quality of neonatal hypoglycemia. Methods The method of evidence-based nursing was adopted to put forward evidence-based problems to the management of hypoglycemia in neonates of mothers with GDM. JBI evidence appraisal and recommendation system were used to evaluate the quality of the studies and rate the evidence. Results Totally 11 articles were selected, including 2 of clinical decision-making, 1 evidence summary, 7 guidelines and 1 systematic assessment and 20 evidences were summarized out including prevention of hypoglycemia, detection methods and timing of blood glucose, treatment and transfer of hypoglycemia, discharge and follow-up, health guidance and systematic support. Conclusion This study summarizes the best evidence for management of hypoglycemia in neonates of mother with GDM, and provides some evidence-based basis for clinical nurses and nursing administrators. Ultimately through adapting the best evidence, it is beneficial to the scientific management of hypoglycemia in neonates of mother with GDM, and the improvement of quality of nursing.

Key words: gestational diabetes mellitus, neonate, hypoglycemia, evidence-based nursing

中图分类号: 

  • R473.72
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