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

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。

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

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.