妊娠期糖尿病高危人群生活方式指导的最佳证据总结  

Best evidence about lifestyle guidance for women at high risk of gestational diabetes mellitus

作　　者：段蓓蓓 张强惠子 李邱雪 刘维维[1] Duan Beibei;Zhang Qianghuizi;Li Qiuxue;Liu Weiwei(School of Nursing,Capital Medical University,Beijing,100069,China)

机构地区：[1]首都医科大学护理学院,北京100069

出　　处：《现代临床护理》2023年第11期59-67,共9页Modern Clinical Nursing

基　　金：国家自然科学基金青年科学基金项目,项目编号为71904133。

摘　　要：目的系统检索、评价并总结国内外有关妊娠期糖尿病(gestational diabetes mellitus,GDM)高危人群生活方式指导预防GDM的最佳证据,为临床医护人员指导GDM高危人群预防GDM提供循证证据。方法系统检索BMJ Best Practice,Cochrane Library,医脉通指南网、英国国家卫生与临床优化研究所、国际糖尿病与妊娠研究组、PubMed,Web of Science,Science Direct,澳大利亚实践指南(Australian clinical practice guidelines,ACPG)、中国知网、万方、CBM数据库和相关协会网站中GDM高危人群生活方式指导的最佳证据。检索时限为2015年6月至2022年6月。由2名研究者分别对纳入的文献进行质量评价。结果共纳入文献22篇,其中临床指南6篇,专家共识2篇,系统评价10篇,随机对照试验4篇。共总结了早期筛查、饮食指导、运动指导及体重管理指导四个方面17条最佳证据。结论该证据总结可为临床医护人员对GDM高危人群进行生活方式指导及制定生活方式干预方案提供循证参考依据。Objective To systematically review,evaluate and summarise the best evidences about lifestyle guidance for women at high risk of GDM in domestic and international databases,therefore to provide evidences for nurses to guide the women at high risk of GDM to prevent GDM.Methods Systematic search BMJ Best Practice,Cochrane Library,PubMed,Web of Science,Science Direct,Medlive,National Institute for Health and Care Excellence,International Diabetes Federation,International Diabetes and Pregnancy Study Groups,Australian clinical practice guidelines(ACPG),ACPG,CNKI,Wanfang,CBM datebase from June 2015 and June 2022,which provide the lifestyle guidance for women at high risk of GDM.Two of the researchers examined and evaluated the quality of the included articles respectively.Results A total of 22 articles were included,including 6 of clinical guidelines,2 of expert consensuses,10 of systematic reviews or Meta analysis and 4 of randomized controlled trials(RCTs).A total of 17 pieces of evidence were extracted and summarised into 4 themes,including early screening,diet guidance,exercise guidance and weight guidance.Conclusion The best evidence summary in this study provide an evidence-based clinical nursing for health care workers to guide the lifestyle and formulate lifestyle intervention programs for high-risk groups of GDM.

关 键 词：妊娠期糖尿病 高危人群 生活方式指导 证据总结 循证护理 

分 类 号：R473.71[医药卫生—护理学]