动态血糖监测应用管理的最佳证据总结  

Summary of best evidence for application management of dynamaic blood glucose monitoring

作　　者：张红梅 张宁[1] 孙玉娇 沈莉莉[1] 陆熠[1] 孙婷 Zhang Hongmei;Zhang Ning;Sun Yujiao;Shen Lili;Lu Yi;Sun Ting(Department of Endocrinology,Nanjing Drum Tower Hospital,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院内分泌科,南京210008

出　　处：《中国实用护理杂志》2025年第12期934-941,共8页Chinese Journal of Practical Nursing

基　　金：南京大学中国医院改革发展研究院课题(NDYG2022078)。

摘　　要：目的总结动态血糖监测应用管理的最佳证据,为临床动态血糖监测的应用及管理提供循证依据。方法去系统检索BMJ最佳临床实践、UpToDate、CochraneLibrary、Embase、中国知网、万方等数据库和医脉通等指南网以及糖尿病相关协会网站中关于动态血糖监测应用管理的相关文献,检索时限为建库至2024年7月7日,研究者对纳人文献进行筛选和质量评价,根据主题进行证据提取、分级与汇总。结果共纳人13篇文献,包括5篇指南,5篇专家共识,1篇系统评价,2篇随机对照试验,从实践规范(佩戴前、佩戴中、佩戴后)应用规范、管理规范(人员、制度、信息、材料、方法)3个主题、13个方面总结了31条最佳证据。结论该研究总结了动态血糖监测应用管理的最佳证据,可规范动态血糖监测的操作流程,提供相关护理问题的应对策略,确保有统一且清晰的管理标准可遵循。Objective To summarize the evidence for the application and management of continuous glucose monitoring,providing evidence-based support for the clinical application and management.MethodssBMJ Best Clinical Practice,UpToDate,Cochrane Library,Embase,China National Knowledge Infrastructure(CNKI),Wanfang and other databases,Yimaitong and and other guide networks,and diabetes related association websites were searched for the application and management of continuous glucose monitoring,the search time limit was from the establishment of the database to July 7,2024.Researchers evaluated the quality of the included literature,extracted and summarized the evidence based on the topic.Results A total of 13 articles were included,including 5 guidelines,5 expert consensuses,1 systematic review and 2 randomized controlled trials.The best evidences for the application and management of continuous glucose monitoring were summarized,including 3 themes and 13 aspects,practice norms(before,during,and after wearing),application norms,management norms(personnel,systems,information,materials,methods),with 31 pieces of evidence.Conclusions This study summarized the evidences for the application management of continuous glucose monitoring,which could standardize the operation process of continuous glucose monitoring,provide response strategies for related nursing issues,and ensure that there were unified and clear management standards to follow.

关 键 词：循证医学 动态血糖监测 应用 管理 证据总结 

分 类 号：R473.5[医药卫生—护理学]