摘要
目的总结妊娠期糖尿病孕产妇母乳喂养指导与管理的相关证据。方法计算机检索UpToDate、BMJ Best Practice、CINAHL、PubMed、Cochrane Library、Embase、万方数据库、中国知网等数据库及专业网站中关于妊娠期糖尿病孕产妇母乳喂养指导与管理的证据,包括临床决策、指南、证据总结、系统评价、专家共识及随机对照试验,检索时限为建库至2023年4月1日。由2名研究者独立进行文献质量评价、证据提取及整合。结果共纳入23篇文献,包括临床决策4篇、指南4篇、证据总结4篇、系统评价6篇、专家共识1篇、随机对照试验4篇,从支持教育、知识技能、安全问题、喂养问题、饮食护理和血糖监测6个方面总结出21条最佳证据。结论本研究总结了妊娠期糖尿病孕产妇母乳喂养指导与管理的最佳证据,建议医护人员结合临床情境及患者意愿应用证据。
Objective To summarize the evidence related to the guidance and management of breastfeeding in pregnant women with gestational diabetes mellitus.Methods UpToDate,BMJ Best Practice,CINAHL,PubMed,Cochrane Library,Embase,Wanfang database,China National Knowledge Infrastructure,and other databases and professional websites were searched by computer for evidence on breastfeeding guidance and management for pregnant women with gestational diabetes mellitus,including clinical decisions,guidelines,evidence summaries,systematic reviews,expert consensus and randomized controlled trials.The search period was from database establishment to April 1,2023.Two researchers independently conducted literature quality evaluation,evidence extraction,and integration.Results A total of 23 articles were included,including 4 clinical decision-making articles,4 guidelines,4 evidence summaries,6 systematic reviews,1 expert consensus and 4 randomized controlled trials.A total of 21 best pieces of evidence were summarized from six aspects of support and education,knowledge and skills,safety issues,feeding issues,dietary care,and blood glucose monitoring.Conclusions This study summarizes the best evidence on breastfeeding guidance and management for pregnant women with gestational diabetes and suggests that the medical staff should apply the proof according to the clinical situation and the patient's wish.
作者
孔一帆
徐萌艳
贾张越
吴映瑛
蔡锋成
Kong Yifan;Xu Mengyan;Jia Zhangyue;Wu Yingying;Cai Fengcheng(School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Nursing,Hangzhou Women's Hospital,Hangzhou 310008,China;Outpatient Department,Hangzhou Women's Hospital,Hangzhou 310008,China;Delivery Center,Hangzhou Women's Hospital,Hangzhou 310008,China)
出处
《中华现代护理杂志》
2024年第5期589-596,共8页
Chinese Journal of Modern Nursing
基金
浙江省自然科学基金联合基金(LBY21H040002)
浙江省医药卫生科技计划(2023KY204)。
关键词
糖尿病
妊娠
母乳喂养
指导
管理
循证护理
Diabetes,Gestational
Breastfeeding
Guidance
Management
Evidence-based nursing
