| 钱舒华,龚一谦,王娜,周天纯,丁焱.妊娠期糖尿病产后血糖相关预防性干预的范围综述[J].上海护理,2023,23(9): |
| 妊娠期糖尿病产后血糖相关预防性干预的范围综述 |
| A scoping review of preventive interventions regarding blood glucose for women with gestational diabetes following childbirthQIAN Shuhua, GONG Yiqian, WANG Na, ZHOU Tianchun, DING Yan |
| DOI： |
| 中文关键词: 妊娠期糖尿病 产后期 血糖 饮食 运动 生活方式 |
| 英文关键词:Gestational Diabetes Mellitus Postpartum Period Blood Glucose Diet Exercise Life Style |
| 基金项目:上海市卫生健康委员会项目(202150050)；复旦大学附属妇产科医院项目(FC2021CR203_ZC) |
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| 中文摘要: |
| 目的 对妊娠期糖尿病妇女产后血糖相关预防性干预措施进行范围审查,以识别干预的要素及应用现状,为未来该领域实践和研究提供指导。方法 以Arksey等制订的范围综述为方法学框架,检索PubMed、Medline、Web of Science、Cochrane Library、JBI、Embase、中国知网、万方、维普和中国生物医学数据库中相关研究。检索时限为建库至2021年11月1日,两名研究员对纳入文献进行汇总和分析。结果 纳入90篇文献,妊娠期糖尿病妇女产后血糖相关预防性干预主要包括血糖筛查、饮食疗法、运动疗法、母乳喂养、生活方式综合干预,并探究了影响产后血糖风险认知和管理的障碍因素。结论 预防性干预对妊娠期糖尿病妇女产后糖代谢有改善作用,个性化血糖筛查提醒应结合网络技术和家庭参与协同干预。未来研究需结合基于理论基础的个性化干预措施,构建基于需求的科学合理、规范化产后综合干预系统。 |
| 英文摘要: |
| Objective To identify the core elements and application status of preventive interventions related to postpartum blood glucose in women with a history of gestational diabetes mellitus, and to provide guidance for future research in this field. Methods This scoping review was conducted under the methodological framework developed by Arksey et al. A literature search was performed in the PubMed, Medline, Web of Science, Cochrane Library, JBI, Embase, CNKI, Wanfang, VIP and CBM databases to identify relevant studies. The retrieval time was from the establishment of the database to November 1, 2021, and the included literatures were summarized and analyzed by two independent researchers. Results A total of 90 articles were included. The preventive interventions related to postpartum blood glucose in women with a history of gestational diabetes mainly included blood glucose screening, diet therapy, exercise therapy, breastfeeding, and comprehensive lifestyle interventions, and explored the barriers that affect the perception and management of postpartum blood glucose risk. Conclusion Preventive intervention can improve postpartum blood glucose metabolism in women with a history of gestational diabetes mellitus. Personalized blood glucose screening reminders should be coordinated with network technology and family participation. Future research needs to combine personalized intervention measures based on theoretical basis to build a scientific, rational and standardized postpartum comprehensive intervention system based on needs |
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