目的 检索、评价并整合终末期糖尿病肾病血液透析患者的血糖管理最佳证据，为临床循证实践提供依据。 方法 计算机系统检索包括BMJ最佳临床实践、Cochrane Library、OVID、Scopus、UpToDate、中国知网、万方、医脉通等数据库、指南网以及专业协会网站中关于终末期糖尿病肾病血液透析患者血糖管理的相关证据，检索时限为建库至2023年5月10日。 结果 共纳入文献14篇，其中指南5篇、系统评价6篇、临床决策1篇、随机对照试验1篇、专家共识1篇，总结出关于终末期糖尿病肾病血液透析患者血糖全程管理最佳证据25条，涵盖透析前评估、透析前血糖管理、透析过程中血糖管理、透析间歇期血糖管理、饮食与营养管理、运动管理、生活方式干预、健康教育8个方面内容。 结论 该研究总结了终末期糖尿病肾病血液透析患者血糖全程管理的最佳证据，为医护人员临床实践提供全面的循证依据。 Objective To retrieve, evaluate and integrate the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, so as to provide a basis for clinical evidence-based nursing practice. Methods BMJ Best Clinical Practice, Cochrane, OVID, Scopus, UpToDate, CNKI, Wanfang Database, Medical Pulse database, and other guideline networks and professional association websites and databases were searched for blood glucose management in hemodialysis patients with end-stage diabetic kidney disease. The search time limit was from the establishment of the database to May 10, 2023. Results A total of 14 articles were included, including 1 clinical decision, 5 guidelines, 6 systematic reviews, 1 randomized controlled trial, and 1 expert consensus. The best evidences for blood glucose management in hemodialysis patients were summarized, including 8 aspects of pre-dialysis assessment, pre-dialysis blood glucose management, blood glucose management during dialysis, blood glucose management during dialysis interval, diet and nutrition, exercise management, lifestyle intervention and health education, with 25 pieces of evidence. Conclusions This study summarizes the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, and provides evidence-based basis for clinical practice for medical staff.
The best evidence summary for blood glucose management in patients with end-stage diabetic kidney disease undergoing hemodialysis
Objective To retrieve, evaluate and integrate the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, so as to provide a basis for clinical evidence-based nursing practice. Methods BMJ Best Clinical Practice, Cochrane, OVID, Scopus, UpToDate, CNKI, Wanfang Database, Medical Pulse database, and other guideline networks and professional association websites and databases were searched for blood glucose management in hemodialysis patients with end-stage diabetic kidney disease. The search time limit was from the establishment of the database to May 10, 2023. Results A total of 14 articles were included, including 1 clinical decision, 5 guidelines, 6 systematic reviews, 1 randomized controlled trial, and 1 expert consensus. The best evidences for blood glucose management in hemodialysis patients were summarized, including 8 aspects of pre-dialysis assessment, pre-dialysis blood glucose management, blood glucose management during dialysis, blood glucose management during dialysis interval, diet and nutrition, exercise management, lifestyle intervention and health education, with 25 pieces of evidence. Conclusions This study summarizes the best evidence of blood glucose management in hemodialysis patients with end-stage diabetic kidney disease, and provides evidence-based basis for clinical practice for medical staff.
Diabetic nephropathiesHemodialysisWhole process glycemic managementEvidence summary
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