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.
Abstract
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.
基金项目
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)
维普
万方数据