The development of a patient guideline on non-pharmacological management of gestational diabetes mellitus
Objective To construct a patient guideline for the non-pharmacological management of gestational diabetes mellitus(GDM)to provide decision support for the self-management of patients with GDM.Methods Utilizing evidence-based methods,health problems were identified through literature analysis,personal interviews,and on-site investigations.Systematic search was conducted on domestic and international guideline websites,professional association websites,and comprehensive databases.The quality of evidence was graded according to the GRADE system.The Evidence-to-Decision(EtD)framework was employed to summarize the evidence,leading to the initial formulation of recommendations.These recommendations were then refined,and the consensus was achieved through a round of expert consensus meetings and 2 rounds of Delphi method for expert correspondence,resulting in the final draft of the patient guideline.Results The core content of the patient guideline encompasses 5 aspects:screening and diagnosis of GDM,prenatal management,labor and delivery management,neonatal hypoglycemia management,and postpartum management.Conclusion This patient guideline,developed through a rigorous process,takes into account patients'preferences,and it is scientifically sound,acceptable,operable,and readable.It can provide a foundation for decision-making in the self-management of patients with GDM.
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维普
