摘要
目的:构建新生儿低血糖预防与管理策略,用于指导临床实践,降低新生儿低血糖发生率。方法:计算机检索国内外数据库,获取并评价相关临床实践指南;拟定新生儿低血糖预防与管理策略;采用德尔菲法使之本土化。结果:共检索213篇文献,最终纳入9篇文献,整体质量较高;通过循证与德尔菲法构建了“预防与识别低血糖”“准确测量血糖”“血糖筛查/监测与处理”“出院与宣教”4个维度31个条目的新生儿低血糖预防与管理策略。结论:基于循证与德尔菲法构建的新生儿低血糖预防与管理策略具有科学性与实用性,规范了新生儿血糖管理方案。
Objective:To develop blood glucose management strategies to standardize nurses'practice and reduce the incidence of neonatal hypoglycemia.Methods:The maintenance strategies were preliminarily established by searching the databases and synthesizing the evidence.Literature appraisal was done.Then the Delphi method was used to make the strategies localized.Result:A total of 213 articles were retrieved in this study and 9 articles were included.Four dimensions with 31 strategies were established,including"prevention and identification hypoglycemia","accurate measurement of blood glucose","screening/monitoring and treatment",and"discharge and education".Conclusion:The blood glucose management strategies based on the evidence and Delphi method was scientific and practical and it was beneficial to standardize the management of neonatal hypoglycemia.
作者
张纹
程湘玮
王培红
周英凤
屠凤鸣
王焕焕
罗丽波
鄢红玉
ZHANG Wen;CHENG Xiangwei;WANG Peihong;ZHOU Yingfeng;TU Fengming;WANG Huanhuan;LUO Libo;YAN Hongyu(Department of Obstetrics and Gynecology,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)
出处
《中国护理管理》
CSCD
北大核心
2020年第11期1694-1699,共6页
Chinese Nursing Management
基金
复旦循证护理中心证据转化与临床应用项目(Fudanebn201902)
华中科技大学同济医学院附属协和医院“药技护”专项基金(02.03.2018-151)。
关键词
新生儿
低血糖
循证护理
德尔菲法
neonates
hypoglycemia
evidence-based nursing
Delphi method
