妊娠期高血压疾病病人饮食方案的最佳证据总结

Best evidence summary of diet scheme for patients with hypertensive disorder of pregnancy

目的:遴选、评价和整合妊娠期高血压疾病病人饮食方案的最佳证据,为临床康复实践提供依据。方法:计算检索国内外数据库及网站中关于妊娠期高血压疾病病人饮食方案的相关文献,检索时限为建库至2023年6月30日。由2名研究人员独立对纳入文献的质量进行评价,对证据进行提取、整合及级别评定。结果:共纳入10篇文献,包括指南2篇、临床决策2篇、系统评价3篇、随机对照试验3篇,最终从妊娠期高血压疾病病人的适用人群、膳食指导、营养素推荐、健康教育4个方面汇总16条证据。结论:妊娠期高血压疾病饮食干预安全、有效。临床护士可通过应用最佳证据指导妊娠期高血压疾病病人进行合理饮食,提高饮食康复干预的科学性。

Objective:To search,evaluate,and integrate the best evidence of diet scheme for patients with hypertensive disorder of pregnancy,and provide basis for clinical rehabilitation practice.Methods:Literature on diet scheme for patients with hypertensive disorder of pregnancy was retrieved from China and foreign databases and websites,the retrieval time from database establishment to June 30,2023.Two researchers need to independently evaluate the quality of the included literature,then to extract,integrate,and grad the evidence.Results:A total of 10 literature were included,including 2 guidelines,2 clinical decisions,3 systematic reviews,and 3 randomized controlled trials.Finally,16 pieces of evidence were summarized from 4 aspects,namely applicable population,dietary guidance,nutrient recommendations,and health education of patients with hypertensive disorder of pregnancy.Conclusion:Dietary intervention for hypertensive disorder of pregnancy is safe and effective.Clinical nurses can use the best evidence to guide patients with hypertensive disorder of pregnancy to have reasonable diet and improve the scientific of dietary rehabilitation interventions.