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护理学报 ›› 2022, Vol. 29 ›› Issue (7): 50-56.doi: 10.16460/j.issn1008-9969.2022.07.050

• 循证护理 • 上一篇    下一篇

1型糖尿病患儿居家低血糖识别及处理最佳证据总结

王锐a, 李智b, 杨芹c, 王春立c, 李凤婷d, 王旭梅a   

  1. 国家儿童医学中心 首都医科大学附属北京儿童医院 a.内分泌遗传代谢病房; b.呼吸科; c.护理部; d.风湿免疫科,北京 100045
  • 收稿日期:2021-12-21 出版日期:2022-04-10 发布日期:2022-05-10
  • 通讯作者: 王旭梅（1982-）,女,山西晋中人,硕士,副主任护师。E-mail：wangxumei2005@163.com
  • 作者简介:王锐（1970-）,女,北京人,本科学历,副主任护师,护士长。
  • 基金资助:
    河北大学高层次人才科研启动项目（521100221002）

Best Evidence Summary of Hypoglycemia Identification and Management in Homebound Children with Type 1 Diabetes Mellitus

WANG Ruia, LI Zhib, YANG Qinc, WANG Chun-lic, LI Feng-tingd, WANG Xu-meia   

  1. a. Dept. of Endocrinology, Genetics and Metabolism; b. Dept. of Respiration; c. Dept. of Nursing Administration; d. Dept. of Rheumatology and Immunology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
  • Received:2021-12-21 Online:2022-04-10 Published:2022-05-10

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摘要： 目的 检索和分析1型糖尿病患儿居家低血糖识别及处理的相关证据,并对最佳证据进行总结。方法 计算机检索BMJ Best Practice、UpToDate、Cochrane Library、JBI、NICE、SIGN、RNAO、IDF,ADA、Web of Science、PubMed、EmBase、中国医脉通临床指南网、中国知网(CNKI)、万方知识数据服务平台和中国生物医学数据库中关于1型糖尿病患儿居家低血糖识别及处理的近5年的指南、证据总结、推荐实践、系统评价、临床决策、专家共识。结果 共纳入10篇文献,其中指南3篇、专家共识3篇、临床决策3篇和系统评价1篇,最终形成最佳证据38条,包括低血糖分级、危险因素识别、低血糖症状识别、低血糖处理、低血糖纠正后处理和居家指导6个方面。结论 本研究所遴选的1型糖尿病患儿居家低血糖识别及处理的证据总结内容较为全面具体,护理人员可基于此对居家1型糖尿病患儿和家长进行低血糖识别和处理方面的健康教育,以及时发现和处理低血糖,确保患儿安全。

关键词: 儿童, 1型糖尿病, 低血糖, 居家护理, 证据总结

Abstract: Objective To search and analyze the evidence related to the identification and treatment of hypoglycemia in children with type 1 diabetes mellitus (T1DM) at home, and summarize the best evidence. Methods The guidelines (BPG), evidence summary (ES), recommended practice (RP), systematic review (SR), clinical decision-making and expert consensus on the identification and management of hypoglycemia in children with T1DM in recent 5 years were searched through BMJ Best Practice,UpToDate,Cochrane Library,JBI,NICE,SIGN,RNAO,IDF,ADA,Web of Science,PubMed,EmBase,Medline,CNKI,Wanfang Database and CBM Database. Results Ten articles were selected, including 3 guidelines, 3 expert consensuses, 3 clinical decision-making and 1 systematic review. Finally, 38 pieces of best evidence were obtained in six aspects of hypoglycemia classification, risk factor identification, hypoglycemia identification, hypoglycemia treatment, measures after recovery from hypoglycemia and family guidance. Conclusion The best evidence summary of hypoglycemia identification and treatment for children with T1DM in this study is comprehensive and specific. Health education on hypoglycemia identification and treatment for children with T1DM and their parents based on the summary will benefit the timely identification of hypoglycemia so as to ensure the safety of children.

Key words: children, type 1 diabetes mellitus, hypoglycemia, home-based care, best evidence summary

中图分类号: 

  • R473.58
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