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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (3): 31-36.doi: 10.16460/j.issn1008-9969.2020.03.031

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Best Evidence Summary for Management of Hypoglycaemia in Neonates of Mother with Gestational Diabetes Mellitus

WANG Huan-huan1, CHENG Xiang-wei1, WANG Pei-hong1, DING Ying1, ZHOU Ying-feng2, ZHANG Wen1, XIONG Cai-xia1, LV Yong-li1, TU Feng-ming1   

  1. 1. Dept. of Gynecology and Obstetrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022,China;
    2. School of Nursing, Fudan University, Shanghai 200032, China
  • Received:2019-11-15 Online:2020-02-10 Published:2020-07-20

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Abstract: Objective To search and obtain relevant evidence of management of hypoglycaemia in neonates of mother with gestational diabetes mellitus (GDM) and to provide reference for clinical practice to improve early recognition rate, standardize the management process and improve the nursing quality of neonatal hypoglycemia. Methods The method of evidence-based nursing was adopted to put forward evidence-based problems to the management of hypoglycemia in neonates of mothers with GDM. JBI evidence appraisal and recommendation system were used to evaluate the quality of the studies and rate the evidence. Results Totally 11 articles were selected, including 2 of clinical decision-making, 1 evidence summary, 7 guidelines and 1 systematic assessment and 20 evidences were summarized out including prevention of hypoglycemia, detection methods and timing of blood glucose, treatment and transfer of hypoglycemia, discharge and follow-up, health guidance and systematic support. Conclusion This study summarizes the best evidence for management of hypoglycemia in neonates of mother with GDM, and provides some evidence-based basis for clinical nurses and nursing administrators. Ultimately through adapting the best evidence, it is beneficial to the scientific management of hypoglycemia in neonates of mother with GDM, and the improvement of quality of nursing.

Key words: gestational diabetes mellitus, neonate, hypoglycemia, evidence-based nursing

CLC Number: 

  • R473.72
[1] 复旦大学Joanna Briggs循证护理合作中心.妊娠期糖尿病临床护理实践指南[Z].2018..妊娠期糖尿病临床护理实践指南[Z].2018.http://nursing.ebn.fudan.edu.cn/WebContent_list.aspx?BID=263&ShowID=10439&SID=279&SID1=0&SID2=0.
[2] The International Diabetes Federation. IDF Diabetes Atlas Eighth edition[Z].2017:2018.
[3] Cordero L, Treuer S H, Landon M B, et al.Management of Infants of Diabetic Mothers[J]. Arch Pediatr Adolesc Med,1998,152(3):249-254.
[4] McKinlay CJ,Alsweiler JM,Ansell JM,et al.Neonatal Glycemia and Neurodevelopmental Outcomes at 2 Years[J]. N Engl J Med,2015,373(16):1507-1518.DOI:10.1056/NEJMoa1504909.
[5] McKinlay CJD, Alsweiler JM, Anstice NS, et al. Association of Neonatal Glycemia with Neurodevelopmental Outcomes at 4.5 Years[J].JAMA Pediatr,2017,17(10):972-983.DOI:10.1001/jamapediatrics.2017.1579.
[6] 中华医学会妇产科学分会产科学组中华医学会围产医学分会妊娠合并糖尿病协作组.妊娠合并糖尿病诊治指南(2014)[J].中华妇产科杂志,2014,49(8):561-569.
[7] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[8] Bayley L, Haynes RB, Dicenso A.Accessing Pre-appraised Evidence: Fine-tuning the 5S Model into a 6S Model[J].Evidence-based Nursing,2009,12(4):99-101.
[9] 杨中善,许妮娜,詹昱新,等.住院患者规范化身体约束管理最佳证据总结[J].护理学报, 2019,26(4):31-36.DOI:10.16460/j.issn1008-9969.2019.04.031.
[10] 谢利民,王文岳.《临床指南研究与评价系统Ⅱ》简介[J].中西医结合学报,2012,10(2):160-165.DOI:10.3736/jcim20120206.
[11] The Joanna Briggs Institute. Critical Appraisal Checklist for Text and Opinion/Randomized Controlled Trials/Systematic Reviews and Research Syntheses[EB/OL].[2019-12-18].http://joannabriggs.org/research/critical-appraisal-tools.html.
[12] 李立玉,王轶,王志稳.痴呆患者进食问题评估与管理指南的系统评价[J].中华护理杂志,2019,54(4):581-588. DOI:10.3761/j.issn.0254-1769.2019.04.022.
[13] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志, 2015, 30(11):964-967.DOI:10.16821/j.cnki.hsjx.2015.11.002.
[14] Rozance PJ.Pathogenesis,Screening,and Diagnosis of Neonatal Hypoglycemia[EB/OL].(2019-06-26).https://www.uptodate.com/contents/pathogenesis-screening-and-diagnosis-of-neonatal-hypoglycemia?csi=7d69af63-e715-457f-8e8b-6f9d0586e45b&source=default&-display_rank=1.
[15] Rozance PJ. Management and Outcome of Neonatal Hypoglycemia[EB/OL].(2019-04-29).https://www.uptodate.com/contents/management-and-outcome-of-neonatal-hypoglycemia?csi=d3a3a0aa-0e08-47a4-bff3-ee16fc473017&source= default&-display_rank=1.
[16] LKD Le.Infant of a Woman with Diabetes: Management[J].The Joanna Briggs Institute EBP Database,JBI@Ovid,2019:JBI7818.
[17] National Collaborating Centre for Women's and Children's Health.Diabetes in Pregnancy:Management of Diabetes and Its Complications from Preconception to the Postnatal Period[EB/OL].(2015-02-01)[2018-04-25].https://www.nice.org.uk/guidance/ng3.
[18] Ministry of Health. Screening,Diagnosis and Management of Gestational Diabetes in New Zealand:A Clinical Practice Guideline[M].Wellington:Ministry of Health,2014.
[19] Scottish Intercollegiate Guidelines Network. Management of Diabetes:A National Clinical Guideline[EB/OL].(2013-11-01)[2018-04-25]. http://www.sign.ac.uk/assets/sign116.pdf.
[20] Endocrine Society.Diabetes and Pregnancy:An Endocrine Society Clinical Practice Guideline[J]. J Clin Endocrinol Metab,2013,98(11):4227-4249.DOI:10.1210/jc.2013-2465.
[21] Queensland Clinical Guidelines. Guideline:Newborn Hypoglycaemia[EB/OL].(2015-06-18)[2019-07-30]https://www.health.qld.gov.au/data/assets/pdf_file/0019/142156/g-hypogly.pdf.
[22] Thornton PS, Stanley CA, De Leon DD,et al.Recommendations from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates,Infants,and Children[J]. J Pediatr,2015,167(2):238-245.DOI:10.1016/j.jpeds.2015.03.057.
[23] Weston PJ, Harris DL, Battin M,et al.Oral Dextrose Gel for the Treatment of Hypoglycaemia in Newborn Infants[J]. Cochrane Database Syst Rev, 2016(5):CD011027. DOI:10.1002/14651858.CD011027.pub2.
[24] Weston PJ, Harris DL, Harding JE.Dextrose gel Treatment does not Impair Subsequent Feeding[J]. Arch Dis Child Fetal Neonatal Ed, 2017(102):F539.
[25] Beardsall K,Vanhaesebrouck S,Ogilvy-Stuart AL,et al.Validation of the Continuous Glucose Monitoring Sensor in Preterm Infants[J].Arch Dis Child Fetal Neonatal Ed, 2013(98):F136.DOI:10.1136/archdischild-2012-301661.
[26] Adamkin DH.Clinical Report-Postnatal Glucose Homeostasis in Late-preterm and Term Infants[J]. Pediatrics,2011,127(3):575-579.DOI:10.1542/peds.2010-3851.
[27] Middleton P, Crowther CA, Simmonds L.Different Intensities of Glycaemic Control for Pregnant Women with Pre-existing Diabetes[J]. Cochrane Database Syst Rev,2016,9(8):CD008540.DOI:10.1002/14651858.CD008540.pub4.
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