主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (10): 1563-1569.doi: 10.3969/j.issn.1672-1756.2020.10.028

• 循证护理 • 上一篇    下一篇

临床决策支持系统在妊娠期糖尿病管理中的应用：范围综述

黄娜 周英凤 王凯蓉 李丽   

  1. 复旦大学护理学院，200032 上海市（黄娜，周英凤，王凯蓉）；复旦大学JBI循证护理合作中心（黄娜，周英凤，王凯蓉）；复旦大学附属妇产科医院产科（李丽）
  • 出版日期:2020-10-15 发布日期:2020-10-15
  • 通讯作者: 周英凤，博士，副教授，E-mail:zyingfeng@fudan.edu.cn
  • 作者简介:黄娜，硕士在读
  • 基金资助:
    2018年国家自然科学基金面上项目（71874035）

Application of Clinical Decision Support System in the management of Gestational Diabetes Mellitus: a Scoping Review

HUANG Na, ZHOU Yingfeng, WANG Kairong, LI li   

  1. School of Nursing, Fudan University, Shanghai, 200032, China
  • Online:2020-10-15 Published:2020-10-15
  • Contact: E-mail:zyingfeng@fudan.edu.cn

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摘要： 目的：分析妊娠期糖尿病（GDM)领域中临床决策支持系统的特征、功能及评价指标。方法：使用检索词在11个中英文数据库中进行文献检索，应用Arksey和O’Malley等的范围综述方法框架对文献进行分析。结果：共纳入8篇文献，均为英文文献，发表时间为2000—2018年，纳入研究的8个不同的临床决策支持系统主要基于手机APP、网络及计算机等医疗平台，通过算法和模型，以GDM临床指南或专家经验为基础，为患者提供决策或辅助临床人员进行决策。临床决策支持系统的效果评价主要包括决策系统的准确性和有效性、专业人员工作量、使用者体验、患者结局指标和依从性。结论：临床决策支持系统可辅助临床人员做出最佳决策，然而目前临床决策支持系统在GDM领域应用有限，基于远程医疗的临床决策支持系统是未来发展的重点。

关键词: 临床决策支持系统；妊娠期糖尿病；远程医疗；范围综述

Abstract: Objective: To describe the characteristics, functions and evaluation of Clinical Decision Support System (CDSS) in the field of Gestational Diabetes Mellitus (GDM). Methods: Eleven electronic databases were searched using keywords. The literatures were selected and analyzed following the framework of Scoping Review addressed by Arksey and O' Malley. Results: A total of 8 articles published in 2000-2018 were included. The included studies described 8 different clinical decision support systems. The CDSSs of GDM management were mainly based on remote medical platforms such as mobile phone APP and networks. The CDSSs provided patients recommendations or assist doctors making decisions through algorithms and models based on GDM clinical guidelines or expert experience. The evaluation of the CDSS mainly included the accuracy and effectiveness of the decision-making system, professional workload, user experience, patient outcomes and compliance. Conclusion: The clinical decision support system can assist clinical staff to make the best decision. However, the current application of CDSS in GDM is limited. The CDSS based on telemedicine is the focus of future development.

Key words: Clinical Decision Support System; Gestational Diabetes Mellitus; telemedicine; Scoping Review

中图分类号: 

  • R47
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