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): 1551-1556.doi: 10.3969/j.issn.1672-1756.2020.10.026

• 循证护理 • 上一篇    下一篇

新生儿血糖管理临床实践指南质量评价及内容分析

程湘玮 张纹 王培红 周英凤 罗丽波 鄢红玉 王焕焕 屠凤鸣   

  1. 华中科技大学同济医学院附属协和医院妇产科,430022 武汉市(程湘玮,张纹,王培红,罗丽波,鄢红玉, 王焕焕, 屠凤鸣);复旦大学护理学院(周英凤)
  • 出版日期:2020-10-15 发布日期:2020-10-15
  • 通讯作者: 张纹,硕士,主管护师,E-mail:1067732347@qq.com
  • 作者简介:程湘玮,硕士,主管护师
  • 基金资助:
    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(02.03.2018-133);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)

Quality appraisal and content analysis of clinical guidelines on prevention and management of neonatal hypoglycemia

CHENG Xiangwei, ZHANG Wen, WANG Peihong, ZHOU Yingfeng, LUO Libo, YAN Hongyu, WANG Huanhuan, TU Fengming   

  1. Department of Obstetrics and Gynecology, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
  • Online:2020-10-15 Published:2020-10-15
  • Contact: E-mail:1067732347@qq.com

摘要: 目的:对新生儿血糖管理相关指南进行评价及内容分析,为规范产科新生儿血糖管理提供依据,为提高新生儿血糖管理的知信行提供标准,降低新生儿低血糖发生率。方法:计算机检索新生儿血糖管理指南发布的主要电子文献数据库、主要网站及专业学会网站,检索时限为建库至2020年1月31日。结果:初检到213篇文献,最终纳入9篇指南,其中4篇循证指南、3篇专家共识和2篇最佳实践。4篇循证指南中1篇A级推荐,3篇B级推荐。从9篇指南提出3个维度14条关于管理新生儿低血糖推荐意见。结论:纳入的新生儿血糖管理临床实践指南质量整体较高,我国尚少见基于循证管理新生儿低血糖指南,其推荐意见指导临床实践需考虑国情及医疗环境。

关键词: 新生儿低血糖;临床实践指南;循证护理学;临床研究与评估工具

Abstract: Objective: To evaluate and analyze the quality of clinical guidelines concerning prevention and management of neonatal hypoglycemia, so as to provide recommendations for reducing incidence of hypoglycemia and offer reference frame for clinical nursing. Methods: The included guidelines were recruited from websites of international guidelines, academy societies or institutions, and other relevant electronic databases (from inception to January 31st 2020). Results: Nine guidelines were included, four of which were evidence-based guidelines, three were expert consensus and the other two were about best practices. Evaluated according to AGREE II one of the four evidence-based guidelines was rated level A and the rest three were rated level B. Totally 14 recommendations which could be divided into three dimensions were summarized from nine guidelines. Conclusion: The overall quality of the included guidelines is high. There are yet no such evidence-based guidelines for China in this field, so national conditions and healthcare settings should be considered before referring to these recommendations in clinical practice.

Key words: neonatal hypoglycemia; clinical guidelines; evidence-based nursing; AGREE II

中图分类号: 

  • R47