移动血糖管理在妊娠期糖尿病孕妇中应用的范围综述

摘要：

目的 对移动血糖管理在妊娠期糖尿病孕妇中的应用研究进行范围综述，旨在为临床医护人员开展移动血糖管理相关研究提供参考依据。方法 基于Arksey和O’Malley的范围综述报告框架，检索澳大利亚乔安娜布里格斯研究所循证卫生保健中心图书馆、Cochrane Library、PubMed、Web of Science、Embase、CINAHL Complete、中国生物医学文献数据库、中国知网、万方数据库，检索时限为建库至2023年2月14日，对纳入文献进行筛选、汇总并分析。结果 共纳入65篇文献，来自11个国家，38篇为随机对照试验，27篇为类实验研究。移动血糖管理依托的载体主要包括应用程序、远程监测系统、专业网站、社交平台等；可对孕妇进行健康教育、血糖管理监测与记录、社会支持和血糖管理随访与提醒；研究大多关注孕妇的血糖相关指标及药物使用情况、妊娠结局、自我管理、生活质量、资源成本、用户体验等。结论 移动血糖管理依托载体形式多样，对妊娠期糖尿病孕妇血糖控制具有积极的效果。未来研究需进一步制订本土化的移动血糖管理干预方案，并开展更多高质量的随机对照研究验证其效果。

关键词: 移动医疗, 妊娠期糖尿病, 血糖管理, 范围综述, 围产期, 护理

Abstract:

Objective A scoping review of research on mobile glucose management in pregnant women with gestational diabetes mellitus was conducted to provide references for clinical providers to conduct mobile glucose management and related research. Methods Based on Arksey and O’Malley’s scoping review reporting framework，JBI Library，Cochrane Library，PubMed，Web of Science，Embase，CINAHL Complete，CBM，China National Knowledge In-frastructure（CNKI），and Wanfang Database were retrieved. The search time frame was from the establishment of the databases to February 14，2023. The included literature was screened，summarized and analyzed. Results A total of 65 publications from 11 countries were included，among which 38 were randomized controlled trials，27 were experimental studies. The vehicles relied on for mobile glucose management in gestational diabetes mainly included APPs，remote monitoring systems，professional websites，and social platforms，which could provide health education，glucose management monitoring and recording，social support，and glucose management follow-up and reminders to pregnant women. Most of the studies focus on the glucose index and drug use，pregnancy outcome，self-management，quality of life，user experience and resource cost of pregnant women. Conclusion Mobile glucose management carriers are geographically specific and have a positive effect on glucose control in gestational diabetes. Future studies need to further develop localized mobile glucose management intervention protocols and conduct more high-quality randomized controlled studies to verify their effectiveness.

Key words: Mobile Health, Gestational Diabetes Mellitus, Blood Glucose Management, Scoping Review, Perinatal Period, Nursing Care

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