摘要：

目的 對(duì)移動(dòng)血糖管理在妊娠期糖尿病孕婦中的應(yīng)用研究進(jìn)行范圍綜述，旨在為臨床醫(yī)護(hù)人員開(kāi)展移動(dòng)血糖管理相關(guān)研究提供參考依據(jù)。方法 基于Arksey和O’Malley的范圍綜述報(bào)告框架，檢索澳大利亞喬安娜布里格斯研究所循證衛(wèi)生保健中心圖書(shū)館、Cochrane Library、PubMed、Web of Science、Embase、CINAHL Complete、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)、中國(guó)知網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)，檢索時(shí)限為建庫(kù)至2023年2月14日，對(duì)納入文獻(xiàn)進(jìn)行篩選、匯總并分析。結(jié)果 共納入65篇文獻(xiàn)，來(lái)自11個(gè)國(guó)家，38篇為隨機(jī)對(duì)照試驗(yàn)，27篇為類實(shí)驗(yàn)研究。移動(dòng)血糖管理依托的載體主要包括應(yīng)用程序、遠(yuǎn)程監(jiān)測(cè)系統(tǒng)、專業(yè)網(wǎng)站、社交平臺(tái)等；可對(duì)孕婦進(jìn)行健康教育、血糖管理監(jiān)測(cè)與記錄、社會(huì)支持和血糖管理隨訪與提醒；研究大多關(guān)注孕婦的血糖相關(guān)指標(biāo)及藥物使用情況、妊娠結(jié)局、自我管理、生活質(zhì)量、資源成本、用戶體驗(yàn)等。結(jié)論 移動(dòng)血糖管理依托載體形式多樣，對(duì)妊娠期糖尿病孕婦血糖控制具有積極的效果。未來(lái)研究需進(jìn)一步制訂本土化的移動(dòng)血糖管理干預(yù)方案，并開(kāi)展更多高質(zhì)量的隨機(jī)對(duì)照研究驗(yàn)證其效果。

關(guān)鍵詞: 移動(dòng)醫(yī)療, 妊娠期糖尿病, 血糖管理, 范圍綜述, 圍產(chǎn)期, 護(hù)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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