妊娠期糖尿病产妇产后随访清单的构建与应用

doi:10.3761/j.issn.1672-9234.2024.04.001

摘要/Abstract

摘要：

目的构建妊娠期糖尿病产妇产后随访清单，以规范妊娠期糖尿病产妇产后随访内容及流程。方法以证据为基础构建妊娠期糖尿病产后随访清单初稿。于2023年3月—5月采用德尔菲法对18名专家进行2轮函询，根据专家意见修改，形成试用版妊娠期糖尿病产后随访清单；2023年5月，便利选取20名妊娠期糖尿病产妇初步试用该随访清单，再次修订后形成清单终稿。结果 2轮专家函询的积极系数均为100%（18/18）；专家权威系数为0.914、0.919；Kendall协调系数分别为0.214、0.188（均P<0.001）。最终形成的妊娠期糖尿病产妇产后随访清单包括6个一级条目（产后糖脂代谢管理状况、健康行为管理状况、产后心理状况、子代健康状况、家庭社会支持状况、产后健康指导）、18个二级条目及46个三级条目。清单初步试用阶段，随访时长为3.45~10.18（5.76±1.89） min/次，随访护士及受访产妇对随访清单的作用予以肯定，并增加一份妊娠期糖尿病产后护理健康指导手册。结论本研究构建的产后随访清单内容科学、全面，能为妊娠期糖尿病产妇产后随访提供参考。

关键词: 妊娠期糖尿病, 产后护理, 随访, 清单, 德尔菲技术

Abstract:

Objective To construct a checklist of postpartum follow-up of gestational diabetes mellitus （GDM） parturients，and standardize the content and process of postpartum follow-up of GDM parturients. Methods We developed the first draft postpartum follow-up checklist for gestational diabetes mellitus based on an evidence-based approach. The Delphi method was used to conduct two rounds of correspondence consultation with 18 experts，and the postpartum follow-up checklist of GDM was formed. The follow-up checklist was preliminarily applied，and the final list was formed after the revision. Results The positive coefficients of experts in both rounds of correspondence were 100%；the authority coefficients of experts were 0.914 and 0.919，Kendall harmony coefficients were 0.214 and 0.188，respectively（all P<0.001）.The final list of postpartum follow-up of GDM parturients contained six primary indicators（postpartum glucose and lipid metabolism status，health behavior management status，postpartum psychological status，offspring health status，family social support status，and postpartum health guidance），18 secondary indicators，and 46 tertiary indicators. Meanwhile，a health guidance manual for postpartum care of GDM was formed. Conclusion The content of postpartum follow-up list constructed in this study is scientific and comprehensive，which can provide a basis for postpartum follow-up of pregnant women with gestational diabetes.

Key words: Gestational Diabetes Mellitus, Postnatal Care, Follow Up, Checklist, Delphi Technique

盖莹, 李唱, 张继敏, 耿小婷, 姜海龙, 李淑英, 郭艳巍. 妊娠期糖尿病产妇产后随访清单的构建与应用[J]. 中华护理教育, 2024, 21(4): 389-396.

GAI Ying, LI Chang, ZHANG Jimin, GENG Xiaoting, JIANG Hailong, LI Shuying, GUO Yanwei. Construction and application of a postpartum follow-up checklist for gestational diabetes mellitus[J]. Chinese Journal of Nursing Education, 2024, 21(4): 389-396.

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