Best evidence and clinical practice of glycemic management in newborns with gestational diabetes mellitus during hospitalization
GONG Jiamei
GENG Li
MA Fang
ZHONG Qinghua
BAI Yangjuan
HOU Xiaomei
LI Yan
Abstract：Objective:To summarize the best evidence from studies related to the management of neonatal glucose in women with gestational diabetes mellitus(GDM),and to validate its clinical application in clinical practice.Methods:A systematic search of relevant literature on glycemic management during hospitalization of maternal neonates with GDM was conducted,and the literature was evaluated for quality and evidence summarized to form a total of 14 best evidence for prevention,monitoring,and care for glycemic management of maternal neonates with GDM.A total of 14 pieces of best evidence for prevention,monitoring,and care of maternal glucose management in GDM newborns were developed based on the FAME principle,14 review indicators were generated,a baseline review was conducted,and care responses were developed after analyzing barriers.Nurses in the obstetrics department of the First Affiliated Hospital of Kunming Medical University and GDM maternal neonates hospitalized during this period were selected for the review in December 2022-2023 for clinical practice,and the adherence rates and knowledge scores of nurses to the review indicators,as well as the incidence of hypoglycemia and referral rates of GDM maternal neonates before and after the application of the evidence were observed.Results:After the application of the evidence,the nurses'knowledge of neonatal glucose management improved,and the difference was statistically significant(P<0.05);among the compliance rates of the reviewed indicators,the comparison of the compliance rates of warmth and feeding,assessing and identifying high-risk factors,correctly identifying the clinical manifestations of hypoglycemia,detecting hunger signals,the frequency of feeding in the event of hunger,the duration of breastfeeding,and supplemental preparations,the difference before and after evidence application was statistically significant(P<0.05);and the neonatal referral rate decreased(P<0.05).Conclusion:The standardized management process based on the evidence-based methodology of this study can improve the professional skills of nurses,ensure the effectiveness of the treatment of hypoglycemia in newborns,reduce the referral rate of pediatrics,and form a closed-loop process of patient management with the joint efforts of"doctors-nurses-obstetrics-pediatrics",and optimize nursing routines and operation skills.The nursing routine and operation skills were optimized.
Keywords：neonatal hypoglycemiaglycemic managementgestational diabetesbest evidenceevidence-based nursingclinical practice
Publication Date：2025-04-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 1492-1500 )