妊娠期糖尿病妇女的产前和产时护理:最佳做法实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2023-12-01 DOI:10.1097/XEB.0000000000000392
Daniela Stan, Doina C Mazilu, Mariana Zazu, Viorica Nedelcu, Monica Teodor, Elvira Brătilă, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová
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引用次数: 0

摘要

目的:本项目旨在通过提高护理和助产护理对最佳实践建议的依从性,提高妊娠期糖尿病(GD)妇女的产前和产中护理质量。GD是最常见的疾病之一,可导致几种重要的母体和胎儿并发症。方法:本项目基于JBI的证据实施方法,包括基线审计、策略实施和随访审计。该项目在布加勒斯特一家医院的妇产科进行,样本包括该病房30名患有GD的孕妇。结果:关于产前保健,基线审计显示标准2(特殊教育)、标准3(多学科团队)、标准4(个性化护理计划)、标准5(自我监测培训)、标准8(营养师咨询)和标准10(体育锻炼计划)的依从性较低(63%-87%)。对标准9(物理治疗师咨询)的依从性为零。标准1 (GD筛查)、标准6(自我监测)和标准7(维持血糖值)的依从性较高(90%-100%)。关于维持血糖水平的产时护理审计标准的依从率分别为97%(标准13和14)、73%(标准11)和67%(标准12)。由于执行了最适当的战略,在基线审计中发现的所有12项审计标准都得到了最大程度的改进。结论:确定了策略并应用于成功实施最佳实践(教育计划和改进的程序)。但是,需要采取具体行动,例如定期有目标的审计和持续监测,以保持长期结果。
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Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project.

Objectives: This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.

Introduction: GD is one of the most common diseases that can lead to several important maternal and fetal complications.

Methods: This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.

Results: Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.

Conclusions: Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.

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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
期刊最新文献
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