Lawrence Robyn L, Wall Clare R, Bloomfield Frank H, Crowther Caroline A
The Liggins Institute, University of Auckland, Auckland, New Zealand.
Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Nutr Diet. 2017 Feb;74(1):95-104. doi: 10.1111/1747-0080.12311. Epub 2016 Sep 19.
The aim of this study was to evaluate dietetic practice in the management of gestational diabetes in New Zealand, compare this with evidence-based guidelines and determine the need for New Zealand-specific evidence-based nutrition practice guidelines for gestational diabetes.
A 64-item cross-sectional online survey of New Zealand-registered dietitians providing care to women with gestational diabetes was undertaken. Participants were recruited through Dietitians New Zealand, District Health Boards and private practices across New Zealand. The survey examined dietetic service provision, management recommendations, guideline use, service evaluation, compliance with national and international guidelines and the perceived need for New Zealand-specific evidence-based guidelines for the nutritional management of gestational diabetes.
Thirty-three (62%) eligible dietitians participated in the survey. There was significant variation in dietetic services and management recommendations. Nine (28%) dietitians felt the service within which they worked did not offer adequate dietetic services for women with gestational diabetes. Compliance with national and international evidence-based guidelines ranged from 28 to 100% depending on the recommendation. Twenty-five (76%) respondents felt there was a need for New Zealand-specific evidence-based nutrition practice guidelines for gestational diabetes.
These results highlight differences in dietetic services and practice in New Zealand and variations in compliance with local and international evidence-based guidelines. The development of New Zealand-specific evidence-based nutrition practice guidelines for gestational diabetes is supported.
本研究旨在评估新西兰妊娠期糖尿病管理中的饮食实践，将其与循证指南进行比较，并确定是否需要针对新西兰的妊娠期糖尿病循证营养实践指南。
对为妊娠期糖尿病女性提供护理的新西兰注册营养师开展了一项包含64个项目的横断面在线调查。通过新西兰营养师协会、地区卫生委员会和新西兰各地的私人诊所招募参与者。该调查考察了饮食服务提供情况、管理建议、指南使用情况、服务评估、对国家和国际指南的遵循情况，以及对针对新西兰的妊娠期糖尿病营养管理循证指南的感知需求。
33名（62%）符合条件的营养师参与了调查。饮食服务和管理建议存在显著差异。9名（28%）营养师认为他们工作的机构没有为妊娠期糖尿病女性提供足够的饮食服务。根据建议的不同，对国家和国际循证指南的遵循率在28%至100%之间。25名（76%）受访者认为需要针对新西兰的妊娠期糖尿病循证营养实践指南。
这些结果凸显了新西兰饮食服务和实践的差异，以及对本地和国际循证指南遵循情况的差异。支持制定针对新西兰的妊娠期糖尿病循证营养实践指南。
