妊娠期糖尿病女性的产后血糖筛查。
Postpartum glucose screening among women with gestational diabetes.
机构信息
New York Presbyterian Hospital, 3959 Broadway Avenue, New York, NY 10032, United States of America.
Frances Payne Bolton School of Nursing, Case Western Reserve University Cleveland, OH 44106, United States of America.
出版信息
Appl Nurs Res. 2020 Dec;56:151341. doi: 10.1016/j.apnr.2020.151341. Epub 2020 Aug 20.
OBJECTIVE
(1) Determine the rate of completion of glucose screening for diabetes in the postpartum period for women who had gestational diabetes mellitus, and (2) compare the rates of follow up glucose screening among women who had A1GDM or A2GDM 4-12 weeks postoartum.
DESIGN
A retrospective comparative study.
SETTING
An academic hospital in an urban community.
PARTICIPANTS
One hundred and seventy-five women with gestational diabetes who gave birth between January 2012 and September 2015.
METHODS
The electronic medical record was reviewed to confirm diagnosis of gestational diabetes at 24-28 weeks and completion of 4-12 weeks postpartum glucose screening. All consecutive women meeting eligibility criteria were included.
RESULTS
The rate of postpartum glucose screening was 38.9%. There were 22 (31.0%) women with A1GDM and 46 (44.2%) women with A2GDM who had postpartum glucose screening (χ = 3.12, p = 0.08).
CONCLUSIONS
The type of GDM, did not affect the rate of follow-up for postpartum glucose screening. Strategies need to be developed to improve postpartum screening rates in women with gestational diabetes.
目的
(1) 确定患有妊娠期糖尿病的女性在产后期间完成糖尿病血糖筛查的比例，以及 (2) 比较产后 4-12 周时患有 A1GDM 或 A2GDM 的女性进行后续血糖筛查的比例。
设计
回顾性比较研究。
地点
城市社区的一所学术医院。
参与者
175 名 2012 年 1 月至 2015 年 9 月期间分娩的患有妊娠期糖尿病的女性。
方法
回顾电子病历以确认 24-28 周时妊娠期糖尿病的诊断和产后 4-12 周时的血糖筛查完成情况。所有符合入选标准的连续女性均被纳入研究。
结果
产后血糖筛查率为 38.9%。有 22 名（31.0%）患有 A1GDM 的女性和 46 名（44.2%）患有 A2GDM 的女性进行了产后血糖筛查（χ²=3.12，p=0.08）。
结论
GDM 的类型并未影响产后葡萄糖筛查的随访率。需要制定策略来提高患有妊娠期糖尿病的女性的产后筛查率。
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