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妊娠期糖尿病护理管理的视角:一种观点。

Perspective on the nursing management for gestational diabetes mellitus: A perspective.

作者信息

Fan Ya-Ting, Wang Xin-Hui, Wang Qing, Luo Xiao-Tong, Cao Jing

机构信息

Department of Obstetrics, Baoji People's Hospital, Baoji, China.

出版信息

Medicine (Baltimore). 2025 Mar 21;104(12):e41862. doi: 10.1097/MD.0000000000041862.

Abstract

This study provides a comprehensive examination of gestational diabetes mellitus (GDM), shedding light on the geographical and ethnic variations in its prevalence. It elucidates the diagnostic evolution, noting the transition from rudimentary glucose tests to the more sophisticated Oral Glucose Tolerance Test (OGTT), which not only facilitates early detection but also standardizes screening protocols. The study delves into the evolution of GDM diagnosis, emphasizing the standardization of the OGTT and its pivotal role in enhancing early detection rates. It meticulously discusses holistic management approaches for GDM, encompassing tailored dietary interventions, prescribed physical activity, and pharmacotherapy. The need for individualized strategies to optimize glucose control is strongly emphasized. The study underscores the significance of mental health in GDM management, advocating for integrated psychological support and stress management interventions to bolster metabolic regulation. An exploration of telemedicine and artificial intelligence highlights their potential to revolutionize GDM care by enabling real-time monitoring and personalized interventions, thus improving patient outcomes. An analysis of health policies and educational efforts underscores their impact on GDM management, advocating for proactive measures to mitigate its prevalence through public health initiatives. The study identifies key research gaps and offers a focused analysis of critical advancements in GDM management, including personalized care strategies and the role of innovative technologies such as artificial intelligence and telemedicine in improving outcomes. Finally, the study calls for further research into personalized treatment modalities and innovative diagnostic tools to address existing gaps in GDM management, particularly in diverse demographic groups.

摘要

本研究对妊娠糖尿病(GDM)进行了全面审视,揭示了其患病率在地理和种族方面的差异。它阐明了诊断方法的演变,指出从基本的血糖测试过渡到更复杂的口服葡萄糖耐量试验(OGTT),这不仅有助于早期检测,还使筛查方案标准化。该研究深入探讨了GDM诊断的演变,强调了OGTT的标准化及其在提高早期检测率方面的关键作用。它详细讨论了GDM的整体管理方法,包括量身定制的饮食干预、规定的体育活动和药物治疗。强烈强调了采用个性化策略优化血糖控制的必要性。该研究强调了心理健康在GDM管理中的重要性,倡导综合心理支持和压力管理干预措施以加强代谢调节。对远程医疗和人工智能的探索突出了它们通过实现实时监测和个性化干预来彻底改变GDM护理的潜力,从而改善患者预后。对卫生政策和教育努力的分析强调了它们对GDM管理的影响,倡导采取积极措施通过公共卫生举措减轻其患病率。该研究确定了关键研究差距,并对GDM管理的关键进展进行了重点分析,包括个性化护理策略以及人工智能和远程医疗等创新技术在改善预后方面的作用。最后,该研究呼吁进一步研究个性化治疗方式和创新诊断工具,以解决GDM管理中存在的差距,特别是在不同人群中。

相似文献

8
[Gestational diabetes mellitus (Update 2019)].[妊娠期糖尿病(2019年更新)]
Wien Klin Wochenschr. 2019 May;131(Suppl 1):91-102. doi: 10.1007/s00508-018-1419-8.

本文引用的文献

6
Gestational diabetes mellitus.妊娠期糖尿病。
Nat Rev Dis Primers. 2019 Jul 11;5(1):47. doi: 10.1038/s41572-019-0098-8.

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