杂志文章%@ 1438- 8871% I JMIR出版物%V 18% 卡塔尔世界杯8强波胆分析N 11% P e291% T糖尿病妇女孕前护理教育:常规和数字健康干预的系统综述%A Nwolise,Chidiebere Hope %A Carey,Nicola %A Shawe,Jill %+萨里大学健康与医学科学学院，英国GU2 7XH吉尔福德肯特公爵大楼五楼，44 1483686717，c.nwolise@surrey.ac.uk %K孕前护理%K教育%K糖尿病%K女性%K综述%K智能手机%K移动应用%K技术%D 2016 %7 08.11.2016 %9综述%J J医学互联网Res %G英语%X背景:全球有1.995亿女性患有糖尿病(DM)。从青春期开始的孕前护理(PCC)教育被认为是保障孕产妇和儿童健康的有效战略。然而，由卫生保健专业人员(HCPs)在诊所环境中提供的传统孕前护理建议受到资源不足、覆盖面不佳和诊所繁忙的阻碍。电子健康(eHealth)有助于解决围绕稀缺卫生资源的问题，可以在克服这些局限性方面具有价值，并用于改善糖尿病妇女的孕前护理和妊娠结局。目的:目的是:(1)识别、总结和批判性地评估目前提供PCC教育的方法;(2)检查PCC教育干预(包括使用技术作为干预媒介)与患者和行为结果之间的关系;(3)强调当前干预措施的局限性，并为该领域的电子卫生发展提出建议。方法:从2003年到2016年6月，使用预定义的搜索词搜索1型或2型糖尿病妇女PCC教育的电子数据库进行定量研究。在1969年确定的标题中，检索了20篇全文，其中12篇论文被收录在本综述中。 Results: The reviewed studies consistently reported that women receiving educational interventions via health care professionals and eHealth had significantly improved levels of glycosylated hemoglobin (P<.001) with fewer preterm deliveries (P=.02) and adverse fetal outcomes (P=.03). Significant improvements in knowledge (P<.001) and attitudes toward seeking PCC (P=.003) were reported along with reduced barriers (P<.001). Conclusions: PCC has a positive effect on pregnancy outcomes for women with DM. However, uptake of PCC is low and the use of eHealth applications for PCC of women with DM is still in its infancy. Initial results are promising; however, future research incorporating mobile phones and apps is needed. Clearly, there is much to be done if the full potential of eHealth PCC to improve obstetric outcomes for women with DM is to be realized. %M 27826131 %R 10.2196/jmir.5615 %U //www.mybigtv.com/2016/11/e291/ %U https://doi.org/10.2196/jmir.5615 %U http://www.ncbi.nlm.nih.gov/pubmed/27826131