@Article{信息:doi 10.2196 / / jmir。5615，作者=“Nwolise, Chidiebere Hope and Carey, Nicola and Shawe, Jill”，标题=“糖尿病女性的孕前护理教育:常规和数字健康干预的系统回顾”，期刊=“J Med Internet Res”，年=“2016”，月=“11”，日=“08”，卷=“18”，数=“11”，页=“e291”，关键词=“孕前护理;教育;糖尿病;女性;审查;智能手机;移动应用程序;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。 However, traditional preconception care advice provided by health care professionals (HCPs) within clinic settings is hindered by inadequate resources, suboptimal coverage, and busy clinics. Electronic health (eHealth), which is instrumental in solving problems around scarce health resources, could be of value in overcoming these limitations and be used to improve preconception care and pregnancy outcomes for women with DM. Objective: The objectives were to: (1) identify, summarize, and critically appraise the current methods of providing PCC education; (2) examine the relationship between PCC educational interventions (including use of technology as an intervention medium) on patient and behavioral outcomes; and (3) highlight limitations of current interventions and make recommendations for development of eHealth in this field. Methods: Electronic databases were searched using predefined search terms for PCC education in women with type 1 or 2 DM for quantitative studies from 2003 until June 2016. Of the 1969 titles identified, 20 full papers were retrieved and 12 papers were included in this review. 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. ", issn="1438-8871", doi="10.2196/jmir.5615", url="//www.mybigtv.com/2016/11/e291/", url="https://doi.org/10.2196/jmir.5615", url="http://www.ncbi.nlm.nih.gov/pubmed/27826131" }