Best evidence summary for diabetes management after heart transplantation
10.3760/cma.j.cn115682-20240709-03809
- VernacularTitle:心脏移植术后糖尿病管理的最佳证据总结
- Author:
Jingni HU
1
;
Jianping SONG
;
Yingying JIA
;
Shuting ZHU
;
Yike WANG
Author Information
1. 浙江中医药大学护理学院，杭州 310006
- Publication Type:Journal Article
- Keywords:
Heart transplantation;
Diabetes;
Post transplantation diabetes mellitus;
Prevention;
Management;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(15):1981-1987
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate, and synthesize the best evidence for the management of diabetes in patients after heart transplantation, in order to provide reference for blood glucose management in subsequent patients within transplant teams.Methods:Following the "6S" model, a systematic search was conducted for guidelines, expert consensus, systematic reviews, and primary studies on the management and prevention of diabetes mellitus after heart transplantation. The search period was from database inception to May 22, 2024. The articles were assessed for quality and evidence grading using the Joanna Briggs Institute Evidence-Based Health Care Center's quality appraisal standards and evidence grading and recommendation grading system.Results:A total of 11 articles were included, consisting of three guidelines, six expert consensus papers, and two systematic reviews. These studies covered six key areas: early risk factor assessment, expansion of post transplantation diabetes mellitus screening trials, management of modifiable risk factors, lifestyle changes, implementation of personalized blood sugar reduction plans, and microvascular complication management. A total of 33 relevant pieces of evidence were summarized.Conclusions:The transplant team should formulate personalized blood glucose management plans based on clinical contexts, and heart transplant recipients should also actively engage in blood glucose monitoring and management to improve prognosis.
