摘要
目的:全面检索年龄相关性黄斑病变(Age-related Macular Degeneration,AMD)患者营养支持相关的循证实践指南,并进行严格的质量评价和内容分析,为我国AMD患者营养支持方案的制定和实施提供循证依据。方法:系统检索临床实践指南网站、眼科专业协会和学术组织,以及中英文数据库等,并采用AGREE Ⅱ工具对指南进行质量评价和内容分析。结果:共纳入12部指南,指南总体质量评价为A级2个,B级8个,C级2个。共提取推荐意见44条,列出两大主题危险因素和干预措施(预防、早期和中晚期),并根据推荐意见综合原则最终整合成13条推荐意见。结论:现有的12部指南总体质量一般,其指南开发的参与人员、严谨性、应用性和独立性领域均有待提高。我国目前尚缺乏高质量的AMD营养支持循证实践指南,整合的13条推荐意见具有较好的实践意义,可为我国AMD患者营养干预方案的制定提供循证依据。
Objective:To conduct quality and content analysis of the evidence-based practice guidelines for the development of nutritional support programs for Age-related Macular Degeneration(AMD)patients in China.Methods:The following data base were systematically reviewed:the clinical practice guide websites,ophthalmology professional associations and academic organizations,Chinese and English databases,and other online search engines published guidelines on evidence-based practice for nutritional support for AMD patients.The AGREE II instrument was applied for quality evaluation and content analysis of the guidelines.Results:A total of 12 guidelines were included.The overall quality of the guides was grades A(2),grade B(8),and grade C(2).A total of 13 recommendations were finally integrated to reflect the risk factors and intervention measures.Conclusion:The qualities of the existing 12 guidelines are between middle and high level.The developer of the guidelines,the preciseness,applicability and independence of the guidances need to be improved.Since there is a lack of evidence-based practice guidance for high-quality AMD nutrition support in China,the 13 recommendations integrated can be recommended to provide nutrition support for AMD patients.
作者
卞薇
万君丽
谭明琼
郭文梅
苏君
何文婷
BIAN Wei;WAN Junli;TAN Mingqiong;GUO Wenmei;SU Jun;HE Wenting(Department of Ophthalmology,First Affiliated Hospital of Army Medical University,Chongqing,400038,China)
出处
《中国护理管理》
CSCD
北大核心
2020年第9期1373-1379,共7页
Chinese Nursing Management
基金
重庆市社会科学规划青年项目(2018QNSH42)
陆军军医大学苗圃人才培养项目(XZ-2019-505-054)。
关键词
年龄相关性黄斑病变
营养支持
循证实践指南
质量评价
Age-related Macular Degeneration
nutritional support
evidence-based practice guidelines
quality evaluation
作者简介
卞薇,硕士,副主任护师,硕士生导师,E-mail:664091353@qq.com。
