摘要
目的检索、评价并总结国内外肿瘤患者家庭肠内营养护理的最佳证据,为实施家庭肠内营养护理提供参考依据。方法本研究对PubMed、BMJ Best Practice、Up To Date、The Cochrane Library、英国国家卫生与临床优化研究所(NICE)、加拿大安大略注册护士联合会网站(RNAO)、医脉通临床指南网、中国知网、万方数据库、维普数据库等数据库进行系统检索,全面检索关于肿瘤患者家庭肠内营养护理的证据,基于“6S”证据金字塔模型选取临床决策、指南、系统评价/meta分析、证据总结、专家共识、随机对照试验等。检索时间范围从2013年12月1日至2023年12月1日。由具有循证医学背景的研究人员进行文献质量评价和资料提取。结果共纳入文献23篇,其中指南8篇,专家共识4篇,证据总结3篇,系统评价6篇,随机对照研究2篇。归纳出包括肿瘤患者家庭肠内营养护理的最佳照护团队、筛查与评定、实施与评价、营养教育4个方面22条最佳证据。结论本研究为肿瘤患者家庭肠内营养护理提供循证证据,从而提升肿瘤患者营养管理质量。
Objective To retrieve,evaluate,and summarize the best evidence on home enteral nutrition care for oncology patien ts at home and abroad,and to provide a reference basis for implementing home enteral nutrition care.Method This study conducteda systematic search of PubMed,Up To Date,The Cochrane Library,National Institute for Health and Clinical Excellence(NICE),Regi steredNurses'AssoC iation of Ontario(RNAO),MedLive Clinical Guidelines,China Knowledge Network,Wanfang Database,VIPand other databases.Registered Nurses'AssoC iation of Ontario(RNAO),Clinical Guidelines,China Knowledge Network,Wan fangDatabase,and VIP,etc.We conducted a systematic search to comprehensively retrieve evidence on home enteral nutrition carefor oncology patients,and selected clinical evidence based on the"6S"evidence pyramid model.Based on the"6S"evidence pyramidmodel,we selected clinical decisions,guidelines,systematic aluations/Meta-analyses,evidence summaries,expert cons ensus,randomized controlled trials,and so on.The time frame of the evsearch was from December 1,2013 to December 1,2023,andwas based on the"6S"evidence pyramid model.Literature qual ity assessment and data extraction were performed independently by 2 persons with evidence-based professional background.Result Atotal of 23 publications were included,including 8 guidelines,4 expert consensus,3 evidence summaries,6 systematic evaluations,and 2 randomized controlled studies.Twenty-two pieces of best evidence were summarizedin 4 areas including optimal care team,screening and assessment,implementation and evaluation,and nutrit ioneducation for home enteral nutrition care in oncology patients.Conclusion This study provides evidence-based evidence for homeenteral nutrition care for oncology patients,thereby improving the quality of nutritional management for oncology patients.
作者
孙露露
谌永毅
董珊
郭苗苗
袁玲
Sun Lulu;Chen Yongyi;Dong Shan;Guo Miaomiao;Yuan Ling(Department of Oncology,Gulou Hospital,Nanjing University School of Medicine,Nanjing 210008,Jiangsu,China;Department of Nursing,Hunan Cancer Hospital,Changsha 410013,Hunan,China)
出处
《肿瘤代谢与营养电子杂志》
2024年第3期344-352,共9页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
中国初级卫生保健基金会课题项目(20230413-1001)。
关键词
肿瘤患者
家庭肠内营养
证据总结
护理
Oncology patients
Home enteral mutrition
Summary of evidence
Nursing
作者简介
通信作者:袁玲,电子邮箱:yuanling@njglyy.com。
