住院脑卒中患者营养管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2021.05.016

摘要/Abstract

摘要：

目的总结、评价国内外关于住院脑卒中患者营养管理的最佳证据,为临床护理人员提供循证依据。方法检索UpToDate、BMJ best practice、Cochrane图书馆、苏格兰学院间指南网、中国生物医学文献数据库、万方数据库等国内外数据库,检索时间限制为建库至2020年5月1日,由2名研究者使用AGREEⅡ评价指南质量,使用JBI循证卫生保健中心对应的评价标准（2016）对系统评价和专家共识进行质量评价,并进行证据提取及汇总分析。结果纳入16篇文献,包括12篇指南、3篇系统评价和1篇专家共识,形成最佳证据33条,主要内容包括住院脑卒中患者营养风险筛查及评估、营养支持时机及途径选择2部分内容。结论本研究总结了住院脑卒中患者营养管理的最佳证据,能够为临床护理工作人员对住院脑卒中患者营养管理提供科学的依据,由于本研究总结的证据来自多个国家,在应用前应进行充分的临床环境及其他相关因素的评估,以促进护理质量的提升。

关键词: 卒中, 营养疗法, 营养评价, 循证护理学

Abstract:

Objective To summarize and evaluate the best evidence of management of nutrition in stroke patients. Methods We searched evidence in UpToDate,BMJ best practice,the Cochrane Library,Scottish Inter-collegiate Guidelines Network,China Biology Medicine disc,and Wanfang database from their inception to May 1,2020. The quality assessment was conducted by two researchers by using AGREE Ⅱ for guidelines,JBI evidence-based health care center evaluate standards for systematic review,and expert consensus. Results A total of 16 articles were included in this study,including 12 guidelines,3 systematic reviews and 1 expert consensus. Thirty-three pieces of the best evidence were extracted including the nutrition screening and assessment as well as the time and method of nutrition support. Conclusion This study summarized the best evidence of the nutrition support of stroke patients. As evidences are from different countries,we suggest to assess the clinical environment and other related factors before evidence application to promote nursing quality.

Key words: Stroke, Nutrition Therapy, Nutrition Assessment, Evidence-Based Nursing

马珂珂, 郭园丽, 董小方, 杨彩侠, 王爱霞. 住院脑卒中患者营养管理的最佳证据总结[J]. 中华护理教育, 2021, 18(5): 456-463.

MA Ke-ke, GUO Yuan-li, DONG Xiao-fang, YANG Cai-xia, WANG Ai-xia. A summary of best evidence on management of nutrition in stroke patients[J]. Chinese Journal of Nursing Education, 2021, 18(5): 456-463.

图/表 3

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