首页|头颈癌放疗患者家庭肠内营养支持管理的最佳证据总结

头颈癌放疗患者家庭肠内营养支持管理的最佳证据总结

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目的 总结头颈癌放疗患者家庭肠内营养管理的最佳证据,为临床决策和管理提供循证依据.方法 检索国内外数据库及网站中自建库至2023年12月关于头颈癌放疗患者家庭肠内营养的临床决策、指南、证据总结、专家共识、系统评价、随机对照试验等,对各类研究进行文献质量评价后提取证据.结果 共纳入17篇文献,总结包括家庭肠内营养的评估与启动、家庭肠内营养的实施、患者自我管理、组织管理、营养监测与随访5个方面共30条证据.结论 总结的头颈癌放疗患者家庭肠内营养最佳证据,可为开展家庭肠内营养实践提供指引.
Standardized management of home enteral nutrition in patients with head and neck cancer radiotherapy:summary of the best evidence
Objective To summarize the best evidence regarding the standardized management of home enteral nutrition(HEN)for patients with head and neck cancer undergoing radiotherapy,to offer evidence-based recommendations and guidance for clinical de-cision-making and practice.Methods A comprehensive search was conducted across domestic and international databases and web-sites up to December 2023 to identify relevant clinical guidelines,expert consensus statements,systematic reviews,and randomized controlled trials on HEN in head and neck cancer patients undergoing radiotherapy.The included publications were subjected to rigorous quality assessment.Results A total of 17 studies were included and 30 pieces of evidence were extracted and factored into 5 domains:assessment and initiation of HEN,administration of HEN,patient self-care,nutrition monitoring and fol-low-up,and organizational strategies for HEN management.Conclusion By synthesizing the best available evidence on HEN in head and neck cancer patients receiving radiotherapy,this study offers valuable insights for the implementation of effective nutri-tional support practices.

head and neck cancerradiation therapymalnutritionhome enteral nutritionstandardized managementhome careevidence summaryevidence-based nursing

兰红珍、王玫、徐嘉琪、张诗怡、何细飞

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华中科技大学同济医学院附属同济医院综合科(湖北武汉,430030)

华中科技大学同济医学院附属同济医院内科(湖北武汉,430030)

头颈癌 放疗 营养不良 家庭肠内营养 营养支持管理 居家护理 证据总结 循证护理

中华医学会杂志社护理学科研究课题(2021-2022)

CMAPH-NRP2021007

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(12)
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