Summary of evidence for nutritional management in patients with digestive tract tumors undergoing chemotherapy
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维普
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目的 评价并总结国内外关于消化道肿瘤化疗患者营养管理的最佳证据.方法 检索Up to Date、Co-chrane Library、BMJ Best Practice、英国国家与卫生临床优化研究所指南库、加拿大安大略注册护士协会网、国际指南协作网、美国指南网、苏格兰校际指南网络、Web of Science、PubMed、中国知网、万方等数据库,获取关于消化道肿瘤化疗患者营养管理相关所有证据.检索时限为建库至2024年4月8日.结果 共纳入12篇文献,包括8篇指南,1篇专家共识,3篇临床决策,从团队、筛查与评估、营养干预时机、营养支持方式、营养需求、症状管理、活动锻炼、家庭营养、健康教育9个方面汇总出36条最佳证据.结论 消化道肿瘤化疗患者营养管理的的最佳证据总结涵盖营养评估、干预等多个方面,内容制定科学、全面,为医护人员进行临床转化,制定标准的、规范的、系统的营养治疗的最佳实践方案提供参考依据.
Objective To evaluate and summarize the best national and international evidence on the nutritional management of patients undergoing chemotherapy for gastrointestinal tumors.Methods All the evidences related to the nutritional management of the patients with gastrointestinal cancer undergoing chemotherapy were retrieved from Up to Date,Cochrane Library,BMJ Best Practice,National Institute for Health and Care Excellence,Registered NursesAssociation of Ontario,Guidelines International Network,National Guideline Clearinghous,Scottish Inter-collegiate Guidelines Network,Web of science,Pubmed,CNKI,Wanfang,and other databases.The retrieval dead-line was from database establishment to April 8,2024.Results A total of 12 papers were included,including 8 guide-lines,1 expert consensus,and 3 clinical decision,and 36 pieces of best evidence were summarized in 9 aspects:Team,screening and assessment,timing of nutritional interventions,nutritional support modalities,nutritional needs,symptom management,exercise,home nutrition,and health education.Conclusion The summary of best evi-dence for nutritional management of chemotherapy patients with digestive tract tumors covers many aspects of nutri-tional assessment and intervention,and the content is formulated in a scientific and comprehensive manner,which provides a reference basis for healthcare professionals to carry out clinical translations and to develop a standard,normative,and systematic best-practice plan for nutritional therapy.