神经性厌食患者饮食行为管理的最佳证据总结  

Best evidence summary for the management of eating behaviors in patients with anorexia nervosa

作　　者：黄楚贤 施忠英[1] 罗晨 李红艳 HUANG Chuxian;SHI Zhongying;LUO Chen;LI Hongyan

机构地区：[1]上海交通大学医学院附属精神卫生中心护理部,上海市200025 [2]上海交通大学护理学院

出　　处：《中华护理杂志》2023年第8期993-1000,共8页Chinese Journal of Nursing

基　　金：上海交通大学医学院护理科研重点项目(Jyhz2203);上海交通大学医学院公共卫生事件应急处置“护理预备队”实训基地建设项目(GWV-5-TB009)。

摘　　要：目的检索、评价并整合国内外神经性厌食患者饮食行为管理的相关证据,为临床护理提供参考。方法系统检索国内外数据库中有关神经性厌食患者饮食行为管理的临床决策、推荐实践、证据总结、临床实践指南、系统评价/Meta分析和专家共识。检索时限为建库至2022年2月,由3名研究者对文献进行方法学质量评价,并根据主题对证据进行提取和汇总。结果共纳入16篇文献,其中临床决策2篇,证据总结2篇,指南9篇,系统评价3篇。从多学科团队、管理目标、评估、管理实践、心理治疗、健康教育6个方面汇总26条最佳证据。结论该研究总结了神经性厌食患者饮食行为管理的最佳证据,在后续证据转化过程中应结合国内临床具体情境,有针对性地选择证据,以规范患者饮食行为,改善其临床结局。Objective To search,evaluate and integrate relevant evidence on the management of eating behaviors in patients with anorexia nervosa(AN)at home and abroad,so as to provide references for clinical practice.Methods We systematically searched the domestic and foreign databases to collect the evidence on the management of eating behaviors in patients with AN,including clinical decisions,recommended practice,evidence summaries,clinical practice guidelines,systematic reviews and expert consensuses.The time for the retrieval is from the inception of databases until February 2022.There were 3 researchers who evaluated the quality of the literature,and extracted and summarized the evidence based on this subject.Results A total of 16 articles were included,including 2 clinical decisions,2 evidence summaries,9 guidelines,and 3 systematic reviews.Totally 26 pieces from 6 aspects of evidence were summarized,including multidisciplinary team,management goals,assessment,management practice,psychotherapy and health education.Conclusion This study summarizes the best evidence for the management of eating behaviors in patients with AN.In the follow-up process of evidence transformation,specific clinical situations in China should be considered to select evidence in a targeted manner,in order to standardize the eating behaviors of patients and improve their clinical outcomes.

关 键 词：神经性厌食 精神障碍 饮食行为管理 证据总结 精神病护理学 循证护理学 

分 类 号：R473.74[医药卫生—护理学]