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作 者:杨紫燕 余姜璇 俞国红[2] 曹敏 Yang Ziyan;Yu Jiangxuan;Yu Guohong;Cao Min(School of Nursing,Zhejiang Chinese Medicine University,Hangzhou 310053,China;Office of Management,the First Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou 310000,China)
机构地区:[1]浙江中医药大学护理学院,杭州310053 [2]浙江中医药大学附属第一医院管理办公室,杭州310000
出 处:《中华现代护理杂志》2023年第27期3703-3709,共7页Chinese Journal of Modern Nursing
基 金:浙江省中医药科技计划项目(2020ZA049)。
摘 要:目的检索、评价和综合乳腺癌患者营养管理的相关证据,为医护人员制订并开展科学、规范的乳腺癌患者营养管理提供参考。方法系统检索国内外计算机决策支持系统、指南网站、数据库和专业网站关于乳腺癌患者营养管理的证据,主要包括临床实践指南、专家共识、临床决策、系统评价及证据总结等,检索时限为建库至2023年5月13日。结果共纳入14篇文献,包括3篇指南、5篇专家共识、6篇系统评价,总结了营养筛查与评估、营养干预、营养素选择、营养途径及制剂选择、随访检测和营养教育6个类别,共33条证据。结论该研究总结了乳腺癌患者营养管理相关的最佳证据,具有一定的科学性与实用性,可为医护人员指导患者进行个性化营养管理提供循证依据。ObjectiveTo retrieve,evaluate and synthesize the relevant evidence of nutritional management for breast cancer patients,so as to provide reference for medical staff to formulate and carry out scientific and standardized nutrition management for breast cancer patients.MethodsDomestic and foreign computer decision support systems,guideline websites,databases and professional websites were systematically searched for evidence on nutritional management of breast cancer patients,mainly including clinical practice guidelines,expert consensus,clinical decision-making,systematic review and evidence summary,etc.The search period was from the establishment of the database to May 13,2023.ResultsA total of 14 articles were included,including 3 guidelines,5 expert consensus papers and 6 systematic evaluations.A total of 33 pieces of evidence were summarized in 6 categories,such as nutritional screening and evaluation,nutritional intervention,nutrient selection,nutritional pathway and formulation selection,follow-up testing and nutritional education.ConclusionsThis study summarizes the best evidence related to nutritional management of breast cancer patients,which is scientific and practical,and can provide evidence-based evidence for medical staff to guide patients to conduct personalized nutritional management.
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