胃癌患者围术期营养管理方案的构建  

Development of a perioperative nutrition management program for gastric cancer patients

作　　者：季红敏 李秀川[2] 刘春芳[1] 王姗[3] 张婕 Ji Hongmin;Li Xiuchuan;Liu Chunfang;Wang Shan;Zhang Jie(Department of Cancer Surgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)

机构地区：[1]蚌埠医学院第一附属医院肿瘤外科,安徽蚌埠233000 [2]蚌埠医学院第一附属医院护理部,安徽蚌埠233000 [3]蚌埠医学院第一附属医院康复科,安徽蚌埠233000 [4]蚌埠医学院护理学院

出　　处：《护理学杂志》2024年第1期31-36,共6页Journal of Nursing Science

基　　金：安徽省护理学会青年项目(AHHLa202118);蚌埠医学院人文社会科学重点项目(2021byzd267sk)。

摘　　要：目的构建胃癌患者围术期营养管理方案,为临床营养管理实践提供参考。方法采用循证方法检索文献并提取最佳证据,结合9名临床专家经验访谈,形成胃癌患者围术期营养管理方案初稿。采用德尔菲法对15名专家进行专家函询。结果2轮专家函询有效回收率均为100%,专家权威程度分别为0.92、0.95,总体肯德尔和谐系数分别为0.205、0.218(均P<0.05)。最终形成包含营养管理模式、营养风险筛查和评估、术前营养干预、术后营养干预、营养支持监测与护理、出院宣教6项一级指标,16项二级指标,42项三级指标的营养管理方案。结论胃癌患者围术期营养管理方案涵盖围术期营养管理全过程,具有较好的可靠性和实用性,可进一步开展临床验证研究。Objective To develop a perioperative nutrition management program for gastric cancer patients and to provide a reference for clinical practice.Methods The best evidence was identified through evidence-based reviews,then 9 experts were interviewed to develop the draft of the perioperative nutrition management program for gastric cancer.Fifteen experts were consulted using Delphi technique to obtain their agreement.Results All experts returned their questionnaires.The coefficient of authority was 0.92 in Delphi round 1 and 0.95 in Delphi round 2,and the Kendall's coefficient of concordance was 0.205 in round 1 and 0.218 in round 2,respectively(both P<0.05).The nutrition management program included 6 primary indicators,16 secondary indicators,and 42 tertiary indicators.The primary indicators were nutrition management mode,nutritional risk screening and assessment,preoperative nutrition intervention,postoperative nutrition intervention,nutritional support monitoring and care,and discharge education.Conclusion The perioperative nutrition management program for gastric cancer patients demonstrates good validity and practicality.Further studies can be conducted to validate the effectiveness.

关 键 词：胃癌 围术期 营养管理 营养支持 营养筛查 循证 德尔菲法 护理方案 

分 类 号：R473.6[医药卫生—护理学] R735.2[医药卫生—临床医学]