基于最佳实践证据鼻咽癌放化疗患者营养管理方案的制定  

Formulation of the Best Practice Evidence-Based Nutrition Management Protocol for Nasopharyngeal Carcinoma Patients Undergoing Chemoradiotherapy

作　　者：程懿[1] 刘欢 马亚[1] 杨桃[2] 胡雯[1] CHENG Yi;LIU Huan;MA Ya;YANG Tao;HU Wen(Department of Clinical Nutrition,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Clinical Nutrition,Dujiangyan People's Hospital,Dujiangyan 611830,China)

机构地区：[1]四川大学华西医院临床营养科,成都610041 [2]都江堰市人民医院临床营养科,都江堰611830

出　　处：《四川大学学报（医学版）》2024年第5期1232-1239,共8页Journal of Sichuan University(Medical Sciences)

基　　金：四川省重点研发项目(No.2021YFS0176)资助。

摘　　要：目的构建鼻咽癌放化疗患者营养管理方案及流程。方法采用文献回顾和德尔菲法,制定鼻咽癌放化疗患者营养管理方案及流程。结果经过文献分析和两轮德尔菲专家函询,最终得到的营养管理方案包括7个一级条目,36个二级条目,其中一级条目包括建立营养管理团队、营养风险筛查及营养状况评估、健康教育、营养治疗时机及方式、能量及营养素供给、营养监测、出院随访。通过营养管理方案最佳证据总结及证据分级后制定出营养团队构建流程,肿瘤治疗前期、肿瘤治疗期、出院随访期营养管理流程。结论本研究制定的鼻咽癌放化疗患者营养管理方案及流程具有一定的科学性和可靠性,可以进一步在临床实践中检验应用。Objective To formulate a nutrition management protocol and processes for nasopharyngeal carcinoma patients undergoing chemoradiotherapy.Methods A nutrition management protocol and the process for nasopharyngeal carcinoma patients undergoing chemoradiotherapy were formulated on the basis of literature review and the Delphi expert consensus method.Results Literature analysis and two rounds of Delphi expert consultations via correspondence were conducted.The final protocol subsequently derived included 7 first-level items and 36 second-level items.The first-level items included the establishment of a nutrition management team,nutritional risk screening and nutritional status assessment,health education,the timing and method of nutritional treatment,energy and nutrient supply,nutritional monitoring,and follow-up after discharge.After summarizing the best evidence for the nutritional management protocol and classifying the evidence by different grades,the construction process of the nutrition management team and the nutrition management processes for the pre-cancer treatment period,the tumor treatment period,and the post-discharge follow-up period were formulated.Conclusion The nutritional management protocol and the relevant processes for nasopharyngeal carcinoma patients undergoing chemoradiotherapy formulated in this study demonstrate a certain level of scientific validity and reliability and can be further tested and applied in clinical practice.

关 键 词：鼻咽癌 化放疗 营养管理 循证实践 德尔菲法 

分 类 号：R473.73[医药卫生—护理学]