癌症患儿营养不足管理的最佳证据总结  

Best evidence summary on nutritional management for malnourished pediatric cancer patients

作　　者：毛琴 毛孝容[2] 唐莉 周娟[4] 谭苏芳 蒲华蓉 Mao Qin;Mao Xiaorong;Tang Li;Zhou Juan;Tan Sufang;Pu Huarong(Department of Pediatric Outpatient,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital(Affiliated Hospital of UESTC),Chengdu 610072,China;Department of Nursing,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital(Affiliated Hospital of UESTC),Chengdu 610072,China;Department of Vascular Surgery,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital(Affiliated Hospital of UESTC),Chengdu 610072,China;Department of Pediatrics 2,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital(Affiliated Hospital of UESTC),Chengdu 610072,China;School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)

机构地区：[1]四川省医学科学院·四川省人民医院(电子科技大学附属医院)门诊儿科,成都610072 [2]四川省医学科学院·四川省人民医院(电子科技大学附属医院)护理部,成都610072 [3]四川省医学科学院·四川省人民医院(电子科技大学附属医院)血管外科,成都610072 [4]四川省医学科学院·四川省人民医院(电子科技大学附属医院)儿科2,成都610072 [5]成都中医药大学护理学院,成都610000

出　　处：《中华现代护理杂志》2025年第8期1018-1025,共8页Chinese Journal of Modern Nursing

基　　金：四川省护理科研课题计划(H23019);2023年四川省科技厅重点研发项目(23ZDYF2075);成都市科技局科技创新研发项目(2022-YF05-01621-SN)。

摘　　要：目的筛选及提取癌症患儿营养不足管理的相关证据,并形成最佳证据总结。方法系统检索UpToDate、BMJ Best Practice、WHO官网、国际指南协作网、英国国家卫生与临床优化研究所网站、美国国立指南库、PubMed、Web of Science核心合集、Embase、Cochrane Library、中国知网、中国生物医学文献数据库、万方数据库等中关于癌症患儿营养不足管理的相关证据,检索时限均为建库至2023年8月31日。由经系统循证护理课程培训的研究者严格按照文献纳入和排除标准筛选文献,并对纳入文献进行质量评价、证据提取及汇总。结果共纳入11篇文献,包括临床决策2篇、指南3篇、证据总结1篇、系统评价2篇、专家共识3篇。从多学科团队、营养风险筛查与营养评估、营养素摄入、饮食及营养教育、肠内肠外营养支持5个方面汇总24条证据。结论本研究汇总了癌症患儿营养不足管理的最佳证据,为医护人员临床实践提供循证依据。ObjectiveTo screen and extract relevant evidence on the management of malnutrition in pediatric cancer patients and provide a best evidence summary.MethodsA systematic search was conducted across multiple websites and databases,including UpToDate,BMJ Best Practice,WHO website,Guidelines International Network,National Institute for Health and Care Excellence,National Guideline Clearinghouse,PubMed,Web of Science Core Collection,Embase,Cochrane Library,China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Data and others,for evidence on nutritional management of malnutrition in pediatric cancer patients.The search included literature from inception to August 31,2023.Literature was selected following strict inclusion and exclusion criteria by researchers trained in evidence-based nursing courses.The quality of the selected literature was evaluated,and evidence was extracted and summarized.ResultsA total of 11 articles were included,comprising two clinical decision papers,three guidelines,one evidence summary,two systematic reviews,and three expert consensus documents.The evidence was summarized into 24 evidence across five main areas:multidisciplinary team approach,nutritional risk screening and assessment,nutrient intake,dietary and nutritional education,and enteral and parenteral nutrition support.ConclusionsThis study provides a best evidence summary for the nutritional management of malnutrition in pediatric cancer patients,offering evidence-based support for clinical practice among healthcare professionals.

关 键 词：儿童 肿瘤 营养不足管理 最佳证据总结 循证护理学 

分 类 号：R47[医药卫生—护理学]