结直肠癌造口患者营养管理的最佳证据总结  

Summary of best evidence for nutrition management of colorectal cancer patients with colostomy

作　　者：朱丽[1] 余鹏蕾 郭晓贝 胡露红[1] Zhu Li;Yu Penglei;Guo Xiaobei;Hu Luhong(Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,武汉430030

出　　处：《中华现代护理杂志》2025年第13期1692-1698,共7页Chinese Journal of Modern Nursing

基　　金：吴阶平医学基金会科研专项(320.6750.2024-11-30)。

摘　　要：目的总结国内外结直肠癌造口患者营养管理的最佳证据。方法依据"6S"模型检索国内外数据库及专业网站中关于结直肠癌造口患者住院以及居家期间营养管理相关的证据,检索时限均为2003年1月1日—2023年12月31日,由2名研究者独立进行文献质量评价,提取并汇总相关证据。结果共纳入14篇文献,其中包括临床决策4篇、指南4篇、证据总结3篇、专家共识3篇,从多学科营养支持团队、营养筛查与评估、术前营养预康复、术后营养支持、出院营养健康教育、营养监测与随访6个方面共形成26条最佳证据。结论本研究总结了结直肠癌造口患者营养管理的最佳证据,建议医护人员结合临床实际情景及患者自身需求,制订系统、科学的结直肠癌造口患者营养管理干预策略。Objective To summarize the best evidence on nutrition management for colorectal cancer patients with colostomy both domestically and internationally.Methods Based on the"6S"model,evidence on nutrition management of colorectal cancer patients with colostomy during hospitalization and at home was searched in national and international databases and specialized websites.The search period was from January 1,2003 to December 31,2023.Two researchers independently conducted a quality assessment of the literature,extracted and summarized evidence.Results A total of 14 papers were included,including four clinical decisions,four guidelines,three evidence summaries,and three expert consensus.A total of 26 pieces of best evidence were formed in six areas of multidisciplinary nutrition support team,nutrition screening and assessment,preoperative nutrition pre-habilitation,postoperative nutrition support,discharge nutrition health education,and nutrition monitoring and follow-up.Conclusions This study summarizes the best evidence for nutrition management of colorectal cancer patients with colostomy.It is recommended that healthcare professionals develop a systematic and scientific nutrition management strategy for colorectal cancer patients with colostomy,taking into account the actual clinical scenarios and patients'needs.

关 键 词：肿瘤 结直肠癌 造口 营养不良 营养管理 循证护理学 

分 类 号：R473.73[医药卫生—护理学]