肺移植患者围术期营养管理的证据总结  

Evidence summary on perioperative nutrition management for lung transplant patients

作　　者：王意茹 安晓 刘晓熠 孙旭 周智聪 仝紫薇 王红[2] Wang Yiru;An Xiao;Liu Xiaoyi;Sun Xu;Zhou Zhicong;Tong Ziwei;Wang Hong(Nursing School,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250117,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,山东济南250117 [2]山东第一医科大学第一附属医院(山东省千佛山医院)护理部 [3]山东第二医科大学护理学院 [4]山东中医药大学护理学院

出　　处：《护理学杂志》2025年第8期21-26,共6页Journal of Nursing Science

基　　金：山东省社科联2023年度人文社会科学课题(2023-JKZX-17)。

摘　　要：目的总结肺移植患者围术期营养管理相关证据,为临床制订肺移植患者营养管理策略提供参考。方法依据6S证据模型,系统检索国内外数据库和网站关于肺移植患者营养管理的证据,包括临床决策、指南、专家共识、证据总结、系统评价以及相关原始研究,检索时限为建库至2024年10月。由2名研究者对文献质量进行评价,并进行证据的提取、评价及整合。结果共纳入文献12篇,其中临床决策2篇、指南2篇、专家共识5篇、类实验研究1篇、队列研究2篇。汇总整理出35条证据,包括组建多学科团队、营养筛查与评估、体质量管理、营养需求、营养干预途径及时机、术后营养管理、营养监测7个主题。结论肺移植患者围术期营养管理的最佳证据可为临床实践提供循证依据,医护人员应充分结合临床情境及专业判断,转化证据,为患者提供科学的营养管理与指导。Objective To summarize the evidence related to perioperative nutrition management for lung transplant patients,and to provide reference for formulating nutrition management strategies.Methods Following the 6S Model of evidence acquisition,we searched for evidence on nutritional management for lung transplant patients,including clinical decision support statements,guidelines,expert consensus reports,evidence summaries,systematic reviews and relevant original studies,in domestic and foreign databases and websites from their inception to October,2024.The quality assessment was conducted by two researchers and the evidence was extracted,evaluated and integrated.Results A total of 12 publications met the inclusion criteria,including 2 clinical decision support statements,2 guidelines,5 expert consensus reports,1 quasi-experimental study and 2 cohort studies.A total of 35 pieces of evidence were summarized into 6 aspects:multidisciplinary team,nutrition risk screening and assessment,body weight management,nutrition requirements,ways and timing of nutritional intervention,postoperative nutrition management,and nutrition monitoring.Conclusion The best evidence on perioperative nutrition management for lung transplant patients can provide evidence-based reference for clinical practice.It is recommended that medical staff should assess the clinical context and combine professional judgement in the process of translating the evidence into practice,thus to provide scientific nutrition management and guidance for patients.

关 键 词：肺移植 围术期 营养管理 营养风险筛查 营养支持 证据总结 循证护理 护理 

分 类 号：R473.6[医药卫生—护理学] R617[医药卫生—临床医学]