摘要
目的:遴选并获取国内外肝胆胰患者围手术期营养管理的相关证据,并对最佳证据进行总结。方法:使用计算机检索英国医学杂志(the British Journal of Medicine,BMJ)、美国指南网(National Guideline Clearinghouse, NGC)、英国国家医疗保健优化研究所(National Institute for Health and Care Excellence,NICE)、循证卫生保健中心数据库(Joanna Briggs Institute,JBI)、循证医学数据库(the Cochrane Library)、PubMed、中国生物医学文献数据库、中国知网和万方数据库内关于肝胆胰外科患者围手术期营养管理的相关证据,证据类型包括最高临床决策支持、指南、系统评价、证据总结、专家共识、专家建议。检索时限为建库至2022年12月30日。由2~4名研究人员对文献进行独立评价,结合专业人士的判断,提取符合标准的文献资料。结果:共纳入7篇文献,其中指南5篇、专家共识及建议2篇。最佳证据分别从营养评估、术前营养支持、术后营养支持、出院后营养支持、营养管理和营养制剂选择6个方面进行总结,共25条。结论:总结了肝胆胰患者围手术期营养管理的最佳证据,为肝胆胰患者围手术期营养管理提供了循证依据,医务人员应用证据时应结合自身医院及科室的具体情况,有针对性的采用证据,降低肝胆胰外科手术患者营养不良的发生率。
Objective:To select and obtain relevant evidence for perioperative nutritional management for patients with hepatobiliary and pancreatic diseases,and to summarize the best evidence.Methods:The British Journal of Medicine(BMJ),National Guideline Clearinghouse(NGC),National Institute for Health and Care Excellence(NICE),Joanna Briggs Institute(JBI)evidence-based Health Care Center Database,the Cochrane Library,PubMed,CBM,CNKI and Wanfang Database on perioperative nutritional support for patients with hepatobiliary and pancreatic diseases were retrieved.All evidence of patients with perioperative nutritional management for patients with hepatobiliary and pancreatic diseases included highest clinical decision support,guidelines,systematic evaluation,evidence summaries,expert consensus and recommendations,etc.The time limit for the retrieval was from the inception of databases to Dec 30,2022.Two to four researchers independently evaluated the literature and extracted the documents that met the standards according to the judgment of professionals.Results:A total of 7 articles were included,including 5 guidelines,2 expert consensus and recommendations.The best evidence was summarized from six aspects.They were nutritional assessment,preoperative nutritional support,postoperative nutritional support,post-discharge nutritional support,nutritional management and nutritional preparation selection in total of 25 items.Conclusion:This study summarizes the best evidence for perioperative nutritional management for patients with hepatobiliary and pancreatic diseases,and provides evidence-based evidence for perioperative nutritional management for patients with hepatobiliary and pancreatic diseases.Medical personnel should apply evidence in combination with the specific conditions of their own hospitals and departments,and use evidence in a targeted manner to reduce the incidence of malnutrition in patients undergoing hepatobiliary and pancreatic surgery.
作者
鲁小小
刘昌丹
丁娟
张乔
LU Xiaoxiao;LIU Changdan;DING Juan;ZHANG Qiao(Jinzhou Central Hospital,Jinzhou Hubei 434000)
出处
《天津护理》
2023年第6期685-689,共5页
Tianjin Journal of Nursing
基金
荆州市2021年医疗卫生科技计划项目(2021HC09)。
关键词
肝胆胰外科
围手术期
营养不良
证据总结
Hepatobiliary and pancreatic surgery
Malnutrition
Evidence summary
