手術後の胃がん患者の自宅での栄養管理のためのベストプラクティス:エビデンスの要約
Wang Shanshan1, Wen Lian2, Dong Lu3
1College of Economics and Management, Yan'an University, Yan'an, Shaanxi Province, 716000, China.
BMC cancer
|August 29, 2025
まとめ
このレビューは,胃がんの生存者における家庭での栄養管理に関する証拠をまとめ,手術後の回復を促進し,患者のアウトカムを改善するためのガイドラインを提供します.
科学分野:
- 腫瘍学
- 栄養学
- 証拠 に 基づく 実践
背景:
- 術後の栄養状態は 胃がん患者の回復に大きく影響します
- 効果的な家庭での栄養管理は リハビリテーションと長期的な成果に不可欠です
- 実践を導くために,現在の証拠を体系的に見直す必要がある.
研究 の 目的:
- 手術後の胃がん患者の家庭での栄養管理に関する最良の証拠をレビューし,要約する.
- 患者の栄養状態を改善するための参考文献を提供するためです.
- 最適な栄養ケア戦略について医療従事者や患者に知らせる
主な方法:
- 中国語と英語のデータベースで"6S"のエビデンスリソースモデルを用いた包括的な文献検索.
- 高品質な証拠を抽出するために,特定された研究のスクリーニング,評価,および合成.
- ガイドライン,コンセンサス,システマティック・レビュー,RCT,定性研究など
主要な成果:
- 7つの主要な分野に分類された19の記事から合成された27の最良の証拠点.
- 推奨事項には,栄養のモニタリング (NRS-2002 週2回),家庭での栄養順序 (Diet-ONS-HEN) および症状管理が含まれています.
- 医療の最適化のための多学科チームワークと 退院後のフォローアップを 支持する証拠があります
結論:
- この研究は,手術後の胃がん患者の家庭での栄養管理のための最良の証拠を体系的に収集しています.
- 家庭での栄養ケアを最適化するための科学的な枠組みを提供します.
- 将来の研究は,実用化科学に重点を置くべきで,実用化科学は,実用化科学に重点を置くべきである.
関連する概念動画
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
282
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
282
Peptic Ulcer Disease V: Surgical Management and Nursing Care
406
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
406
Enteral Nutrition I: Orogastric and Nasogastric Feeding
462
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
462
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
170
Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27
Peritoneal Dialysis III: Nursing Management
140
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
140

