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失水症和慢性病:一个范围审查
Marco Sguanci1, Gaetano Ferrara2, Sara Morales Palomares3
1Italian Nephrological Nursing Society (SIAN), Olbia, Italy; Department of Medicine and Surgery, Research Unit of Nursing Science, University of Rome, Rome, Italy.
概括
变化的味觉感知,或dysgeusia,是常见的慢性病. 一项审查发现,减少盐的教育改善了口味,而口服显示了管理这种情况的不一致结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 味觉障碍,一种改变的味觉感知,经常影响慢性病 (CKD) 患者.
- 需要有效的策略来教育,查和管理慢性病患者的痛症.
- 营养并发症,如营养不良,可能会因未经治疗的失血症而出现.
研究的目的:
- 在慢性病患者中识别和合成可用的治疗方法.
- 评估教育策略,查方法和临床干预措施,以管理CKD的味道变化.
- 为个性化管理协议提供洞察力.
主要方法:
- 进行了全面的范围审查.
- 该方法遵循了阿克西和奥马利的协议,并纳入了乔安娜·布里格斯研究所和PRISMA-ScR指南.
- 分析了来自424个已识别的记录的数据,最终审查包括了13项研究.
主要成果:
- 教育干预措施,特别是强调减少盐分的医院计划,显著改善了失水症 (P < .001).
- 口服补充剂 (50-220毫克) 是唯一确定的临床治疗方法,但在研究中产生了异质和不一致的结果.
- 注意到了各种查方法,但具体的细节并没有一致报告.
结论:
- 个性化管理对于慢性病患者的异质症至关重要.
- 有针对性的教育计划,例如那些专注于减少盐分的教育计划,显示出希望.
- 需要进一步的研究来建立一致和有效的临床治疗方法,比如优化口服补充剂,以预防营养不良.
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