急性中风患者的营养评估:指导方针的系统审查和系统审查
Stefano Mancin1, Marco Sguanci2, Desirèe Andreoli3
1Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
International journal of nursing studies
|July 23, 2024
概括
对于急性中风患者来说,早期的营养查至关重要. 护士在入院后24小时内使用诸如Gugging Swallowing Screen和营养不良普遍查工具等工具来识别有风险的个体,在此方面发挥着关键作用.
科学领域:
- 临床营养学 临床营养学
- 脑卒中管理 脑卒中管理
- 医疗保健实践 医疗保健实践
背景情况:
- 缺食症和营养不良显著增加了急性中风患者的死亡率.
- 住院后早期的营养评估对于改善结果和减少并发症至关重要.
- 现有的文献碎片化阻碍了对营养评估的临床实践的优化.
研究的目的:
- 确定最佳的临床实践,以立即评估急性中风患者的营养风险.
- 为了指导护士和医疗保健专业人员在早期营养状况评估.
- 巩固关于中风相关营养管理最佳实践的证据.
主要方法:
- 临床实践指南的系统审查和系统审查.
- 在主要数据库 (Cochrane,PubMed,Embase,CINAHL,Scopus) 进行的搜索,截至2024年5月.
- 使用AGREE II进行指导方针和AMSTAR 2进行审查的质量评估,根据欧洲心脏病学会标准对证据进行分级.
主要成果:
- 从2534个已识别的记录中,包括了15项高质量的研究.
- 建议使用Gugging Swallowing Screen和营养不良普遍查工具进行初始查.
- 查最好是在受过培训的专业人员,主要是护士,在入院后24小时内进行.
结论:
- 本综述提供了一种综合方法,用于评估高风险中风患者的营养需求.
- 护士在查过程和急性中风患者的营养管理中起着至关重要的作用.
- 需要进一步的研究来规范干预方案并改善患者的治疗结果.
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