关于接受化疗的患者营养管理的证据摘要
Xin Dan1,2, Ya-Lin He1,2, Ya-Lin Tian1,2
1Department of Radiation Therapy and Chemotherapy for Cancer Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
本综述综合了化疗患者的基于证据的营养策略,确定了晚期胃癌护理的差距. 建议旨在通过个性化营养管理来改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 基于证据的医学基于证据的医学.
背景情况:
- 化疗显著影响患者的营养,影响治疗耐受性和治疗结果.
- 接受全身治疗的晚期胃癌 (AGC) 患者的营养管理存在特定的挑战和证据差距.
研究的目的:
- 巩固化学疗法患者营养策略的强有力的证据.
- 为营养治疗中的临床实践提供基于证据的指导.
- 解决AGC营养管理中的关键证据缺口.
主要方法:
- 使用"6S"证据金字塔模型,系统地检索临床决策工具,指南,专家共识和系统审查.
- 使用AGREE II,JBI标准和专家共识标准评估方法质量.
- 分析了47篇文章 (12个指导方针,12个专家共识,23个系统审查).
主要成果:
- 在五个方面确定了62个证据:跨学科合作,查/评估,要求,治疗和出院/随访.
- 结果是整合了前性和后性研究.
- 制定了营养管理的统一框架,在全身疗法下解决AGC.
结论:
- 为化疗患者的营养管理提供了全面的,基于证据的建议.
- 临床应用需要适应特定场景,患者状况,偏好和专家判断.
- 该审查通过个性化和标准化的营养方法来增强患者护理.
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