患有高级头癌的患者的营养需求和经验:一个范围的审查
Rebekah Smith1, Nikolaos Efstathiou2, Stephanie Clarke3
1Department of Nursing and Midwifery, School of Health Sciences, College of Medicine and Health, University of Birmingham and University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Journal of palliative care
|November 17, 2025
概括
患有晚期头癌的患者经常面临营养不良. 本综述强调了常见的营养干预措施,如输液养,强调个性化护理和进一步研究患者体验和替代策略.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 证据综合 证据综合
背景情况:
- 晚期头癌 (AHNC) 患者因疾病和治疗副作用而容易营养不良.
- 目前对AHNC患者的营养干预措施的证据有限.
- 了解患者的需求和经验对于有效的营养不良管理至关重要.
研究的目的:
- 确定AHNC患者的营养需求和经验.
- 提供用于预防AHNC营养不良的营养干预措施的概述.
- 通过PAGER框架综合当前的证据.
主要方法:
- 以Joanne Briggs研究所框架为指导的范围审查方法.
- 在多个数据库 (CINAHL,PubMed,EMBASE,Web of Science,Scopus,Google Scholar) 进行全面的文献搜索,截至2024年8月.
- 综合使用模式,进步,差距,实践证据和研究建议 (PAGER) 框架的发现.
主要成果:
- 32篇文章符合纳入标准,包括各种研究设计和指导方针.
- 出现了四个主要主题:肠道管养,营养不良的识别/治疗,息治疗对营养的影响以及患者/护理人员的经验.
- 肠道食是最常见的干预措施,还使用了饮食咨询,口服补充剂和肠道营养.
结论:
- 体重减轻和口服摄入不足与患者和护理人员的心理社会困扰相关.
- 营养干预需要根据个体患者的需要进行调整.
- 进一步的研究应该探索患者/护理人员的经验,并评估替代营养策略.
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