鼻癌患者的标准化营养查和评估:一个基于证据的实施项目
Wenwen Cai1, Rufei Yang1, Chao Tang1
1Department of Radiation Oncology, Guangzhou Institute of Cancer Research, The Affiliated Cancer Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
BMC nursing
|December 16, 2025
概括
实施最佳营养评估策略改善了护士的技能和在鼻癌放射治疗期间患者的营养状况. 这种增强的护理减少了营养不良并发症,改善了患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗保健实施方案的实施
背景情况:
- 接受放射治疗的鼻癌 (NPC) 患者经常患有营养不良,影响生活质量和预后.
- 目前的营养评估方法需要进一步验证临床有效性.
研究的目的:
- 评估最佳营养评估策略对护士和患者技能的影响.
- 评估该策略对放射治疗期间NPC患者营养状况的影响.
主要方法:
- 一个三阶段的方法,包括系统的证据审查,障碍/促进者分析和干预实施 (4C营养途径).
- 在实施之前和之后的数据比较审计合规性,护士知识,患者遵守和营养状况.
- 使用t测试和基平方测试进行统计分析 (P < 0.05).
主要成果:
- 护士审查指标实施率显著增加 (0-90.2%至50-100%).
- 提高了护士营养管理知识分数 (68.22±5.90至85.11±7.10).
- 在4周的随访中,改善了患者的坚持得分 (103.43±12.92至117.00±5.97) 和血红蛋白水平 (109.58±17.15至126.38±6.19g/L).
结论:
- 实施的战略标准化了护士的临床营养评估.
- 它有效地弥合了临床实践和最佳证据之间的差距.
- 观察到护士和患者的营养管理知识有所改善.
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