摘要
目的:检索和分析慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者营养管理的相关证据,并对最佳证据进行总结,为临床实践提供科学指导。方法:基于“6S”证据模型,以2015年1月1日至2025年1月31日为检索时限,运用循证护理学方法,针对AECOPD患者的营养管理提出问题。对符合质量评价标准的文献证据进行质量评价,再结合专业判断进行提取和汇总。结果:共纳入文献16篇,其中,临床决策4篇,指南4篇,系统评价4篇,随机对照试验2篇,专家共识2篇,从多学科体系建设、营养风险筛查与评估、营养需求计算、营养干预策略、延续管理6个方面形成24条AECOPD患者营养管理的最佳证据。结论:AECOPD患者营养管理的最佳证据的总结,可以为临床医务人员制订营养管理方案提供循证依据。
Objective:To search and analyze the relevant evidence of nutritional management in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD),and to summarize the best evidence to provide scientific guidance for clinical practice.Methods:Based on the“6S”evidence model,the search time limit was from January 1,2015 to January 31,2025,and the evidence-based nursing method was used to raise questions about the nutrition management of AECOPD patients.The literature evidence that meets the quality evaluation criteria was evaluated,and then extracted and summarized in combination with professional judgment.Results:A total of 16 articles were included,including 4 clinical decisions,4 guidelines,4 systematic reviews,2 randomized controlled trials and 2 expert consensus.The best evidence for AECOPD patient nutrition management was formed from 24 aspects,including multidisciplinary system construction,nutrition risk screening and assessment,nutrition demand calculation,nutrition intervention strategy and follow-up management.Conclusion:This study summarizes the best evidence of nutritional management in AECOPD patients and provides an evidence-based basis for clinical medical staff to develop nutritional management programs.
作者
邹晶晶
蔡宾
施吉霞
杨丽
张鲁敏
Zou Jingjing;Cai Bin;Shi Jixia;Yang Li;Zhang Lumin(Department of Neurology,Ningbo Hangzhou Bay Hospital,Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Ningbo Hospital,Ningbo 315336,China;Department of Nursing,Ningbo Hangzhou Bay Hospital,Ningbo 315336,China;Ningbo NO.2 Hospital,Ningbo 315327,China)
出处
《结核与肺部疾病杂志》
2025年第3期261-268,共8页
Journal of Tuberculosis and Lung Disease
基金
华美医学教育研究基金重点项目(2021HMJYZD03)。
关键词
肺疾病
慢性阻塞性
营养支持
循证医学
护理
总结性报告(主题)
Pulmonary disease,chronic obstructive
Nutritional support
Evidence-based medicine
Nursing care
Consensus development conferences as topic
