肺结核住院患者营养风险筛查和评估的最佳证据总结

Evidence summary for nutritional risk screening and assessment in patients with pulmonary tuberculosis

目的遴选并获取成人肺结核住院患者营养风险筛查和评估的相关证据,并对最佳证据进行总结。方法计算机检索Cochrane Library、 PubMed、Embase、护理及相关健康领域文献积累索引数据库、中国生物医学文献数据库、万方、中国知网、维普等数据库及医脉通临床指南网、梅斯医学网、欧洲肠内肠外营养学会网、美国肠内肠外营养学会网、美国营养师学会网、中国肠内肠外营养学会网、中国营养师网中有关肺结核患者营养风险筛查和评估的证据,包括指南、专家共识、证据总结、系统评价及诊断性研究。检索时限为建库至2019年2月1日。结果共纳入8篇文献,其中3篇指南、1篇系统评价和4篇诊断性研究。总结了7条最佳证据。结论临床上医护人员对接触的肺结核患者应选择合适的营养风险筛查工具和营养评估指标,应用证据时需结合医院特点和临床环境,有针对性地选择证据,建立肺结核患者营养风险筛查和评估制度、工作流程和实践标准。

Obiective To select and obtain the best evidence of nutritional risk screening and assessment for hospitalized tuberculosis patients,and summarize the best available evidence. Methods We searched the Cochrane Library,PubMed,Embase,CINAHL,CBM,Wanfang,CNKI,VIP databases,and complementally searched the Medlive website,the Medsci website,European Society of Enteral Parenteral Nutrition,American Society of Enteral Parenteral Nutrition,American Society of Dietitians,Chinese Society of Enteral Parenteral Nutrition and Chinese Nutritionist Network from inception to February 1,2019,to collect relevant evidence for screening and assessment of nutritional risk in tuberculosis patients,including guidelines,expert consensus,evidence summaries,systematic reviews and diagnostic studies. Results Totally 8 articles were selected,including 3 guidelines,1 systematic review,and 4 diagnostic studies. Finally,7 items of best evidences were summarized. Conclusion Clinically,doctors and nurses should select appropriate nutritional risk screening tools and nutritional assessment indicators for tuberculosis patients in contact with them.When applying evidence,it is necessary to select evidence according to hospital characteristics and clinical environment,and establish nutritional risk screening and assessment system,work flow and practice standards for tuberculosis patients.