临终癌症患者安宁疗护中营养管理的循证证据总结

An Evidence-based Summary of Nutritional Management in Hospice Care for Terminally Ill Cancer Patients

【目的】检索并评价国内外关于临终癌症患者安宁疗护中营养管理的相关证据,为临床工作者提供循证依据。【方法】根据证据资源“6S”模型进行文献检索,检索时间为建库至2022年12月,由2名研究员对纳入文献进行质量评价及证据提取。【结果】共纳入13篇文献,提取28条循证证据,其中A级推荐24条,B级推荐4条。构建营养支持团队是临终癌症患者营养管理的坚实基础,提供药物干预与非药物干预是临终癌症患者营养管理的关键环节,采取肠内、肠外营养是临终癌症患者营养管理的补充手段。【结论】临床工作人员可参考临终癌症患者安宁疗护中营养管理的循证证据,并充分考虑患者及家属的个人意愿,为患者制定个性化的营养支持方案。

【Objective】To search and evaluate relevant evidence on nutritional management in hospice care for terminally ill cancer patients both domestically and internationally,providing evidence-based support for clinical workers.【Methods】A literature search was conducted based on the evidence resource"6S"model,with a search period from database establishment to December 2022.Two researchers evaluated the quality of the included literature and extracted evidence.【Results】A total of 13 articles were included,and 28 evidence were extracted,including 24 A-level recommendations and 4 B-level recommendations.Building a nutrition support team was a solid foundation for the nutrition management of terminally ill cancer patients.Providing medication and non medication interventions was a key link in the nutrition management of terminally ill cancer patients,and adopting enteral and parenteral nutrition was a supplementary means of nutrition management for terminally ill cancer patients.【Conclusion】Clinical staff can refer to the best evidence of nutritional management in hospice care for terminally ill cancer patients,and fully consider the personal wishes of patients and their families to develop personalized nutritional support plans for patients.