癌患者围术期营养管理方案的构建
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女,硕士,主管护师

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安徽省护理学会青年项目(AHHLa202118);蚌埠医学院人文社会科学重点项目(2021byzd267sk)


Development of a perioperative nutrition management program for gastric cancer patients
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    摘要:

    目的 构建胃癌患者围术期营养管理方案,为临床营养管理实践提供参考。方法 采用循证方法检索文献并提取最佳证据,结合9名临床专家经验访谈,形成胃癌患者围术期营养管理方案初稿。采用德尔菲法对15名专家进行专家函询。结果 2轮专家函询有效回收率均为100%,专家权威程度分别为0.92、0.95,总体肯德尔和谐系数分别为0.205、0.218(均P<0.05)。最终形成包含营养管理模式、营养风险筛查和评估、术前营养干预、术后营养干预、营养支持监测与护理、出院宣教6项一级指标,16项二级指标,42项三级指标的营养管理方案。结论 胃癌患者围术期营养管理方案涵盖围术期营养管理全过程,具有较好的可靠性和实用性,可进一步开展临床验证研究。

    Abstract:

    Objective To develop a perioperative nutrition management program for gastric cancer patients and to provide a reference for clinical practice.Methods The best evidence was identified through evidence-based reviews, then 9 experts were interviewed to develop the draft of the perioperative nutrition management program for gastric cancer.Fifteen experts were consulted using Delphi technique to obtain their agreement.Results All experts returned their questionnaires. The coefficient of authority was 0.92 in Delphi round 1 and 0.95 in Delphi round 2, and the Kendall′s coefficient of concordance was 0.205 in round 1 and 0.218 in round 2, respectively (both P<0.05).The nutrition management program included 6 primary indicators, 16 secondary indicators, and 42 tertiary indicators.The primary indicators were nutrition management mode, nutritional risk screening and assessment, preoperative nutrition intervention, postoperative nutrition intervention, nutritional support monitoring and care, and discharge education.Conclusion The perioperative nutrition management program for gastric cancer patients demonstrates good validity and practicality.Further studies can be conducted to validate the effectiveness.

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季红敏,李秀川,刘春芳,王姗,张婕.癌患者围术期营养管理方案的构建[J].护理学杂志,2024,39(1):31-36

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  • 收稿日期:2023-08-04
  • 最后修改日期:2023-10-19
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  • 在线发布日期: 2024-06-03