成人肝移植患者口服营养补充管理的最佳证据总结
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女,硕士在读,学生

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Best evidence summary for management of oral nutritional supplements in adult liver transplant recipients
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    摘要:

    目的 总结成人肝移植患者口服营养补充的最佳证据,为临床护理实践提供参考。 方法 根据“5S”证据资源金字塔模型检索国内外相关网站和数据库中成人肝移植患者口服营养补充的相关文献,检索时限为建库至2025年6月。对纳入的文献进行质量评价,总结最佳证据。 结果 最终纳入文献13篇,包括7篇指南、3篇专家共识、2篇系统评价和1篇Meta分析。形成涵盖组建学科团队,营养筛查与评估,口服营养补充种类选择与营养素配比,术前及术后口服营养补充管理,出院口服营养补充指导6个方面的28条最佳证据。 结论 成人肝移植患者口服营养补充管理的最佳证据总结为临床护理人员提供了循证依据,医护人员需结合临床情境、患者意见,更好地应用和转化证据。

    Abstract:

    Objective To summarize the best evidence regarding oral nutritional supplements (ONS) for adult liver transplant reci-pients and to provide a reference for clinical nursing practice. Methods Based on the "5S" pyramid model of evidence-based information resources, relevant literature on ONS for adult liver transplant recipients was searched in domestic and international websites and databases.The search time limit was from the establishment of the database until June 2025.The methodological quality of the included literature was appraised, and the best evidence was summarized. Results A total of 13 documents were included, comprising 7 guidelines, 3 expert consensus statements, 2 systematic reviews, and 1 meta-analysis.Twenty-eight best evidence recommendations were summarized, covering 6 aspects:building multidisciplinary team, nutritional screening and assessment, selection of ONS products and nutrient ratios, pre- and post-operative ONS management, and discharge education. Conclusion The summary of best evidence for ONS management in adult liver transplant recipients provides an evidence-based reference for clinical nurses.Healthcare providers need to combine the clinical context and patient preferences to better apply and translate the evidence into practice.

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王晗文希,李玲艳,万雅莉,李文静,戴梦娜,侯梓萱,桂绍枝,欧阳燕,陈怿,陈思思,李素云.成人肝移植患者口服营养补充管理的最佳证据总结[J].护理学杂志,2026,41(5):119-124

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  • 收稿日期:2025-09-24
  • 最后修改日期:2025-12-20
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  • 在线发布日期: 2026-03-31