中华护理杂志 ›› 2022, Vol. 57 ›› Issue (14): 1756-1764.DOI: 10.3761/j.issn.0254-1769.2022.14.014
收稿日期:
2021-10-19
出版日期:
2022-07-20
发布日期:
2022-07-20
通讯作者:
都继微,E-mail: dujw@hku-szh.org作者简介:
曾本拓:男,本科在读,E-mail: amxanl@outlook.com
Received:
2021-10-19
Online:
2022-07-20
Published:
2022-07-20
摘要:
目的 检索、评价并总结2型糖尿病患者低碳水化合物膳食干预的最佳证据,为临床护理实践及患者自我管理提供循证依据。 方法 计算机检索国际指南协作网、英国国家卫生与临床优化研究所、苏格兰学院间指南网络、澳大利亚乔安娜布里格斯循证护理中心、Cochrane Library、美国糖尿病协会网站、医脉通指南网、中国知网、万方知识数据服务平台、维普数据库、PubMed、Web of Science、Embase中关于低碳水化合物膳食控制2型糖尿病疾病进展的所有证据,证据类型包括指南、专家共识、证据总结、证据实践、系统评价和Meta分析,检索时限为2016年1月—2021年7月。采用临床指南研究与评价系统Ⅱ、系统综述评价评估工具Ⅱ及证据推荐分级、评估、制订与评价系统进行文献质量和证据质量评定。 结果 初步检索共获得文献216篇,最终共纳入文献31篇,汇总了33条最佳证据,包括低碳水化合物膳食缓解2型糖尿病患者病情的安全性、风险、干预效果、干预时间与程序、适用人群及饮食建议等6个方面。 结论 在专业人员辅助下,低碳水化合物膳食在2型糖尿病患者中的中短期应用是安全有效的。临床护士可以应用证据总结,结合实际情况,酌情向患者进行低碳水化合物膳食相关的健康宣教,配合临床诊疗,科学控制疾病进展。
曾本拓, 都继微. 2型糖尿病患者低碳水化合物膳食管理的证据总结[J]. 中华护理杂志, 2022, 57(14): 1756-1764.
ZENG Bentuo, DU Jiwei. Evidence summary of low-carbohydrate diets for type 2 diabetes mellitus management[J]. Chinese Journal of Nursing, 2022, 57(14): 1756-1764.
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