老年住院压力性损伤患者营养支持的最佳证据总结

doi:10.3761/j.issn.0254-1769.2022.19.005

摘要/Abstract

摘要：

目的总结、评价对老年住院压力性损伤患者进行营养支持的相关证据,为临床护理提供参考。方法计算机检索BMJ最佳临床实践、UpToDate、加拿大安大略省注册护士协会网站、美国国立指南网、国际指南协作网、英国国家卫生与临床优化研究所网站、苏格兰学院间指南网、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、PubMed、Embase、中国知网、万方数据库,并补充检索相关专业学会网站,收集关于对老年住院压力性损伤患者进行营养支持的相关文献,检索时限为建库至2022年6月。采用乔安娜布里格斯研究所文献评价标准和证据分级系统,对纳入文献进行质量评价及证据级别评定。结果共纳入7篇文献,其中6篇指南、1篇证据总结,从营养风险筛查、全面营养评估、个性化营养护理计划、营养干预和健康教育5个方面总结了19条证据。结论该研究总结了对老年住院压力性损伤患者进行营养支持的最佳证据,具有一定的科学性和实用性,临床医护人员可遵循最佳证据为并发压力性损伤的老年住院患者制订个性化营养护理计划。

关键词: 老年人, 住院病人, 压力性损伤, 营养支持, 护理

Abstract:

Objective To evaluate and summarize the evidence of nutritional support for pressure injuries in elderly inpatients,so as to provide references for clinical nursing care. Methods BMJ Best Practices,UpToDate,RNAO,NGC,GIN,NICE,SIGN,JBI,Cochrane Library,PubMed,EMBASE,CNKI,Wanfang database were searched by computer,as well as the EPUAP,WOCN and ESPEN websites,in order to collect the relevant literature on nutritional support for pressure injuries in elderly inpatients. The retrieval period was from the establishment of the database to June 2022. The JBI evidence appraisal and recommendation system were used to evaluate the quality and evidence level of the included literature. Results A total of 7 articles were included,including 6 guidelines and 1 evidence summary. 19 pieces of evidence were summarized from 5 aspects,including nutrition risk screening,comprehensive nutrition assessment,individualized nutrition care plan,nutrition intervention and health education. Conclusion This study summarizes the best evidence of nutritional support for elderly inpatients with pressure injuries,and clinical medical staff can follow the best evidence to develop individualized nutrition care plans for elderly inpatients with pressure injuries.

Key words: Aged, Inpatients, Pressure Injury, Nutritional Support, Nursing Care

韩燕, 王怀远, 孙艳红, 伊洪莉. 老年住院压力性损伤患者营养支持的最佳证据总结[J]. 中华护理杂志, 2022, 57(19): 2339-2344.

HAN Yan, WANG Huaiyuan, SUN Yanhong, YI Hongli. Evidence summary of nutritional support for elderly inpatients with pressure injuries[J]. Chinese Journal of Nursing, 2022, 57(19): 2339-2344.

图/表 3

表1 纳入文献的基本特征（n=7）

Table 1 The basic characteristics of the included literature（n=7）

表2 指南的质量评价结果（n=6）

Table 2 Quality evaluation results of the guidelines（n=6）

表3 老年住院压力性损伤患者营养支持的最佳证据汇总

Table 3 Evidence summary of nutritional support for elderly inpatients with pressure injuries

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