神经性厌食患者饮食行为管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.08.015

摘要/Abstract

摘要：

目的检索、评价并整合国内外神经性厌食患者饮食行为管理的相关证据，为临床护理提供参考。方法系统检索国内外数据库中有关神经性厌食患者饮食行为管理的临床决策、推荐实践、证据总结、临床实践指南、系统评价/Meta分析和专家共识。检索时限为建库至2022年2月，由3名研究者对文献进行方法学质量评价，并根据主题对证据进行提取和汇总。结果共纳入16篇文献，其中临床决策2篇，证据总结2篇，指南9篇，系统评价3篇。从多学科团队、管理目标、评估、管理实践、心理治疗、健康教育6个方面汇总26条最佳证据。结论该研究总结了神经性厌食患者饮食行为管理的最佳证据，在后续证据转化过程中应结合国内临床具体情境，有针对性地选择证据，以规范患者饮食行为，改善其临床结局。

关键词: 神经性厌食, 精神障碍, 饮食行为管理, 证据总结, 精神病护理学, 循证护理学

Abstract:

Objective To search，evaluate and integrate relevant evidence on the management of eating behaviors in patients with anorexia nervosa（AN） at home and abroad，so as to provide references for clinical practice. Methods We systematically searched the domestic and foreign databases to collect the evidence on the management of eating behaviors in patients with AN，including clinical decisions，recommended practice，evidence summaries，clinical practice guidelines，systematic reviews and expert consensuses. The time for the retrieval is from the inception of databases until February 2022.There were 3 researchers who evaluated the quality of the literature，and extracted and summarized the evidence based on this subject. Results A total of 16 articles were included，including 2 clinical decisions，2 evidence summaries，9 guidelines，and 3 systematic reviews.Totally 26 pieces from 6 aspects of evidence were summarized，including multidisciplinary team，management goals，assessment，management practice，psychotherapy and health education. Conclusion This study summarizes the best evidence for the management of eating behaviors in patients with AN. In the follow-up process of evidence transformation，specific clinical situations in China should be considered to select evidence in a targeted manner，in order to standardize the eating behaviors of patients and improve their clinical outcomes.

Key words: Anorexia Nervosa, Mental Disorders, Eating Behavior Management, Evidence Summary, Psychiatric Nursing, Evidenced-Based Nursing

黄楚贤, 施忠英, 罗晨, 李红艳. 神经性厌食患者饮食行为管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(8): 993-1000.

HUANG Chuxian, SHI Zhongying, LUO Chen, LI Hongyan. Best evidence summary for the management of eating behaviors in patients with anorexia nervosa[J]. Chinese Journal of Nursing, 2023, 58(8): 993-1000.

图/表 5

图1 PubMed检索策略

Figure 1 PubMed search strategies

表1 纳入文献的一般特征（n=16）

Table 1 Characteristics of included studies（n=16）

图2 文献筛选流程图

Figure 2 Flow chart of literature screening

表2 纳入指南的质量评价结果（n=9）

Table 2 Study quality assessed by AGREE Ⅱ（n=9）

表3 神经性厌食患者饮食行为管理的证据总结

Table 3 Evidence summary for the management of eating behaviors in patients with anorexia nervosa

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