Abstract:

Objective To conduct a scoping review of research on dietary management for patients with cancer-related fatigue（CRF），aiming to provide references for healthcare professionals to formulate targeted intervention programs. Methods A systematic search was carried out in databases，including PubMed，Embase，Web of Science，Cochrane Library，China National Knowledge Infrastructure（CNKI），and Wanfang Data，with the search time frame spanning from the establishment of each database to July 10，2024. Literature was screened，summarized，extracted，and analyzed according to inclusion and exclusion criteria. Results A total of 7 articles were included，comprising 5 randomized controlled trials and 2 quasi-experimental studies. Among them，the dietary types for CRF patients included the Mediterranean diet，plant-based high-protein diet，time-restricted eating，and anti-inflammatory diet. The intervention durations ranged from 2 weeks to 3 months. Evaluation indicators encompassed the degree of CRF，quality of life，and inflammation levels. The research results indicated that all dietary management programs for CRF patients were safe and effective，and patients exhibited high compliance. Conclusion There are diverse dietary types for CRF patients，all of which are safe and feasible and contribute to improving the degree of CRF in patients. However，most existing studies are exploratory and have small sample sizes. In the future，it is necessary to further optimize research designs and compare the intervention effects of different dietary types.

Key words: Dietary Intervention, Mediterranean Diet, Anti-Inflammatory Diet, Cancer-Related Fatigue, Scoping Review, Nursing Care

摘要：

目的 对癌症相关性疲乏患者饮食管理的研究进行范围综述，旨在为医护人员制订针对性的干预方案提供参考。 方法 系统检索PubMed、Embase、Web of Science、Cochrane Library、中国知网及万方数据库，检索时限为建库至2024年7月10日。根据纳入及排除标准对文献进行筛选、汇总、资料提取及分析。 结果 共纳入7篇文献，包括5项随机对照试验、2项类实验研究。癌症相关性疲乏患者的饮食类型包括地中海饮食、植物性高蛋白饮食、限时饮食及抗炎饮食；干预时长为2周至3个月；评价指标包括癌症相关性疲乏程度、生活质量、炎症标志物等；研究结果显示，癌症相关性疲乏患者饮食管理方案具有安全性及有效性，患者的依从性较高。 结论 癌症相关性疲乏患者的饮食类型多样，均具有安全性及可行性，且有助于改善患者癌症相关性疲乏程度，但现有研究多为探索性小样本研究，未来需要进一步优化研究设计，比较不同饮食类型的干预效果。

关键词: 饮食管理, 地中海饮食, 抗炎饮食, 癌症相关性疲乏, 范围综述, 护理