论著临终癌症患者安宁疗护中营养管理的循证证据总结∗向玉琼１罗听薇１宋青青２张娜３蒋思珊１张智强１朱丽辉３∗∗(１．湖南中医药大学护理学院,湖南长沙４１０２０８;２．湖南省儿童医院心血管内科,湖南长沙４１０００７;３．湖南省肿瘤医院护理部,湖南长沙４１００３１)[摘要]【目的】检索并评价国内外关于临终癌症患者安宁疗护中营养管理的相关证据,为临床工作者提供循证依据.【方法】根据证据资源“６S”模型进行文献检索,检索时间为建库至２０２２年１２月,由２名研究员对纳入文献进行质量评价及证据提取.【结果】共纳入１３篇文献,提取２８条循证证据,其中A级推荐２４条,B级推荐４条.构建营养支持团队是临终癌症患者营养管理的坚实基础,提供药物干预与非药物干预是临终癌症患者营养管理的关键环节,采取肠内、肠外营养是临终癌症患者营养管理的补充手段.【结论】临床工作人员可参考临终癌症患者安宁疗护中营养管理的循证证据,并充分考虑患者及家属的个人意愿,为患者制定个性化的营养支持方案.[关键词]肿瘤/外科学;临终关怀医疗;循证医学AnEvidenceＧbasedSummaryofNutritionalManagementinHospiceCareforTerminallyIllCancerPatientsXIANGYuqiong,LUOTingwei,SONGQingqing,etal(SchoolofNursing,HunanUniversityofChineseMedicine,ChangshaHunan４１０２０８)[Abstract]【Objective】Tosearchandevaluaterelevantevidenceonnutritionalmanagementinhospicecareforterminallyillcancerpatientsbothdomesticallyandinternationally,providingevidenceＧbasedsupportforclinicalworkers．【Methods】Aliteraturesearchwasconductedbasedontheevidenceresource＂６S＂model,withasearchpeＧriodfromdatabaseestablishmenttoDecember２０２２．Tworesearchersevaluatedthequalityoftheincludedliteratureandextractedevidence．【Results】Atotalof１３articleswereincluded,and２８evidencewereextracted,including２４AＧlevelrecommendationsand４BＧlevelrecommendations．Buildinganutritionsupportteamwasasolidfoundationforthenutritionmanagementofterminallyillcancerpatients．Providingmedicationandnonmedicationinterventionswasakeylinkinthenutritionmanagementofterminallyillcancerpatients,andadoptingenteralandparenteralnuＧtritionwasasupplementarymeansofnutritionmanagementforterminallyillcancerpatients．【Conc...
