[1]王延莉,胡雁,谢忠飞,等.头颈癌放疗患者营养管理的最佳证据总结[J].军事护理,2022,39(01):63-67.[doi:10.3969/j.issn.1008-9993.2022.01.016]
　WANG Yanli,HU Yan,XIE Zhongfei,et al.Nutrition Management in Patients with Head and Neck Cancer Undergoing Radiotherapy:A Best Evidence Summary[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(01):63-67.[doi:10.3969/j.issn.1008-9993.2022.01.016]
点击复制

头颈癌放疗患者营养管理的最佳证据总结
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年01期
页码:
63-67
栏目:
循证护理
出版日期:
2022-01-15

文章信息/Info

Title:
Nutrition Management in Patients with Head and Neck Cancer Undergoing Radiotherapy:A Best Evidence Summary
文章编号:
1008-9993(2022)01-0063-05
作者:
王延莉1; 胡雁2; 谢忠飞1; 李红丽3; 李小寒3; 王爱平4; 刘宇霞1; 吴子敬3
(1.中国医科大学附属第一医院 放射治疗科,辽宁 沈阳 110001; 2.复旦大学 护理学院,上海 200032; 3.中国医科大学 护理学院,辽宁 沈阳 110122; 4.中国医科大学附属第一医院 护理部)
Author(s):
WANG Yanli1; HU Yan2; XIE Zhongfei1; LI Hongli3; LI Xiaohan3; WANG Aiping4; LIU Yuxia1; WU Zijing3
(1.Department of Radiation Therapy,the First Affiliated Hospital of China Medical University,Shenyang 110001,Liaoning Province,China; 2.School of Nursing,Fudan University,Shanghai 200032,China; 3.School of Nursing,China Medical University,Shenyang 110122,Liaoning Province,China; 4.Department of Nursing,the First Affiliated Hospital of China Medical University)
关键词:
头颈癌;  营养管理;  循证护理;  放射治疗;  证据总结
Keywords:
Head and neck cancer;  nutrition management;  evidence-based nursing;  radiotherapy;  evidence summary
分类号:
R473.76
DOI:
10.3969/j.issn.1008-9993.2022.01.016
文献标志码:
A
摘要:
目的 检索头颈癌放疗患者营养管理的相关证据,并对最佳证据进行总结。方法 系统检索美国国立指南库、加拿大安大略护士协会、英国国家卫生和临床技术优化研究所、苏格兰校际指南网络、国际指南协作网、美国国家综合癌症网络、澳大利亚癌症协会、PubMed、Cochrane Library、中国期刊全文数据库、万方数据库、维普数据库中有关头颈癌放疗患者营养管理的文献,检索时限为建库至2020年9月。结果 共纳入5篇文献,包括指南2篇、专家共识3篇,最终在头颈癌放疗患者的营养筛查与评估、营养支持、营养监测与随访等三个方面,总结出17条最佳证据。结论 医护人员可应用最佳证据开展营养管理的实践变革,提高头颈癌放疗患者营养管理的科学性,改善患者的营养状况和临床结局。
Abstract:
Objective To search and summarize the best available evidence on nutrition management in patients with head and neck cancer undergoing radiotherapy.Methods The literature on nutrition management in patients with head and neck cancer undergoing radiotherapy was searched among National Guideline Clearinghouse,Registered Nurses' Association of Ontario,National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,Guidelines International Network,National Comprehensive Cancer Network,Cancer Council Australia,PubMed,Cochrane Library,CNKI,Wanfang Data,and Chongqing VIP.The retrieval time was from the establishment of the database to September 2020.Results Totally five articles were included,involving two guidelines and three expert consensuses.Seventeen items of best evidence were summarized,including nutrition screening and assessment,nutritional support,and nutritional monitoring and evaluation.Conclusions Clinicians can implement best evidence to carry out the practical reform of nutrition management,improve the scientific of nutrition management of head and neck cancer patients undergoing radiotherapy,and improve the nutritional status and clinical outcome of patients.

参考文献/References:

[1] BRAY F,FERLAY J,SOERJOMATARAM I,et al.Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2018,68(6): 394-424.
[2] UNSAL D,MENTES B,AKMANSU M,et al.Evaluation of nutritional status in cancer patients receiving radiotherapy: a prospective study[J].Am J Clin Oncol,2006,29(2): 183-188.
[3] CITAK E,TULEK Z,UZEL O.Nutritional status in patients with head and neck cancer undergoing radiotherapy: a longitudinal study[J].Support Care Cancer,2019,27(1): 239-247.
[4] LANGIUS JA,DOORNAERT P,SPREEUWENBERG M,et al.Radiotherapy on the neck nodes predicts severe weight loss in patients with early stage laryngeal cancer[J].Radiother Oncol,2010,97(1): 80-85.
[5] KONO M,WAKISAKA R,KUMAI T,et al.Effects of early nutritional intervention by a nutritional support team for patients with head and neck cancer undergoing chemoradiotherapy or radiotherapy[J].Head Neck,2021,43(2):514-519.
[6] LANGIUS J,ZANDBERGEN M,EERENSTEIN S,et al.Effect of nutritional interventions on nutritional status,quality of life and mortality in patients with head and neck cancer receiving(chemo)radiotherapy: a systematic review[J].Clin Nutr,2013,32(5): 671-678.
[7] PFISTER D,SPENCER S,ADELSTEIN D,et al.Head and Neck Cancers,Version 2.2020,NCCN Clinical Practice Guidelines in Oncology[J].J Natl Compr Canc Netw,2020,18(7): 873-898.
[8] Cancer Council Australia.Evidence-based practice guidelines for the nutritional management of adult patients with head and neck cancer [EB/OL].[2020-12-09].https://wiki.cancer.org.au/australia/COSA:Head_and_neck_cancer_nutrition_guidelines.
[9] 赵充.头颈部肿瘤放疗者营养与支持治疗专家共识[J].中华放射肿瘤学杂志,2018,27(1): 1-6.
[10]曾巧苗,陈文凤,张京慧,等.头颈部肿瘤放疗患者的多学科营养管理实践[J].护理学杂志,2019,34(11): 97-101.
[11]BROUWERS M,KHO M,BROWMAN G,et al.AGREE II: advancing guideline development,reporting and evaluation in health care[J].CMAJ,2010,182(18): E839-E842.
[12]谢利民,王文岳.《临床指南研究与评价系统Ⅱ》简介[J].中西医结合学报,2012,10(2): 160-165.
[13]The Joanna Briggs Institute.Critical appraisal tools [EB/OL].[2020-12-09].https://joannabriggs.org/critical-appraisal-tools.
[14]邢唯杰,胡雁,周英凤,等.推动证据向临床转化(六)证据总结的制作与撰写[J].护士进修杂志,2020,35(12): 1129-1132.
[15]TALWAR B,DONNELLY R,SKELLY R,et al.Nutritional management in head and neck cancer: United Kingdom national multidisciplinary guidelines[J].J Laryngol Otol,2016,130(S2): S32-S40.
[16]LIN M,SHUENG P,CHANG W,et al.Consensus and clinical recommendations for nutritional intervention for head and neck cancer patients undergoing chemoradiotherapy in Taiwan[J].Oral Oncol,2018,81:16-21.
[17]KISS N,KRISHNASAMY M,LOELIGER J,et al.A dietitian-led clinic for patients receiving(chemo)radiotherapy for head and neck cancer[J].Support Care Cancer,2012,20(9): 2111-2120.
[18]HAZZARD E,HAUGHTON J,FISH J,et al.The experience of nutritional care according to patients with head and neck cancer involved with a combined dietitian,specialist nurse and speech pathologist clinic in a regional Australia: a qualitative longitudinal study[J].Support Care Cancer,2021,29(8):4329-4337.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-05-25 【 修回日期 】 2021-11-27
【 作者简介 】 王延莉,主管护师,硕士,从事肿瘤护理工作
【 通信作者 】 吴子敬,电话:024-31939546
更新日期/Last Update: 2022-01-15