以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (1): 47-52.doi: 10.16460/j.issn1008-9969.2022.01.047

• 循证护理 • 上一篇    下一篇

克罗恩病患者饮食管理的证据总结

殷青霞a, 王莉慧a, 区洁霞b, 文红a, 罗笑婷a, 刘赛君a, 黄心梅a, 刘灿灿a   

  1. 南方医科大学南方医院 a.消化内科; b. JBI循证护理合作中心,广东 广州 510515
  • 收稿日期:2021-08-08 出版日期:2022-01-10 发布日期:2022-02-14
  • 通讯作者: 王莉慧（1975-）,女,河北安新人,本科学历,副主任护师,护士长。E-mail:339548646@qq.com
  • 作者简介:殷青霞（1991-）,女,湖南武冈人,本科学历,护师。
  • 基金资助:
    2020年度南方医院护理创优——循证护理项目（2020EBNb012）

Evidence Summary of Dietary Management in Patients with Crohn's Disease

YIN Qing-xiaa, WANG Li-huia, OU Jie-xiab, WEN Honga, LUO Xiao-tinga, LIU Sai-juna, HUANG Xin-meia, Liu Can-cana   

  1. a. Dept. of Gastroenterology; b. The Nursing Center for Evidence-based Practice: A JBI Center of Excellence, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China
  • Received:2021-08-08 Online:2022-01-10 Published:2022-02-14

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摘要： 目的 检索并总结克罗恩病患者饮食管理的相关证据,为临床医护人员制定饮食护理方案,提高患者自我饮食管理能力提供参考依据。方法 运用PICO的原则确定循证问题,明确检索策略和纳排标准,根据“6S”证据金字塔模型逐层检索,计算机检索Up to Date、英国NICE指南库、中国医脉通指南网、JBI图书馆、美国胃肠病学院（ACG）、欧洲肠外肠内营养学会（ESPEN）、欧洲克罗恩病和结肠炎组织（ECCO）、中华医学会消化病学分会、Web of Science、PubMed、The Cochrane Library、中国知网、万方、维普数据库中关于克罗恩病患者饮食管理的所有证据,检索时间为建库至2021年2月28日。由2名研究者对纳入的文献进行质量评价、证据提取与综合。结果 最终纳入9篇文献,其中临床决策2篇、指南4篇、证据总结1篇、Meta分析1篇、专家共识1篇。共提取饮食模式、生活方式管理、营养评估、预防及处理和常见饮食误区分析4个维度21条最佳证据。结论 医护人员应结合克罗恩病患者的意愿、能力及临床实际条件制定针对性的方案对患者进行合理的饮食指导及管理,使患者减轻疾病症状,减少并发症发生率,降低疾病复发率及再住院率,改善生活体验,提升幸福感,早日回归社会。

关键词: 克罗恩病, 饮食, 管理, 证据总结, 循证护理

Abstract: Objective To search and summarize the evidence of dietary management of patients with Crohn's disease, and to provide reference for clinical medical staff to formulate dietary plan and for patients to improve self-management ability. Methods We searched databases including Up to Date, NICE, CMT, JBI Library, American College of Gastroenterology, European Society of Parenteral and Enteral Nutrition, European Crohn's and Colitis Organization, Chinese Society of Gastroenterology, Web of Science, PubMed, Cochrane Library, CNKI, Wanfang and VIP from the inception to February 28, 2021. Two researchers evaluated the quality of the included literature, extracted and integrated the evidence. Results Nine articles were found, including 2 clinical decisions, 4 guidelines, 1 evidence summary, 1 meta-analysis and 1 expert consensus. A total of 21 pieces of best evidences were summarized into 4 themes: diet pattern, lifestyle management, nutrition assessment, prevention and treatment and common misunderstanding in diet. Conclusion Medical staff should combine patients' willingness , ability and clinical conditions to carry out an appropriate diet guidance for patients with Crohn's disease, so as to reduce disease symptoms, the incidence of complications, recurrence rate, re-hospitalization rate, and improve their life experience, and the sense of happiness, and help patients return to the society as soon as possible.

Key words: Crohn's disease, diet, management, evidence summary, evidence-based nursing

中图分类号: 

  • R473.57
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