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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (19): 33-38.doi: 10.16460/j.issn1008-9969.2021.19.033

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Evidence-based Practice on Nutrition Screening Evaluation and Management for Inpatients with Chronic Liver Disease

LIU Shan-shan1a, WANG Ying1b, JIA Shou-mei2, DENG Rong1b, JIANG Yan1a, CHEN Fang1b, LUO Yun-ting1b   

  1. 1a. Evidence-based Nursing Center; 1b.Center of Infectious Diseases, West China School of Nursing/West China Hospital, Sichuan University,Chengdu 610041, China;
    2. School of Nursing, Fudan University, Shanghai 200032, China
  • Received:2021-06-17 Online:2021-10-10 Published:2021-11-10

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Abstract: Objective To formulate the best evidence for the screening, assessment and management of malnutrition risk in inpatients with chronic liver diseases and apply it to clinical practice so as to standardize the strategy of screening, assessment and management of malnutrition and improve the nutritional level of patients. Methods With JBI's clinical evidence practice application model, after localizing the best evidence, the review indexes for nutritional screening, evaluation and management of patients with chronic liver disease were formulated, and the clinical practice was continuously guided and standardized through training and assessment. The nutritional level of patients, knowledge, attitude and practice (KAP) of the patients and the completion of the Quality Review Index before and after the implementation of the best evidence were compared. Results After the application of the evidence, the incidence of malnutrition in the intervention group was lower than that in the control group, and the ALB level was higher than that in the control group（P<0.05).KAP of the patients was improved （P<0.05）and the performance of the 6 indexes in the Quality Review Index was better（P<0.05）. Conclusion Through the application of the best evidence in the screening, assessment and management of nutritional problems of inpatients with chronic liver disease, the nutritional level and the quality of clinical medical care were improved.

Key words: evidence-based practice, chronic liver disease, nutrition management

CLC Number: 

  • R473.51
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