Summary of the best evidence for diet management in patients with chronic kidney disease in stage 3-5 D
10.3760/cma.j.cn115682-20210920-04283
- VernacularTitle:慢性肾脏病3~5 D期患者饮食管理最佳证据总结
- Author:
Lulu MO
1
;
Guifen GUAN
;
Xiaochun LAI
;
Xiangjun QIN
;
Lijun YANG
;
Chang LIU
;
Dongxi HONG
;
Zebin WANG
;
Donglan LING
Author Information
1. 广州医科大学附属第二医院肾内科，广州 510260
- Keywords:
Chronic disease;
Chronic kidney disease;
Diet management;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(16):2152-2161
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence of diet management in patients with chronic kidney disease (CKD) in stage 3-5 D, so as to provide a reference for clinical nursing.Methods:After establishing evidence-based nursing questions, according to the "6S evidence model", the evidence on diet management of patients with CKD in stage 3-5 D was searched by computer, including computer decision support system evidence, guidelines, best evidence summary and systematic review. The search time limit was from the establishment of the database to September 2020. The guideline quality assessment was independently completed by two research nurses and a doctor of nephrology. The quality assessment of non-guideline article was independently completed by two research nurses, and an evidence-based instructor participated in decision-making. The evidence was extracted, evaluated and graded using the Joanna Briggs Institute (JBI) 2014 version of the intervention research evidence pre-grading system.Results:A total of 19 articles that met the requirements were included, including 5 guidelines, 8 systematic reviews, 4 randomized controlled trials, 1 clinical decision, and 1 national standard. A total of 22 pieces of the best evidence on diet management of patients with CKD in stage 3-5 D were summarized from three aspects, namely, diet/nutrition assessment, diet management, teamwork and education.Conclusions:The best evidence of diet management in patients with CKD in stage 3-5 D provides a certain reference for clinical practice, so as to improve the quality of diet management in patients with CKD and the clinical outcomes of patients.
