Best evidence summary of nutritional management in patients with acute-on-chronic liver failure
10.3761/j.issn.0254-1769.2025.05.011
- VernacularTitle:慢加急性肝衰竭患者营养管理的最佳证据总结
- Author:
Jiayi TANG
1
;
Guiqing TANG
;
Na ZHANG
;
Xiaobo LI
Author Information
1. 110001 沈阳市 中国医科大学附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Liver Failure;
Acute-on-Chronic Liver Failure;
Nutritional Support;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(5):581-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and synthesize the best evidence for nutritional management in patients with acute-on-chronic liver failure.Methods Evidence on nutritional management of patients with acute-on-chronic liver failure was systemically retrieved from the clinical decision support systems,guideline websites,professional association websites and databases,such as Cochrane Library,Joanna Briggs Institute,PubMed,Embase,CINAHL,Web of Science,VIP database,CNKI and CBM,including clinical decisions,guidelines,expert consensuses,evidence summaries and systematic reviews from inception to July 16,2024.Researchers trained in evidence-based nursing used authoritative tools to evaluate the methodological quality of the literature,and extracted and synthesized evidence according to the theme.Results A total of 13 articles were included,including 1 clinical decision,8 guidelines,and 4 expert consensuses.The best evidence included 26 pieces of evidence in 6 areas,namely the nutrition support team,nutritional assessment,energy and protein intake,oral nutrition support,enteral and parenteral nutrition support,and management of complications.Conclusion This study summarizes the best evidence for nutritional management in patients with acute-on-chronic liver failure,which can provide a basis for their standardized management.Medical staff should evaluate the availability of evidence from multiple perspectives when applying it.
