Summary of the best evidence for preventive management of refeeding syndrome in patients with anorexia nervosa
10.3760/cma.j.cn211501-20240902-02388
- VernacularTitle:神经性厌食症患者再喂养综合征预防管理的最佳证据总结
- Author:
Mengyu CHEN
1
;
Feng FENG
;
Li KONG
;
Na HAN
;
Fule LIU
;
Zhaohui YAN
;
Jie ZHANG
Author Information
1. 山东中医药大学护理学院，济南 250355
- Publication Type:Journal Article
- Keywords:
Evidence-based medicine;
Anorexia nervosa;
Refeeding syndrome;
Refeeding;
Evidence summarization
- From:
Chinese Journal of Practical Nursing
2025;41(11):841-849
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically search and summarize high-quality evidence-based evidence on the prevention and management of refeeding syndrome in patients with anorexia nervosa, and to provide a basis for preventive management of patients at high risk.Methods:A computerized search was conducted for evidence on the prevention and management of refeeding syndrome in patients with anorexia nervosa in relevant domestic and international databases and professional team websites, including clinical decision-making, guidelines, expert consensus, evidence summaries and systematic evaluations, and randomized controls. The search timeframe was from database construction to August 2024. Two researchers trained in systematic evidence-based knowledge independently performed literature screening, quality assessment, and extraction and summarization of evidence according to inclusion and exclusion criteria.Results:A total of 15 publications were included, which contained 4 guidelines, 3 expert consensus, 3 clinical decision-making, 3 systematic evaluations, and 2 randomized control trials. Thirty-one pieces of evidence for the prevention and management of refeeding syndrome were summarized in seven areas: treatment team, risk factors, risk assessment, preventive measures, clinical diagnosis, management measures, and patient safety.Conclusions:The best evidence summarized in this study for the prevention and management of refeeding syndrome in anorexia nervosa provides an evidence-based basis for practitioners to implement refeeding syndrome prevention and management measures.
