Summary of the best evidence for nutritional intervention in patients with chronic kidney disease complicated with protein-energy wasting
10.3760/cma.j.cn115682-20240204-00696
- VernacularTitle:慢性肾脏病合并蛋白质-能量消耗患者营养干预的最佳证据总结
- Author:
Tongxin LI
1
;
Chenxiao BAI
;
Jinhua SHEN
;
Zixia HE
;
Yuxia GUAN
Author Information
1. 中国医学科学院北京协和医院肾内科一病房，北京 100730
- Publication Type:Journal Article
- Keywords:
Chronic kidney disease;
Protein-energy wasting;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2024;30(35):4797-4806
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize evidence related to nutritional interventions for patients with chronic kidney disease (CKD) and protein-energy wasting (PEW), providing reference for clinical nursing practice.Methods:An evidence-based question was developed, and relevant literature on nutritional interventions for CKD patients with PEW was systematically searched using the "6S" evidence model, with a search timeframe up to March 31, 2024. Literature quality was independently assessed by two research nurses, with a senior nursing expert involved in decision-making. Evidence extraction, evaluation, and grading were conducted using the Joanna Briggs Institute (JBI) evidence pre-grading system.Results:A total of 19 studies were included, including three clinical decisions, three guidelines, three expert consensus, four systematic reviews, five randomized controlled trial studies, and one national standard. Evidence was summarized across five dimensions: PEW assessment, PEW prevention, PEW treatment, specific dietary recommendations, and team collaboration, resulting in 43 best evidence recommendations.Conclusions:The best evidence summarized in this study provides a foundation for clinical healthcare providers to develop nutritional intervention strategies for CKD patients with PEW.
