目的 检索、评价并总结国内外肿瘤患者家庭肠内营养护理的最佳证据,为实施家庭肠内营养护理提供参考依据。 方法 本研究对 PubMed、BMJ Best Practice、Up To Date、The Cochrane Library、英国国家卫生与临床优化研究所(NICE)、加拿大 安大略注册护士联合会网站(RNAO)、医脉通临床指南网、中国知网、万方数据库、维普数据库等数据库进行系统检索,全面检 索关于肿瘤患者家庭肠内营养护理的证据,基于“6S”证据金字塔模型选取临床决策、指南、系统评价/ meta 分析、证据总结、专 家共识、随机对照试验等。 检索时间范围从 2013 年 12 月 1 日至 2023 年 12 月 1 日。 由具有循证医学背景的研究人员进行文 献质量评价和资料提取。 结果 共纳入文献 23 篇,其中指南 8 篇,专家共识 4 篇,证据总结 3 篇,系统评价 6 篇,随机对照研究 2 篇。 归纳出包括肿瘤患者家庭肠内营养护理的最佳照护团队、筛查与评定、实施与评价、营养教育 4 个方面 22 条最佳证据。 结论 本研究为肿瘤患者家庭肠内营养护理提供循证证据,从而提升肿瘤患者营养管理质量。

Objective To retrieve evaluate and summarize the best evidence on home enteral nutrition care for oncology patients at home and abroad and to provide a reference basis for implementing home enteral nutrition care. Method This study conducted a systematic search of PubMed Up To Date The Cochrane Library National Institute for Health and Clinical Excellence NICE Registered Nurses' AssoCiation of Ontario RNAO MedLive Clinical Guidelines China Knowledge Network Wanfang Database VIP and other databases. Registered Nurses' AssoCiation of Ontario RNAO Clinical Guidelines China Knowledge Network Wanfang Database and VIP etc. We conducted a systematic search to comprehensively retrieve evidence on home enteral nutrition care for oncology patients and selected clinical evidence based on the "6S" evidence pyramid model. Based on the "6S" evidence pyramid model we selected clinical decisions guidelines systematic evaluations/ Meta - analyses evidence summaries expert consensus randomized controlled trials and so on. The time frame of the search was from December 1 2013 to December 1 2023 and was based on the "6S" evidence pyramid model. Literature quality assessment and data extraction were performed independently by 2 persons with evidence-based professional background. Result A total of 23 publications were included including 8 guidelines 4 expert consensus 3 evidence summaries 6 systematic evaluations and 2 randomized controlled studies. Twenty-two pieces of best evidence were summarized in 4 areas including optimal care team screening and assessment implementation and evaluation and nutrition education for home enteral nutrition care in oncology patients. Conclusion This study provides evidence-based evidence for home enteral nutrition care for oncology patients thereby improving the quality of nutritional management for oncology patients.