Yu-Jie Su, Si-Jia Zhou, Wei Liu, Chao-Ran Qu, Wei-Wei Zhang, Mi Zhang, Yue-Ming Peng, Wei-Xiang Luo
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All recommendations from the CPGs were summarised and analysed, and evidence mapping bubble charts were created in Excel.</p><p><strong>Results: </strong>After excluding 5541 records, 10 CPGs were eventually proved eligible, 55 of which were of high quality and 5 medium quality. With 10 CPGs that combined 18 recommendations. The nutrition screening and assessment were summarised on the basis of the dementia recommendations for 4 major items, 7 items on nutritional interventions, 5 items on caring and 2 on education.</p><p><strong>Conclusion: </strong>This review provides an evidence map and offers new perspectives on CPGs for nutritional management in dementia. 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引用次数: 0
摘要
目的：本研究旨在系统地回顾痴呆症营养管理的临床实践指南（CPGs），并使用证据图谱来突出研究趋势并确定差距，为未来的研究提供信息。设计：使用PRISMA声明对指南进行系统审查。方法：系统收集PubMed、Embase、Web of Science和指南数据库中有关痴呆管理cpg的文献。提取cpg的基本信息、建议、方法质量和报告质量。四名研究人员使用AGREE II仪器和RIGHT检查表独立评估合格的cpg。对CPGs的所有建议进行总结和分析，并在Excel中创建证据映射气泡图。结果：经排除5541条记录，最终证实10条cpg符合条件，其中高质量55条，中质量5条。有10个cpg，总共有18条建议。根据痴呆建议的4个主要项目、7个营养干预项目、5个护理项目和2个教育项目，对营养筛查和评估进行了总结。结论：本综述提供了一个证据图谱，并为CPGs在痴呆患者营养管理中的应用提供了新的视角。然而，所包括的cpg有改进，但大多数cpg有一些关键的建议，可以帮助指导临床实践。与临床实践的相关性：目前可用的痴呆营养管理指南在方法学上有改进的空间。
Evidence Mapping of Clinical Practice Guidelines Recommendations and Quality for Nutritional Management in Dementia.
Aim: This study aimed to systematically review Clinical Practice Guidelines (CPGs) for nutritional management of dementia and use evidence mapping to highlight research trends and identify gaps to inform future research.
Design: A systematic review of guidelines using the PRISMA statement.
Methods: Systematically collect literature on dementia management CPGs from PubMed, Embase, Web of Science and guideline databases. Extract basic information, recommendations, methodological quality and reporting quality of the CPGs. Four researchers independently evaluated eligible CPGs using the AGREE II instrument and the RIGHT checklist. All recommendations from the CPGs were summarised and analysed, and evidence mapping bubble charts were created in Excel.
Results: After excluding 5541 records, 10 CPGs were eventually proved eligible, 55 of which were of high quality and 5 medium quality. With 10 CPGs that combined 18 recommendations. The nutrition screening and assessment were summarised on the basis of the dementia recommendations for 4 major items, 7 items on nutritional interventions, 5 items on caring and 2 on education.
Conclusion: This review provides an evidence map and offers new perspectives on CPGs for nutritional management in dementia. However, there are improvements to the included CPGs, but most CPGs have a number of key recommendations that can help guide clinical practice.
Relevance to clinical practice: The currently available guidelines on dementia nutritional management have room for methodological improvement.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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