Summary of best evidence for nutritional management in MHD patients
Qiu Lulu
Xu Xiaoming
Zhang Hongtao
Huang Jiahua
Ran Yuhua
Deng Ruihua
Abstract：Objective This paper aims to search for relevant evidence on nutritional management in patients with maintenance hemodialysis and summarizes the best evidence.Methods According to the"6S"pyramid model of evidence resources,all types of evidence resources related to nutritional management in maintenance hemodialysis patients were searched,including clinical decision-making,clinical practice guidelines,systematic review,expert consensus,and various original studies.Clinical guideline research and evaluation system II,systematic evaluation quality assessment scale,JBI literature evaluation criteria,and evidence grading system were used to evaluate the quality of the included literature and to assess the evidence level.Results A total of 2 695 relevant articles were retrieved in this study and 14 articles were finally included,including 11 guidelines,1 expert consensus,and 2 systematic reviews.Combined with professional judgment,26 items of evidence re-lated to nutritional management of maintenance hemodialysis patients were summarized in four aspects:nutritional screening and evaluation,nutritional intervention,nutritional support therapy,nutritional monitoring,and follow-up.Conclusion This study summarizes the best evidence of nutritional management in patients with maintenance hemodialysis and can pro-vide an evidence-based basis for medical staff to carry out nutritional management.Medical staff should target the selection and application of the best evidence in combination with clinical conditions and patient preferences.
Keywords：Maintenance hemodialysisNutritionEvidence-based nursingEvidence
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 89-94 )