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肿瘤病人营养支持与护理管理中国专家共识OA

Chinese expert consensus on nutritional support and nursing management for cancer patients

中文摘要英文摘要

肿瘤相关营养不良发生率高,严重影响病人预后及生活质量,营养支持治疗已被确立为肿瘤综合治疗的重要组成部分,但我国临床肿瘤营养护理实践仍缺乏统一规范及全流程管理体系.本共识依托多学科协作机制与信息化平台,构建了肿瘤病人营养支持与护理管理模式.主要内容涵盖基于营养风险筛查2002(NRS-2002)与病人主观整体评估(PG-SGA)的入院营养筛查与综合评估、住院期间阶梯式分级干预路径,以及出院后的"互联网+"延续护理闭环管理,针对营养支持过程中的并发症预防及护理操作制定了标准化规程.旨在为临床护理人员提供科学、系统、同质化的实践依据,从而优化护理流程,改善病人临床结局,提升其生活质量.

The incidence of tumor-related malnutrition is high,and significantly affects the prognosis and quality of life of patients.Nutritional support therapy has been established as an important component of comprehensive tumor treatment.However,the clinical practice of oncology nutrition care in China still lacks unified norms and a complete process management system.This consensus,based on a multidisciplinary collaboration mechanism and an information platform,has constructed a nursing management model for nutritional support and care for tumor patients.The main content covers admission nutritional screening and comprehensive assessment based on the Nutritional Risk Screening 2002(NRS-2002)and the Patient Generated Subjective Global Assessment(PG-SGA),as well as a stepwise graded intervention path during hospitalization,and an Internet-based continuous care closed-loop management after discharge.Standardized procedures have been formulated for the prevention of complications and nursing operations during the nutritional support process.The aim is to provide scientific,systematic,and uniform practical basis for clinical nurses,thereby optimizing the nursing process,improving the clinical outcome of patients,and enhancing their quality of life.

中国营养学会临床营养分会;范宇莹;中国医师协会介入医师分会介入围手术专家工作组;张伟;李迎;和芳;董雪;周春凌;麻立娟;王晓燕

哈尔滨医科大学护理学院国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京 100021国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京 100021国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京 100021国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京 100021哈尔滨医科大学附属第四医院哈尔滨医科大学附属第四医院东南大学附属中大医院

肿瘤营养支持护理管理专家共识

cancernutritional supportnursing managementexpert consensus

《护理研究》 2026 (16)

2769-2773,5

10.12102/j.issn.1009-6493.2026.16.001

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