结直肠手术后增强恢复的患者营养经验：系统综述
Patient Experiences of Nutrition in Enhanced Recovery After Colorectal Surgery: A Systematic Review.
摘要(中文译文)
围手术期营养是加速康复外科（ERAS）路径的核心组成部分。了解患者对营养建议的体验，有助于深入认识围手术期营养照护的可接受性，并促进ERAS目标的实现。本系统综述旨在综合结直肠手术ERAS路径中患者的营养体验。对Ovid MEDLINE、Embase、Emcare和CINAHL进行了系统检索，以识别截至2025年7月发表的研究。符合条件的研究包括定性、混合方法或描述性调查设计。采用归纳性主题分析提取和综合数据。使用混合方法评价工具评估方法学质量。共纳入15项研究（40%定性、33%定量、27%混合方法），代表1431例患者的数据。11项研究符合全部质量标准。共识别出五个主题。关于营养的信息缺口和误解（主题1）源于不同照护环境中建议不明确。术后经口摄入（主题2）受到恶心、食欲下降、早饱及对医院饮食不满的限制。口服营养补充剂的体验（主题3）存在差异，适口性影响可接受性。医护人员（主题4）在塑造患者对营养照护的信心方面发挥核心作用。向家庭的过渡（主题5）是一个脆弱时期，随访支持受到高度重视。ERAS背景下营养报告异质性是一项局限。患者对ERAS营养的参与受个体和医疗系统因素影响。弥合信息缺口、提供营养支持，并通过共同设计的教育和研究举措整合患者视角，可能改善围手术期营养体验并优化康复结局。
Abstract
Perioperative nutrition is a core component of Enhanced Recovery After Surgery (ERAS) pathways. Understanding the patient experience of nutrition recommendations provides insight into the acceptability of perioperative nutrition care and facilitates the achievement of ERAS targets. This systematic review aimed to synthesise patients' experiences of nutrition within ERAS pathways for colorectal surgery. A systematic search of Ovid MEDLINE, Embase, Emcare, and CINAHL was conducted to identify studies published up until July 2025. Eligible studies included qualitative, mixed-methods, or descriptive survey designs. Data were extracted and synthesised using an inductive thematic analysis. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Fifteen studies were included (40% qualitative, 33% quantitative, 27% mixed-methods), representing data from 1431 patients. Eleven studies met all quality criteria. Five themes were identified. Information gaps and misconceptions about nutrition (Theme 1) resulted from unclear advice across care settings. Oral intake post-surgery (Theme 2) was limited by nausea, reduced appetite, early satiety, and dissatisfaction with hospital food. Experiences with oral nutritional supplements (Theme 3) were variable, with palatability affecting acceptability. Healthcare professionals (Theme 4) were central in shaping patient confidence in nutrition care. The transition to home (Theme 5) was a vulnerable period where follow-up support was highly valued. Heterogeneous reporting of nutrition in ERAS contexts was a limitation. Patient engagement with ERAS nutrition is shaped by individual and healthcare system factors. Addressing information gaps, providing nutrition support, and integrating patient perspectives through codesigned education and research initiatives may enhance perioperative nutrition experiences and optimise recovery outcomes.
如何引用
AMA
Kimberly Yee Hooi Ang, Georgia Stringer, Jorja Collins, Lisa A Barker. Patient Experiences of Nutrition in Enhanced Recovery After Colorectal Surgery: A Systematic Review.. Nutrients. 2026; doi:10.3390/nu18111790.
APA
Kimberly Yee Hooi Ang, Georgia Stringer, Jorja Collins, Lisa A Barker (2026). Patient Experiences of Nutrition in Enhanced Recovery After Colorectal Surgery: A Systematic Review.. Nutrients. https://doi.org/10.3390/nu18111790
GB/T 7714
Kimberly Yee Hooi Ang, Georgia Stringer, Jorja Collins, Lisa A Barker. Patient Experiences of Nutrition in Enhanced Recovery After Colorectal Surgery: A Systematic Review.[J]. Nutrients, 2026 doi:10.3390/nu18111790.
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