Botti Stefano, Liptrott Sarah Jayne, Gargiulo Gianpaolo, Orlando Laura
Complex Operational Unit of Haematology, ASMN-IRCCS Reggio Emilia, viale Risorgimento 80, Reggio Emilia 42123, Italy.
Division of Haemato-oncology, European Institute of Oncology, via Ripamonti 435, Milan 20141, Italy.
Ecancermedicalscience. 2015 Jun 15;9:545. doi: 10.3332/ecancer.2015.545. eCollection 2015.
A survey within Italian haematopoietic stem cell transplant (HSCT) programmes was performed, in order to obtain a snapshot of nutritional support (NS) in patients undergoing HSCT. The primary objective was to verify whether an evidence-based practice (EBP) approach to NS was implemented in HSCT centres. A multicentre survey was performed by questionnaire, covering the main areas of NS (screening, treatment planning, monitoring, nutritional counselling, and methods of nutritional support). The results indicated a significant variation between clinical practice and evidence-based guidelines in terms of clinical pathways, decision-making, and care provision regarding NS. Further research is required to identify reasons for the limited application of EBP and measures that may be undertaken to address such issues. Development of a multidisciplinary educational programme in order to raise awareness of the issue should be undertaken.
为了了解接受造血干细胞移植(HSCT)患者的营养支持(NS)情况,在意大利的造血干细胞移植项目中进行了一项调查。主要目的是核实HSCT中心是否采用了基于循证实践(EBP)的营养支持方法。通过问卷调查进行了一项多中心调查,涵盖营养支持的主要领域(筛查、治疗计划、监测、营养咨询和营养支持方法)。结果表明,在营养支持的临床路径、决策制定和护理提供方面,临床实践与循证指南之间存在显著差异。需要进一步研究以确定循证实践应用有限的原因以及可采取的解决这些问题的措施。应开展多学科教育项目以提高对该问题的认识。