Structured nursing consultation programs in the pre- and post-liver transplant period: A Scoping Review Protocol

ABSTRACTObjective: To map and synthesize the evidence on structured nursing consultation programs for people in the pre- and/or post-liver transplant phase, identifying their characteristics, objectives, interventions performed, implementation contexts, and reported results.Introduction: Liver transplantation is the primary treatment for end-stage liver failure, involving a complex process before and after surgery. Nursing consultations are crucial for patient preparation, monitoring, and promoting adherence to therapy. Structured nursing programs with evidence-based interventions can enhance safety and continuity of care for transplant recipients. However, the implementation, characteristics, and outcomes of these programs are not well-documented in the literature.Inclusion Criteria: Studies with adults (18 years or older) who are candidates for liver transplantation and/or who have undergone liver transplantation will be included, and may include nursing professionals involved in the consultation programs. Studies with structured nursing consultation programs and systematized interventions will be included in any context of health care provision (hospital, outpatient, transplant units, home care). No geographical or temporal restriction will be applied.Methods: An initial limited search in Medline and CINAHL will be conducted, followed by a second search for published and unpublished studies without publication date limitations in MEDLINE® with Full Text, CINAHL® Plus with Full Text, MedicLatina™, SCIELO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and JBI Evidence Synthesis. Two reviewers will independently conduct the study selection. After retrieving full-text studies, reference analysis, methodological quality assessment, and data extraction will also be independently conducted by two reviewers. Results will be accompanied by a narrative synthesis or meta-analysis, if appropriate.Conclusion: This review will provide a helpful knowledge base for clinical practice and the development of more effective, person-centred nursing consultation programmes in liver transplantation.摘要 目的：系统梳理并整合针对肝移植术前及/或术后人群的结构化护理咨询方案相关研究证据，明确该类方案的特征、目标、实施干预措施、应用场景及报告结果。 引言：肝移植是终末期肝衰竭的首选治疗手段，其围手术期流程复杂。护理咨询对患者术前准备、术后监护以及提升治疗依从性至关重要。基于循证干预的结构化护理方案，可提升肝移植受者的护理安全性与照护连续性。但目前文献中对该类方案的实施路径、特征与结局的记载仍较为匮乏。 纳入标准：纳入年龄≥18岁的肝移植候选者及/或已接受肝移植术者的相关研究，亦可纳入参与护理咨询方案的护理专业人员相关研究。涵盖各类医疗照护场景（医院、门诊、移植病房、居家护理）下的结构化护理咨询方案与系统化干预措施相关研究。不设地域与时间限制。 研究方法：首先在Medline与CINAHL开展初步检索，随后针对已发表及未发表研究进行二次检索，检索范围涵盖MEDLINE® with Full Text、CINAHL® Plus with Full Text、MedicLatina™、SCIELO、Cochrane对照试验中心注册库（Cochrane Central Register of Controlled Trials）、Cochrane系统评价数据库（Cochrane Database of Systematic Reviews）以及JBI证据合成库（JBI Evidence Synthesis），且无出版日期限制。由2名研究者独立完成文献筛选；获取全文后，再由2名研究者独立开展参考文献分析、方法学质量评价与数据提取工作。若条件允许，研究结果将辅以叙述性综合分析或元分析。 结论：本综述将为临床实践以及肝移植领域更具实效性、以患者为中心的护理咨询方案开发提供有价值的知识基础。