医学的に危害のある食生活障害を持つ成人の患者の液体需要: スコーピングレビュー
Kylie Matthews-Rensch1,2,3,4, Liam Connolly5, Courtney Ellis5
1Dietetics and Foodservices, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
まとめ
このレビューでは,食生活障害で入院した成人の体液の必要性に関する証拠は限られている. これらの患者に対する安全で効果的な流体管理プロトコルを確立するには,さらなる研究が必要です.
科学分野:
- 栄養学
- 臨床医学
- 公衆衛生
背景:
- 医学的に問題のある食生活障害は 患者の管理において複雑な課題を提示します
- 摂食障害のある人にとって 液体のバランスが非常に重要です
研究 の 目的:
- 医学的に危険な食生活障害を持つ成人のための液体需要に関する現在の証拠をレビューする.
- 流体投与,報告,有害事象に関する研究におけるギャップを特定する.
主な方法:
- ジョアンナ・ブリッグス研究所の 方法論に沿った スコーピングレビューです
- PubMed,CINAHL,Embaseのデータベースで 関連する研究を検索しました
- 食生活障害と流体関連データを含む,入院成人 (≥18歳) の観察研究.
主要な成果:
- 104人の参加者を含む13の観察研究では,主に神経性拒食症の女性でした.
- 流体供給は複数の経路で一貫していなかった.
- 流体への影響と包括的な測定の理解には大きなギャップがあります.
結論:
- この患者集団の体液の必要性に関する証拠は極めて不足しています.
- 将来の研究は,詳細な流体モニタリングによる強力なコホート研究に重点を置くべきです.
- 摂食障害のある人の栄養支援と臨床ケアを 改善するためには 改善された証拠が必要です
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