测量重症新生儿和儿童的成长
Julia M Bracken1,2, Lucy Pappas3, Jamie Wilkins3
1Department of Pediatrics, Division of Gastroenterology, Children's Mercy Hospital, Kansas City, Missouri, USA.
概括
危急疾病增加了婴儿和儿童营养不良的风险. 使用生长图表和营养评估的早期识别和干预对于更好的结果至关重要.
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 关键护理医学 关键护理医学
背景情况:
- 危急疾病显著提高了儿科患者营养不良的风险.
- 营养不良与不良的健康结果和延长的重症监护室 (ICU) 停留有关.
- 解决营养不良需要采用多因素的方法,考虑疾病前的条件和代谢变化.
研究的目的:
- 强调识别和管理重症婴儿和儿童营养不良的重要性.
- 强调需要有方法的增长评估和多式模式的营养评估.
- 倡导改善儿科重症监护营养方面的资源和标准化结果措施.
主要方法:
- 使用新生儿,早产儿,儿科和特定疾病的生长图进行评估.
- 进行以营养为重点的体检.
- 使用间接热量计用于详细的营养状况评估.
主要成果:
- 系统的生长测量和营养评估对于识别营养不良至关重要.
- 增长图表和体检是增长评估的关键组成部分.
- 间接热量计提供了对个体营养状况的全面了解.
结论:
- 在评估和管理重症儿童营养不良时,必须采用协作式的多式联络方法.
- 标准化的生长评估工具和以营养为重点的检查至关重要.
- 需要进一步的研究和质量改进举措,以优化新生儿和儿科重症监护病房的营养护理.
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