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对18岁以下精神性厌食症住院患者的再食方案的表征:系统性审查
Helen Cristina Bittencourt Lopes1, Bruna Caruso Mazzolani2, Priscila Koritar3
1Nutrition and Dietetics Service and Interdisciplinary Project for Care, Teaching, and Research on Eating Disorders in Childhood and Adolescence (PROTAD), Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.
General hospital psychiatry
|October 1, 2023
概括
这次审查发现,18岁以下的精神性厌食症 (AN) 患者住院的再食方案存在显著的变化. 需要更多的研究来制定有效的指导方针来治疗青少年AN.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 饮食障碍 研究 研究 研究
- 临床营养学 临床营养学
背景情况:
- 神经性厌食症 (AN) 是一种严重的饮食障碍,影响青少年.
- 重新养是AN治疗的关键但复杂的组成部分.
- 缺乏用于儿科AN再养的标准化方案.
研究的目的:
- 描述和比较现有的18岁以下的住院患者的再食方案.
- 确定当前再养实践中的共同点和差异.
- 强调需要基于证据的指导方针.
主要方法:
- 对多个数据库 (PubMed,Cochrane等) 的系统审查. ) 的情况.
- 基于PICOS框架的纳入标准.
- 在最初发现的412项中,分析了20项符合条件的研究.
主要成果:
- 观察到样本大小,再食方案和治疗持续时间的显著异质性.
- 大多数研究是观察性或回顾性,其中80%的研究是最近发表的.
- 在所有纳入的研究中存在方法上的限制.
结论:
- 目前青少年AN的重新养方案表现出相当大的变化.
- 方法上的局限性和研究设计的异质性阻碍了最终的结论.
- 预期试验对于比较标准方案和为这一群体建立最佳护理至关重要.
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