使用修改后的Delphi技术开发急性护理的儿科综合营养途径 (P-INPAC)
Kim Brunet-Wood1, Zujaja Tul-Noor2, Robert H J Bandsma2,3
1Canadian Malnutrition Task Force, Canadian Nutrition Society, Ottawa, ON K1C 6A8, Canada.
概括
与疾病相关的营养不良 (DRM) 影响了三分之一的住院儿童. 一个新的急性护理儿科综合营养途径 (P-INPAC) 标准化了加拿大儿科住院患者的查,评估和治疗.
科学领域:
- 儿童营养学 儿童营养学
- 临床途径发展发展
- 营养不良管理 营养不良管理
背景情况:
- 与疾病相关的营养不良 (DRM) 在住院儿童中很普遍,在入院时影响了三分之一的儿童.
- 儿童在住院期间容易受到营养下降的影响,但加拿大缺乏系统的DRM检测.
- 需要标准化的方法来改善儿科住院患者的营养护理.
研究的目的:
- 开发一个儿科,住院营养护理途径.
- 该途径旨在标准化和改善与疾病相关的营养不良的医院护理.
- 基于证据,资源可行性和专家共识.
主要方法:
- 一个多学科的儿科工作组开发了该途径.
- 方法包括文献审查,适应成人综合营养急性护理途径 (INPAC) 和修改的德尔菲共识过程.
- 共识被定义为对路径组件达成≥80%的共识.
主要成果:
- 开发了急性护理的儿科综合营养路径 (P-INPAC).
- P-INPAC包括在24小时内进行查,并在入院后48小时内使用主观全球营养评估 (SGNA) 进行评估.
- 它概述了DRM的预防和治疗计划,分为标准,高级和专业护理.
结论:
- 已经建立了一个基于证据的,基于共识的路径 (P-INPAC),用于儿科住院患者的营养护理.
- 需要进一步的研究来评估实施的可行性和评估P-INPAC在临床实践中的有效性.
- 将P-INPAC纳入实践是解决医院儿科营养不良问题的关键.
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