为患有回避性/限制性食物摄入障碍的青少年制定住院治疗方案:一个案例研究
Danielle Pogos1,2, Melissa Whitelaw1,2,3, Claire Burton1,4,5
1Department of Adolescent Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
概括
一个新的住院治疗避开/限制性食物摄入障碍 (ARFID) 的治疗方案被开发并为青少年进行试点. 这种修改后的协议提供了更多的餐饮选择,并得到了患者和工作人员的好评.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
- 青少年精神病学 青少年精神病学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 是一种饮食障碍,其特点是营养摄入不足.
- 缺乏针对ARFID青少年的基于证据的住院指南.
- 对神经性厌食症 (AN) 的现有方案需要对ARFID患者进行修改.
研究的目的:
- 为患有ARFID的青少年制定和试验住院治疗方案.
- 与AN患者相比,解决ARFID患者的独特需求.
- 改善患者的治疗结果,并将住院护理与门诊治疗结合起来.
主要方法:
- 修改现有的住院精神性厌食症 (AN) 协议.
- 开发一个新的ARFID特定的住院治疗方案.
- 一个青少年患有ARFID的病例报告详细介绍了三次入院.
- 与患者,家人和关键工作人员进行采访,以评估协议.
主要成果:
- 新的ARFID协议允许更多的餐饮选择,并消除了餐后休息时间和浴室监督的需要.
- 与AN协议的相似之处包括分阶段的营养补充和食支持,以促进体重增加.
- 该协议得到了患者,家人和工作人员的良好接受,目前正在使用中.
结论:
- 开发的ARFID住院治疗方案似乎是有效的,并且得到了很好的接受.
- 需要进一步评估以确定其在不同青少年ARFID人群中的有效性.
- 该协议代表了向ARFID基于证据的住院护理迈出的一步.
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