开发一个支气管肺功能失调营养专注的体检工具:修改后的Delphi研究
Jennifer R Bathgate1, Kimberli Pike1, Melanie Newkirk1
1Rutgers University, New Brunswick, New Jersey, USA.
Pediatric pulmonology
|April 1, 2024
概括
儿童注册营养师营养师 (RDNs) 开发了一种基于共识的营养重点体检 (NFPE) 工具,以评估婴儿和患有支气管肺功能失调症 (BPD) 的儿童的独特营养需求. 这个工具有助于优化对这个弱势群体的护理.
科学领域:
- 儿童营养学 儿童营养学
- 临床评估工具 临床评估工具
- 呼吸系统医学 呼吸系统医学
背景情况:
- 患有支气管肺功能障碍 (BPD) 的婴儿和儿童具有复杂且经常改变的营养需求.
- 准确和有针对性的营养评估对于管理与BPD相关的并发症和促进生长至关重要.
- 现有的评估工具可能无法完全解决BPD的特定营养挑战.
研究的目的:
- 确定影响儿科患者营养需求的关键因素,诊断出患有支气管肺功能障碍症 (BPD).
- 为患有BPD的儿童开发专门的以营养为重点的身体检查 (NFPE) 工具.
- 为了在这个BPD特定的NFPE工具的组件上达成专家共识.
主要方法:
- 采用了经过修改的Delphi方法,涉及儿科注册营养师营养师 (RDNs).
- 一项两轮调查评估了NFPE组件的相关性和有用性,使用5分利克尔特等级.
- 共识被定义为对组件有用性或相关性达成75%的同意.
主要成果:
- 在六个关键领域的38个组成部分达成了专家共识:人体测量,身体组成,发育,胃肠道,呼吸道和身体症状.
- 德尔菲过程成功地确定了BPD特定NFPE的基本元素.
结论:
- 一个基于证据的营养评估工具,用于婴儿和患有BPD的儿童,通过专家的共识建立.
- 预计开发的NFPE工具将提高这种儿科患者营养评估的准确性.
- 这种以共识为导向的方法确保了该工具在临床实践中的相关性和适用性.
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