[儿童息治疗小组照顾的儿童的胃肠道症状和问题. 观察性研究]
María Mercedes Bernadá Scarrone1, Valeria Le Pera Garófalo1
1Facultad de, Medicina, Universidad de la República, Montevideo, Uruguay.
胃肠道症状在患有限制生命的疾病的儿童中很常见,通常发生多重. 儿科息护理团队通过各种治疗来解决这些问题,尽管一些干预措施,如吞障碍的言语治疗,未得到充分利用.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 胃肠病学 胃肠病学
- 症状管理 症状管理
背景情况:
- 胃肠道症状和问题 (GI-SP) 显著影响患有危及生命和/或限制生命疾病 (LTI/LLI) 的儿科患者.
- 有效地管理GI-SP对于改善儿童息护理 (PPC) 环境中的生活质量至关重要.
- 需要采取全面的方法来解决GI-SP在这个脆弱人群中的多面性质.
研究的目的:
- 为了确定从PPC单位接受护理的儿科患者中GI-SP的患病率.
- 记录GI-SP.所规定的药理和非药理干预措施.
- 要突出在PPC中遇到的GI-SP的频率和类型.
主要方法:
- 在乌拉圭进行了一项观察性,前性,多中心研究.
- 从16个参与PPC团队中的10个中收集了数据.
- 变量包括患者人口统计学,LTI/LLI类型,以及特定的GI-SP,如吞障碍,便秘和吐.
主要成果:
- 22% (96人中有436人) 的患者出现了GI-SP.
- 吞障碍 (57%) 和便秘 (53%) 是最常见的GI-SP.
- 50%的患者在每次咨询中经历了两次或更多的GI-SP,只有50%的吞障碍患者接受了语音和听力治疗.
结论:
- 在所有PPC设置中,GI-SP是咨询的常见原因.
- 吞障碍和胃口术并发症是常见的,但在PPC中经常被忽视的问题.
- 虽然实施了药理和非药理措施,但需要优化干预措施,特别是对于吞困难.
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