在ASPEN注册营养师队伍中,慢性肠衰竭的知识:对会员调查的回应
Maryanna Tosi1, Marion Winkler2, Nicole Zubizaretta1
1Intestinal Rehabilitation & Transplant Program, Icahn School of Medicine at Mount Sinai/Mount Sinai Hospital, New York, New York, USA.
概括
注册营养师在管理慢性肠衰竭 (CIF) 和肠外营养方面表现出强大的知识,特别是在家庭监测和并发症识别方面. 他们的专业知识凸显了营养学家在CIF患者护理中的关键作用.
科学领域:
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
- 营养学 营养学 营养学
背景情况:
- 慢性肠衰竭 (CIF) 是一种罕见的,复杂的疾病,需要专门的护理,通常由缺乏广泛经验的当地临床医生管理.
- 之前的研究表明,胃肠科医生对肠道衰竭的知识差距很大.
- 这项研究评估了注册营养师关于CIF的知识基础.
研究的目的:
- 评估注册营养学家关于慢性肠衰竭 (CIF) 的当前知识水平.
- 评估关键CIF知识领域的营养学家的理解.
- 为了比较自我认定的CIF专家和非专家之间的知识分数.
主要方法:
- 一个关于CIF知识的验证的20个问题的调查对美国肠道和肠道营养学会的饮食学家成员进行了管理.
- 记录了受访者的临床实践特征.
- 分析了绩效,比较了CIF和亲肠道营养的专家和非专家.
主要成果:
- 在94名受访者中,34%的受访者被认定为CIF专家,53%的受访者被认定为腹腔营养专家.
- 自称的CIF专家报告每年管理11-20名CIF患者,但不到一半在多学科团队或肠道康复计划中工作.
- 总体中位数知识得分为13.0 (IQR 11.0-15.0);专家得分更高 (15.0为CIF,14.0为PN).
结论:
- 营养学家在家中亲肠道营养监测和CIF并发症方面表现出高水平的知识,无论他们自己报告的专业知识如何.
- 这些发现强调了营养学家在治疗慢性肠衰竭患者中的重要作用.
- 建议将营养学家纳入CIF管理团队.
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