在资源有限的环境中解决与疾病相关的营养不良:基于专家共识的国际立场文件
Diana Cardenas1, Ines Ribeiro Ferreira2, Maria Isabel Toulson Davisson Correia3,4
1Nutrition Unit, Gustave Roussy, Villejuif, France.
概括
在资源有限的环境中解决与疾病有关的营养不良 (DRM) 需要克服重大障碍. 提出了一项共识战略,以改善在这些充满挑战的环境中获得营养护理的机会和结果.
科学领域:
- 临床营养学 临床营养学
- 公共卫生 公共卫生
- 医疗保健系统 医疗保健系统
背景情况:
- 资源有限的环境 (RLSs) 在提供足够的营养护理方面面临重大挑战.
- 与疾病相关的营养不良 (DRM) 是RLS的一个重大问题,需要有针对性的战略.
- 一个国际工作组 (WG) 召集了专家,以解决营养护理获取障碍.
研究的目的:
- 确定在RLSs提供营养护理的障碍.
- 制定基于共识的战略和建议,以改善营养护理的准入.
- 在资源有限的环境中解决与疾病相关的营养不良 (DRM).
主要方法:
- 一项在线调查评估了RLS营养护理障碍,由来自低收入和中等收入国家的58名受访者完成.
- 一个由30名专家组成的小组在ESPEN大会上召开会议,讨论调查结果.
- 制定了共识陈述,以定义解决发现障碍的策略.
主要成果:
- 关键障碍包括缺乏医疗意识,患者/家庭知识不足,以及查,报销,设备,饮食和家庭治疗方面的挑战.
- 确定的差距包括需要流行病学数据,基于证据的实践,教育,培训,能力建设和加强卫生系统.
- 专家强调,高收入国家的现有指导方针可能不直接适用于RLS.
结论:
- 由于当前指南的高负担和局限性,在RLS中解决DRM是复杂的.
- 工作组建议采取三步战略,以提高获得基本营养护理的机会.
- 解决教育,加强卫生系统和证据生成等系统性问题至关重要.
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