The Division of Gastroenterology and Hepatology, First Department of Paediatrics, University of Athens, Children's hospital Agia Sofia, Athens, Greece.
The Paediatric Gastroenterology unit, La Fe university Hospital, Valencia, Spain.
J Pediatr Gastroenterol Nutr. 2022 May 1;74(5):662-667. doi: 10.1097/MPG.0000000000003376. Epub 2022 Feb 8.
OBJECTIVES/BACKGROUND: Disease-related malnutrition is common in patients with chronic diseases and has detrimental effects, therefore, skills in nutrition care are essential core competencies for paediatric digestive medicine. The aim of this survey, conducted as part of a global survey of paediatric gastroenterology, hepatology and nutrition (PGHN) training in Europe, was to assess nutrition care-related infrastructure, staff, and patient volumes in European PGHN training centres.
Standardized questionnaires related to clinical nutrition (CN) care were completed by representatives of European PGHN training centres between June 2016 and December 2019.
One hundred training centres from 17 European countries, Turkey, and Israel participated in the survey. Dedicated CN clinics exist in 66% of the centres, with fulltime and part-time CN specialists in 66% and 42%, respectively. Home tube feeding (HTF) andhome parenteral nutrition (HPN) programmes are in place in 95% and 77% of centres, respectively. Twenty-four percent of centres do not have a dedicated dietitian and 55% do not have a dedicated pharmacist attached to the training centre. Even the largest centres with >5000 outpatients reported that 25% and 50%, respectively do not have a dedicated dietitian or pharmacist. Low patient numbers on HTF and HPN of <5 annually are reported by 13% and 43% of centres, respectively.
The survey shows clear differences and deficits in Clinical Nutrition training infrastructure, including staff and patient volumes, in European PGHN training centres, leading to large differences and limitations in training opportunities in Clinical Nutrition.
目的/背景：慢性病患者常发生与疾病相关的营养不良，会产生不良影响，因此，营养护理技能是小儿消化医学的基本核心能力。本调查作为欧洲小儿胃肠病学、肝病学和营养学（PGHN）培训全球调查的一部分，旨在评估欧洲 PGHN 培训中心的营养护理相关基础设施、人员和患者数量。
2016 年 6 月至 2019 年 12 月，欧洲 PGHN 培训中心的代表完成了与临床营养（CN）护理相关的标准化问卷。
来自 17 个欧洲国家、土耳其和以色列的 100 个培训中心参与了这项调查。66%的中心设有专门的 CN 诊所，全职和兼职 CN 专家分别占 66%和 42%。95%的中心设有家庭管饲（HTF）和家庭肠外营养（HPN）计划，分别有 77%和 43%的中心设有专门的营养师和药剂师。24%的中心没有专门的营养师，55%的中心没有专门的药剂师。即使是拥有 5000 多名门诊患者的最大中心，也分别有 25%和 50%没有专门的营养师或药剂师。13%的中心报告每年接受 HTF 的患者人数<5，43%的中心报告每年接受 HPN 的患者人数<5。
该调查显示，欧洲 PGHN 培训中心的临床营养培训基础设施（包括人员和患者数量）存在明显差异和不足，导致临床营养培训机会存在较大差异和限制。
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