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评估强化家庭为基础的儿科进食障碍综合治疗项目的疗效评估指标数据。

Evaluating Outcome Measure Data for an Intensive Interdisciplinary Home-Based Pediatric Feeding Disorders Program.

机构信息

Clinic 4 Kidz, P.O. Box 1711, Sausalito, CA 94966, USA.

Department of Pediatrics, Division of Gastroenterology, School of Medicine, Stanford University, Palo Alto, CA 94304-5660, USA.

出版信息

Nutrients. 2022 Nov 1;14(21):4602. doi: 10.3390/nu14214602.

Abstract

BACKGROUND

The purpose of this study was to evaluate the effectiveness of an interdisciplinary home-based feeding program, which is a unique service delivery model.

METHODS

Data were provided on oral intake, tube feeding elimination, and weight for patients who were dependent on tube feedings ( = 78). Weight data were collected for patients who showed failure to thrive ( = 49). Number of foods consumed and percentage of solids were collected for patients who were liquid-dependent ( = 23), and number of foods consumed were collected for patients who were food-selective ( = 61).

RESULTS

Data were analyzed using paired sample -test with 95% confidence interval. For patients dependent on tube feedings, 81% achieved tube feeding elimination. Tube elimination was achieved after 8 months of treatment on average. All failure-to-thrive patients showed weight gain from baseline to discharge. For liquid-dependent patients, there was an increase in foods consumed from 2 foods at admission to 32 foods at discharge. For food selective patients, there was an increase from 4 foods at admission to 35 foods at discharge. For all dependent variables, results showed statistical significance and a large-sized effect.

CONCLUSIONS

These data show that an intensive interdisciplinary home-based program can be successful in treating complex feeding problems in children.

摘要

背景

本研究旨在评估一种以家庭为基础的跨学科喂养计划的有效性,这是一种独特的服务提供模式。

方法

对依赖管饲的患者(n=78)的口服摄入量、管饲消除和体重数据进行了提供。对表现出生长不良的患者(n=49)收集了体重数据。对依赖液体的患者(n=23)收集了消耗的食物数量和固体食物的百分比,对挑食的患者(n=61)收集了消耗的食物数量。

结果

使用具有 95%置信区间的配对样本 t 检验对数据进行了分析。对于依赖管饲的患者,81%的患者实现了管饲消除。平均治疗 8 个月后实现了管饲消除。所有生长不良的患者从入院到出院时体重均有所增加。对于依赖液体的患者,从入院时的 2 种食物增加到出院时的 32 种食物。对于挑食的患者,从入院时的 4 种食物增加到出院时的 35 种食物。对于所有依赖变量,结果均显示出统计学意义和大效应。

结论

这些数据表明,密集的跨学科家庭计划可以成功治疗儿童复杂的喂养问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/793f/9653703/a7ea3780da0c/nutrients-14-04602-g001.jpg

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