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吞咽及喂养相关问题的筛查:正常发育儿童。

Screening of Swallowing and Feeding-Related Problems in Typically Developing Children.

机构信息

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

出版信息

Clin Pediatr (Phila). 2023 Oct;62(10):1209-1216. doi: 10.1177/00099228231154137. Epub 2023 Feb 16.

Abstract

The aim of this study was to define swallowing and feeding-related problems among typically developing children aged between 2 and 6 years. The presence of food selectivity, limited appetite, chewing dysfunction, and dysphagia signs was questioned and scored as "absent" or "present" according to parent report. Children were divided into 2 groups: children with swallowing and feeding disorders and children without swallowing and feeding disorders. The Turkish version of the Behavioral Pediatrics Feeding Assessment Scale (T-BPFAS) was used to evaluate feeding behaviors of children, and Turkish version of the Feeding/Swallowing Impact Survey (T-FS-IS) was used to measure the impact on caregivers. A total of 234 children were included. Food selectivity was defined in 62.4% (n = 146), limited appetite in 26.9% (n = 63), and chewing dysfunction in 7.3% (n = 17). The most common dysphagia-related sign was coughing. There were significant differences between groups in terms of both T-BPFAS and T-FS-IS ( < .001). In conclusion, children with typical development have experienced a wide range of swallowing and feeding-related problems, which have an impact on mothers' perceptions regarding feeding and their quality of life.

摘要

本研究旨在明确 2 至 6 岁正常发育儿童的吞咽和喂养相关问题。通过家长报告,对食物选择性、食欲有限、咀嚼功能障碍和吞咽迹象等问题进行询问并评分“存在”或“不存在”。将儿童分为两组:存在吞咽和喂养障碍的儿童以及不存在吞咽和喂养障碍的儿童。使用行为儿科学喂养评估量表(土耳其语版)(T-BPFAS)评估儿童的喂养行为,使用喂养/吞咽影响调查(土耳其语版)(T-FS-IS)评估对照顾者的影响。共纳入 234 名儿童。62.4%(n=146)存在食物选择性问题,26.9%(n=63)存在食欲有限问题,7.3%(n=17)存在咀嚼功能障碍。最常见的与吞咽相关的迹象是咳嗽。在 T-BPFAS 和 T-FS-IS 评分方面,两组之间存在显著差异(<.001)。总之,正常发育的儿童经历了广泛的吞咽和喂养相关问题,这对母亲的喂养认知和生活质量产生了影响。

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