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坏死性小肠结肠炎后的生活质量:综合评价。

Quality of life after necrotizing enterocolitis: an integrative review.

机构信息

Universidade Federal da Bahia, Vitória da Conquista, BA, Brasil.

出版信息

Rev Paul Pediatr. 2024 Apr 29;42:e2023188. doi: 10.1590/1984-0462/2024/42/2023188. eCollection 2024.

Abstract

OBJECTIVE

To describe the long-term health outcomes of neonates affected by necrotizing enterocolitis (NEC) and its implications for quality of life.

DATA SOURCE

This is an integrative review, conducted by searching the literature in the following databases: Virtual Health Library (BVS), Latin American and Caribbean Health Sciences Literature (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE), and PubMed, using Health Sciences Descriptors (DeCS): "necrotizing enterocolitis," "quality of life," and "prognosis" combined with the Boolean operators AND and OR: "quality of life" OR "prognosis." Inclusion criteria were: publication period between 2012 and 2022.

DATA SYNTHESIS

A total of 1,010 studies were located, of which ten were selected to comprise the bibliographic sample of this review. Children with NEC are prone to exhibit cognitive neurological impairment, especially those who undergo surgical procedures due to more severe conditions. Motor development was considered below average when compared to healthy children, with more noticeable delays in fine and gross motor function development. The search for the relationship between NEC and quality of life revealed that this condition has a negative impact on the well-being of affected individuals.

CONCLUSIONS

NEC has proven to be a serious condition contributing to high rates of morbidity and mortality in newborns, potentially leading to a reduction in the quality of life of affected patients.

摘要

目的

描述患坏死性小肠结肠炎(NEC)的新生儿的长期健康结果及其对生活质量的影响。

资料来源

这是一项综合回顾性研究,通过在以下数据库中搜索文献进行:虚拟健康图书馆(BVS)、拉丁美洲和加勒比健康科学文献(LILACS)、在线医学文献分析和检索系统(MEDLINE)和 PubMed,使用健康科学描述符(DeCS):“坏死性小肠结肠炎”、“生活质量”和“预后”,结合布尔运算符 AND 和 OR:“生活质量”或“预后”。纳入标准为:发表时间在 2012 年至 2022 年之间。

资料综合

共找到了 1010 项研究,其中有 10 项被选为本次综述的文献样本。患有 NEC 的儿童容易出现认知神经功能障碍,尤其是那些由于病情更严重而接受手术的儿童。与健康儿童相比,他们的运动发育被认为低于平均水平,精细和粗大运动功能的发育延迟更为明显。对 NEC 与生活质量之间关系的研究表明,这种情况对受影响个体的幸福感有负面影响。

结论

NEC 已被证明是一种严重的疾病,导致新生儿的发病率和死亡率居高不下,可能导致受影响患者的生活质量下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00b9/11059931/ff552d6ebe3d/1984-0462-rpp-42-e2023188-gf01.jpg

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