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食物过敏儿童的当前实践与喂养行为建议:来自澳大利亚健康专业人员调查的见解

Current Practices and Recommendations for Children with Food Allergies and Feeding Behaviours: Insights from a Survey Among Australian Health Professionals.

作者信息

Kefford Jennifer, Packer Rebecca L, Netting Merryn, Ward Elizabeth C, Marshall Jeanne

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, QLD 4072, Australia.

Child Youth and Family Health Service, Primary and Community Health, Northern Sydney Local Health District, NSW Health, Sydney, NSW 2000, Australia.

出版信息

Children (Basel). 2025 Jul 9;12(7):905. doi: 10.3390/children12070905.

Abstract

: Children with food allergies can present with paediatric feeding disorder (PFD). However, access to coordinated multidisciplinary services to support these children in Australia is inconsistent. To date, the availability of services or the perceived care needs of Australian health professionals working with this population have not been formally explored. : A web-based survey was distributed to health professionals in Australia. Quantitative demographic data were summarised using descriptive statistics, and open-ended responses were analysed using content analysis. : The final sample comprised 98 responses, with speech pathologists representing the largest professional group ( = 39; 40%). A majority (59%) worked in hospital-based services. Open-ended responses were coded utilising content analysis. Three categories were developed including (1) service delivery, (2) intervention, and (3) resources. Services were commonly impacted by long wait times, limited staff training, and inconsistencies between hospital and community care. Additionally, mental health support was frequently reported as insufficient. : The findings from this study underscore the need for integrated services for children with food allergies and paediatric feeding disorder. Recommended areas for future research include exploring caregiver perspectives and the impact of food allergies and paediatric feeding disorder, and consideration of co-designed studies to inform service improvement initiatives.

摘要

患有食物过敏的儿童可能会出现小儿喂养障碍(PFD)。然而,在澳大利亚,获得协调一致的多学科服务以支持这些儿童的情况并不一致。迄今为止,尚未正式探讨过澳大利亚从事这一人群工作的卫生专业人员的服务可用性或他们所感知到的护理需求。

向澳大利亚的卫生专业人员发放了一项基于网络的调查问卷。使用描述性统计方法总结定量人口统计数据,并使用内容分析法分析开放式回答。

最终样本包括98份回复,言语病理学家是最大的专业群体(n = 39;40%)。大多数(59%)在医院服务机构工作。利用内容分析法对开放式回答进行编码。形成了三个类别,包括(1)服务提供,(2)干预,以及(3)资源。服务通常受到等待时间长、工作人员培训有限以及医院和社区护理之间不一致的影响。此外,心理健康支持经常被报告为不足。

这项研究的结果强调了为患有食物过敏和小儿喂养障碍的儿童提供综合服务的必要性。未来研究的推荐领域包括探索照顾者的观点以及食物过敏和小儿喂养障碍的影响,以及考虑开展共同设计的研究以为服务改进举措提供信息。

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本文引用的文献

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Feeding Characteristics in Children With Food Allergies: A Scoping Review.食物过敏儿童的喂养特点:系统评价。
J Speech Lang Hear Res. 2024 Jan 8;67(1):132-148. doi: 10.1044/2023_JSLHR-23-00303. Epub 2023 Dec 1.
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The Challenges of Managing Multiple Food Allergies and Consequent Food Aversions.管理多种食物过敏和由此产生的食物厌恶的挑战。
J Allergy Clin Immunol Pract. 2022 Jan;10(1):35-44. doi: 10.1016/j.jaip.2021.10.044. Epub 2021 Oct 28.

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