[1]魏丽娟,刘丽英,张妙贤,等.克罗恩病儿童经口服全肠内营养体验的质性研究[J].解放军护理杂志,2021,38(05):59.[doi:10.3969/j.issn.1008-9993.2021.05.016]
 WEI Lijuan,LIU Liying,ZHANG Miaoxian,et al.Experience of Using Oral Exclusive Enteral Nutrition in Children with Crohn’s Disease: A Qualitative Study[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):59.[doi:10.3969/j.issn.1008-9993.2021.05.016]
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克罗恩病儿童经口服全肠内营养体验的质性研究()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
59
栏目:
研究荟萃
出版日期:
2021-05-15

文章信息/Info

Title:
Experience of Using Oral Exclusive Enteral Nutrition in Children with Crohn’s Disease: A Qualitative Study
文章编号:
1008-9993(2021)05-0059-04
作者:
魏丽娟12刘丽英2张妙贤2林艳3 张立力1
1.南方医科大学 护理学院,广东 广州 510515; 2.广州市妇女儿童医疗中心 消化科,广东 广州 510623; 3.广州市妇女儿童医疗中心 护理部
Author(s):
WEI Lijuan12LIU Liying2ZHANG Miaoxian2LIN Yan3ZHANG Lili1
1.School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China; 2.Department of Gastroenterology,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,Guangdong Province,China; 3.Nursing Department,Guangzhou women and Children Medical Center
关键词:
克罗恩病 儿童 口服 全肠内营养 质性研究
Keywords:
Crohn’s disease children on oral exclusive enteral nutrition qualitative study
分类号:
R473.72
DOI:
10.3969/j.issn.1008-9993.2021.05.016
文献标志码:
A
摘要:
目的 了解克罗恩病儿童经口服全肠内营养的真实体验,为提高经口服全肠内营养的依从性提供参考依据。方法 目的抽样法选取12例患克罗恩病正在进行或经历过口服全肠内营养的患者,对其进行半结构式访谈.并用Colaizzi 7步法分析资料。结果 提炼出2个主题:经口服全肠内营养的障碍因素(肠内营养制剂味道不适应、胃肠道不良反应、受上学客观条件的制约、受周围同学的看法影响); 经口服全肠内营养的促进因素(适应时间1~2周、父母的积极态度与监督、自我调节、症状改善)。结论 克罗恩病儿童经口服全肠内营养体验不佳,需要时间适应,并提高自我管理能力; 同时需要家庭、社会多方面的支持与关注,做好针对性干预措施,以改善患儿经口服全肠内营养治疗过程中的自我感受,提高依从性。
Abstract:
Objective To understand the experience of using oral exclusive enteral nutrition in children with Crohn’s disease,and to provide the reference for improving the compliance of oral exclusive enteral nutrition.Methods Totally 12 patients with Crohn’s disease who underwent or experienced oral exclusive enteral nutrition were interviewed in a semi-structured manner,and the data were analyzed by the Colaizzi 7-step method.Results Two themes were extracted,including the obstacle factors of exclusive enteral nutrition(taste maladjustment of enteral nutrition preparation,side effects of gastrointestinal tract,restriction of objective conditions of school,influence of surrounding students’ opinions),and the promotion factors of exclusive enteral nutrition(1-2 weeks of adaptation time,positive attitude and supervision of parents,self-regulation,symptom improvement).Conclusions The experience of children with Crohn’s disease after oral exclusive enteral nutrition is not good. These children need time to adapt,improve their ability of self-management,and need the support of family and society.We should pay more attention to these children and take targeted intervention measures to improve their self-feeling and compliance in the process of oral exclusive enteral nutrition treatment.

参考文献/References:

[1] 中华医学会儿科学分会消化学组,中华医学会儿科学分会临床营养学组.儿童炎症性肠病诊断和治疗专家共识[J].中华儿科杂志,2019,57(7):501-507.
[2] 钱家鸣,杨红.中国炎症性肠病研究的历史回顾现状和展望[J].中国实用内科杂志,2015,35(9):727-730.
[3] WANG X Q,ZHANG Y,XU C D,et al.Inflammatory bowel disease in Chinese children:a multicenter analysis over a decade from Shanghai[J].Inflamm Bowel Dis,2013,19(2):423-428.
[4] TRIVEDI I,KEEFER L.The emerging adult with inflammatory bowel disease:challenges and recommendations for the adult gastroenterologist[J].Gastroenterol Res Pract,2015,2015:260807.
[5] 郑翠芳.儿童克罗恩病肠内营养疗法的研究进展[J].临床儿科杂志,2016,34(4):307-311.
[6] 中华医学会儿科学分会消化学组,中华医学会儿科学分会临床营养学组.儿童炎症性肠病诊断和治疗专家共识[J].中华儿科杂志,2019,57(7):501-507.
[7] RUEMMELE F M,VERES G,KOLHO K L,et al.Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn’s disease[J].J Crohns Colitis,2014,8(10):1179-1207.
[8] HO S,DAY A S.Exclusive enteral nutrition in children with inflammatory bowel disease:Physician perspectives and practice[J].JGH Open,2019,3(2):148-153.
[9] WALL C L,MCCOMBIE A,MULDER R,et al.Adherence to exclusive enteral nutrition by adults with active Crohn’s disease is associated with conscientiousness personality trait:a sub-study[J].J Hum Nutr Diet,2020,33(6):752-757.
[10]SVOLOS V,GERASIMIDIS K,BUCHANAN E,et al.Dietary treatment of Crohn’s disease:perceptions of families with children treated by exclusive enteral nutrition,a questionnaire survey[J].BMC Gastroenterol,2017,17(1):14.
[11]陈佳丽,曾莉.ICU护士照护长期昏迷患者真实体验的研究[J].中华护理杂志,2020,55(3):422-426.
[12]刘义婷,李亚敏,曾莹,等.医护人员对ICU日记认知和态度的质性研究[J].解放军护理杂志,2020,37(5):49-52.
[13]MUTSEKWA R N,EDWARDS J T,ANGUS R L.Exclusive enteral nutrition in the management of Crohn’s disease:a qualitative exploration of experiences,challenges and enablers in adult patients[J].J Hum Nutr Diet,2021,34(2):440-449.
[14]BURGESS D,HERBISON K,FOX J,et al.Exclusive enteral nutrition in children and adolescents with Crohn’s disease:Dietitian perspectives and practice[J].J Paediatr Child Health,2021,57(3):359-364.
[15]GAVIN J,MARINO L V,ASHTON J J,et al.Patient,parent and professional perception of the use of maintenance enteral nutrition in Paediatric Crohn’s Disease[J].Acta pediatrica(Oslo),2018,107(12):2199-2206.
[16]MEHTA P,PAN Z,FURUTA G T,et al.Parent Perspectives on Exclusive Enteral Nutrition for the Treatment of Pediatric Crohn’s Disease[J].J Pediatr Gastroenterol Nutr,2020,71(6):744-748.
[17]VAN LIMBERGEN J,HASKETT J,GRIFFITHS A M,et al.Toward enteral nutrition for the treatment of pediatric Crohn’s disease in Canada: a workshop to identify barriers and enablers[J].Can J Gastroenterol Hepatol,2015,29(7):351-356.
[18]DALZELL A M,BA’ATH M E.Paediatric inflammatory bowel disease:review with a focus on practice in low- to middle-income countries[J].Paediatr Internat Child Health,2019,39(1):48-58.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-01-19 【 修回日期 】 2021-04-09
【 作者简介 】 魏丽娟,硕士在读,主管护师,主要从事儿科护理工作
【 通讯作者 】 张立力,电话:020-61648340
更新日期/Last Update: 2021-05-15