一项回顾性研究:饥饿诱导的两周管断程序的效果。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Croatian Medical Journal Pub Date : 2025-08-31
Maria Elena Papagni, Sara Sila, Tena Niseteo, Tihana Koren, Ivana Bukovina, Mara Vukadin Petković, Zrinjka Mišak, Ana Močić Pavić, Sanja Kolaček, Iva Hojsak
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引用次数: 0

摘要

目的:评价多学科导管脱机方案的疗效。方法:本回顾性队列研究纳入了对标准管断干预无反应的饲管依赖儿童。2016年8月至2023年2月期间,所有参与者在萨格勒布儿童医院的日间医院环境中接受了为期两周的结构化多学科试管断奶。该项目以饥饿诱导法为基础,并结合了进餐时间治疗、感觉统合治疗、家长团体治疗和个人支持、营养咨询和家长研讨会。在项目开始、项目结束、项目后3-6个月以及最后一次随访时对结果进行评估。结果:本研究纳入30例患者(平均年龄2.6±1.9岁,其中60.0%为女孩)。所有患者均有复杂的医疗状况,平均29±22个月的时间依赖于插管。大多数(70.0%)有精神运动迟缓。在项目结束时,27例(90.0%)患者的口服摄入得到改善,10例(33.3%)患者完全脱离了管饲。在随访期间(平均40.5个月,24例),18例患儿(78.0%)脱离管饲。结论:为期两周的方案有效地改善了口腔摄入,并取得了较高的长期插管成功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The efficacy of a hunger-induced two-week tube-weaning program: a retrospective study.

The efficacy of a hunger-induced two-week tube-weaning program: a retrospective study.

Aim: To assess the efficacy of a multidisciplinary tube-weaning program.

Methods: This retrospective cohort study enrolled children with feeding tube dependency who had not responded to standard tube-weaning interventions. All participants underwent a structured two-week multidisciplinary tube weaning delivered in a day-hospital setting at the Children's Hospital Zagreb in the period from August 2016 to February 2023. The program was based on a hunger-induction approach and combined with mealtime therapy, sensory integration therapy, parental group therapy and individual support, nutritional counseling, and a workshop for parents. The outcomes were evaluated at the beginning of the program, the end of the program, 3-6 months after the program, and at the last follow-up.

Results: The study enrolled 30 patients (mean age 2.6±1.9 years; 60.0% girls). All patients had complex medical conditions and were tube-dependent for a mean of 29±22 months. The majority (70.0%) had a psychomotor delay. At the end of the program, 27 (90.0%) patients showed improved oral intake, and 10 (33.3%) were completely weaned off tube feeding. During follow-up (mean 40.5 months, n=24 children), 18 children (78.0%) were weaned off tube feeding.

Conclusions: A two-week program effectively improved oral intake and resulted in a high success rate for tube weaning in the long term.

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来源期刊
Croatian Medical Journal
Croatian Medical Journal 医学-医学:内科
CiteScore
3.00
自引率
5.30%
发文量
105
审稿时长
6-12 weeks
期刊介绍: Croatian Medical Journal (CMJ) is an international peer reviewed journal open to scientists from all fields of biomedicine and health related research. Although CMJ welcomes all contributions that increase and expand on medical knowledge, the two areas are of the special interest: topics globally relevant for biomedicine and health and medicine in developing and emerging countries.
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