摘要
目的检索、评价及总结孤独症儿童饮食行为干预及管理的最佳证据,为医护人员及孤独症儿童照顾者管理患儿饮食行为问题提供依据。方法采用循证护理研究方法,根据证据金字塔"6S"模型,计算机系统检索国内外数据库、相关指南网站及专业学会网站中关于孤独症儿童饮食行为干预及管理的临床决策、推荐实践、指南、证据总结、专家共识、系统评价及随机对照试验。检索时限为建库至2023年3月31日,指南质量由4名研究员进行独立评价,其余文献由2名研究员评价,对纳入文献进行内容提取、证据整合及分级,通过专家会议形成证据推荐级别。结果共纳入19篇文献,其中指南3篇、专家共识1篇、系统评价13篇、随机对照试验2篇。汇总了包括孤独症儿童常见饮食行为问题、饮食行为问题的评估、饮食行为问题的诱因、饮食行为问题的不良后果及饮食行为问题的干预方式5个方面25条最佳证据。结论该研究总结的最佳证据为孤独症儿童饮食行为问题的管理提供了依据,建议临床医护人员应用证据时充分考虑临床情境,结合儿童及其家庭情况制订更为详细可行的饮食行为干预方案。
Objective To search,evaluate and summarize the best evidence of intervention and management of eating behavior in children with autism,so as to provide evidence for medical staff and caregivers of children with autism to manage eating behavior problems.Methods According to the evidence pyramid"6S"model,the clinical decisions,recommended practices,guidelines,evidence summaries,expert consensus,systematic reviews and randomized controlled trials on the intervention and management of eating behavior in children with ASD were systematically searched from domestic and foreign databases,related guide websites and professional association websites.The search period was from the establishment of the database to March 31th,2023.The quality of the guide was independently evaluated by 4 researchers,and the remaining articles were evaluated by 2 researchers.Content extraction,evidence integration and grading of the included articles were carried out,and the level of evidence recommendation was formed through the expert meeting.Results A total of 19 articles were included,including 3 guidelines,1 expert consensus,13 systematic reviews and 2 randomized controlled trials.This paper summarized 25 best evidence from 5 aspects,including the common eating behavior problems of children with autism,the assessment of eating behavior problems,causes,consequences and intervention methods.Conclusions The best evidence summarized in this study provides a basis for the management of eating behavior problems in children with autism.It is suggested that clinical staff should fully consider the clinical context when applying the evidence,and formulate more detailed and feasible eating behavior intervention programs combined with the children and their families.
作者
王宇
姜秀洁
尹晶
丁宪伟
许洪伟
Wang Yu;Jiang Xiujie;Yin Jing;Ding Xianwei;Xu Hongwei(Department of Nursing,School of Rehabilitation Medicine,Jiamusi University,Jiamusi 154000,China;Department of Child Health Care,the Third Affiliated Hospital of Jiamusi University,Jiamusi 154000,China;Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Jiamusi University,Jiamusi 154000,China;Department of Neurological Rehabilitation,the Third Affiliated Hospital of Jiamusi University,Jiamusi 154000,China)
出处
《中国实用护理杂志》
2024年第18期1382-1390,共9页
Chinese Journal of Practical Nursing
基金
黑龙江省医药卫生科研课题(20231414050470)。
关键词
孤独性障碍
儿童
饮食行为管理
证据总结
循证护理学
Autistic disorder
Child
Eating behavior management
Summary of evidence
Evidence-based nursing
