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粪菌移植治疗的炎症性肠病患者饮食护理方案构建

Construction of a dietary care program for patients with inflammatory bowel disease treated with fecal microbiota transplantation

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目的 构建粪菌移植(fecal microbiota transplantation,FMT)治疗的炎症性肠病(inflammatory bowel disease,IBD)患者饮食护理方案.方法 检索国内外文献,拟订饮食护理方案初稿.于2023年3-5月,通过德尔菲法进行2轮专家函询,征询专家意见,修改后形成饮食护理方案终稿.结果 2轮专家函询有效问卷回收率均为100%,专家权威系数为0.85,条目重要性和可操作性肯德尔和谐系数为0.245、0.202,0.264、0.234(P<0.001).最终形成的饮食护理方案包括一级指标7项、二级指标18项和三级指标43项.结论 形成的饮食护理方案具有科学性、可行性和临床指导意义,可为行FMT治疗的IBD患者的饮食护理提供借鉴.
Objective To construct a dietary care program for patients with inflammatory bowel disease(IBD)treated by fecal microbiota transplantation(FMT).Methods The domestic and international literature were searched for developing the first draft of the dietary care program.From March to May 2023,2 rounds of expert consultation by the Delphi method were conducted to collect experts'opinions,and then revised it to form the final draft of the di-etary care program.Results The return rate of valid questionnaires for 2 rounds of expert correspondence was 100%,the expert authority coefficient was 0.85,and the Kendall's harmony coefficients for the importance and actionability of the entries were 0.245,0.202,0.264,and 0.234,respectively(P<0.001).The finalized dietary care program included 7 first-level,18 second-level,and 43 third-level indicators.Conclusion The dietary care program developed in this study is scientific,feasible,and clinically instructive,and can provide a reference for the dietary management of patients with IBD treated with FMT.

inflammatory bowel diseasecolitis,ulcerativecrohn diseasefecal microbiota transplantationdietary regimendelphi method

李丹、甘甜、胡柳、耿丽

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武汉市普仁医院,湖北武汉 430081

武汉科技大学,湖北武汉 430070

武汉科技大学附属亚洲心脏病医院,湖北武汉 430022

炎症性肠病 结肠炎,溃疡性 克罗恩病 粪菌移植 饮食方案 德尔菲法

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(23)