Feeding problems in infancy and early childhood: evolutionary concept analysis
Feeding problems in infancy and early childhood: evolutionary concept analysis
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DOI：
10.1111/jan.13140
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发表时间：
2017-01-01
影响因子：
3.8
通讯作者：
Thoyre, Suzanne M.
中科院分区：
文献类型：
--
作者：
Estrem, Hayley H.;Pados, Britt F.;Thoyre, Suzanne M.
目的本研究的目的是报告对儿科喂养问题概念的分析。背景对儿科喂养问题和障碍的文献综述反复提到缺乏对喂养问题的共同概念。当可用的定义和诊断缺乏实用性时，很难追踪某种现象的病因、流行率和发生率。设计一种进化概念分析。数据来源于2014年10月对Google Scholar、CINAHL、PubMed和Web of Science数据库进行了搜索，MeSH术语和关键词包括：生长发育不良、喂养障碍/困难/问题、婴儿厌食症、口腔厌恶、进餐行为和吞咽困难。纳入标准为：喂养问题主题、0-10岁指标儿童、英语语言和全文。 方法将文章（n=266）按作者所属学科分类，包括心理学、医学、护理、营养、职业治疗、言语病理学或其他。样本分为 2000 年之前文章的历史样本 (n=42) 和 2000 年之后发表的当前样本。当前的样本后来减少到 100 个，并针对替代术语、相关概念、属性、前因和后果进行编码。结果儿科喂养问题的历史观点显示了母亲责备或父母有罪的传统，无论是直接的还是间接的。目前，存在许多不同的定义和类型，但没有一个具有合理的有效性或普遍性。跨学科的属性共识领域是有问题的喂养行为以及选择性或限制性摄入。结论建议对喂养问题进行谱系概念化以供进一步开发，其中的属性对于出现喂养问题至关重要。
AimThe aim of this study was to report an analysis of the concept of pediatric feeding problems.BackgroundReviews of the literature on pediatric feeding problems and disorders repeatedly reference the lack of a shared conceptualization of feeding problems. It is difficult to track aetiology, prevalence and incidence of a phenomenon when available definitions and diagnoses lack practical utility.DesignAn evolutionary concept analysis.Data sourcesA search was conducted in October 2014 of Google Scholar, CINAHL, PubMed and Web of Science databases, with MeSH terms and key words including: failure to thrive, feeding disorder/difficulty/problems, infantile anorexia, oral aversion, mealtime behaviour and dysphagia. Inclusion criteria were: subject of feeding problems, index children 0-10years of age, English language and full text.MethodsThe articles (n=266) were sorted into disciplines of authorship, including Psychology, Medicine, Nursing, Nutrition, Occupational Therapy, Speech Language Pathology or Other. The sample was divided into a historical sample (n=42) for pre-2000 articles and current for those published post-2000. The current sample was later reduced to 100 and coded for surrogate terms, related concepts, attributes, antecedents and consequences.ResultsThe historical view of pediatric feeding problems shows a tradition of mother blame or parental culpability, both direct and indirect. Currently, there exist many different definitions and typologies, but none have sound validity or generalizability. Areas of attribute consensus across disciplines are problematic feeding behaviours and selective or restrictive intake.ConclusionA spectrum conceptualization of feeding problems is suggested for further development, with attributes that would be critical to have a feeding problem.