Beslenme sorunu olan çocuklara ekip yaklaşımı ile elde edilen sonuçlar

Amaç: Çalışma, beslenme sorunu olan çocuklar ve ailelerine çocuk doktoru, diyetisyen ve psikologdan oluşan ekip yaklaşımının sonuçlarını incelenmek amacıyla yapıldı. Yöntem: Organik herhangi bir sorunu olmayan, yaşları 1-10 arasında değişen 20 çocuk farklı aralıklarla, toplam 3 ay izlendi. İzlem sürecinde, çocukların büyüme-gelişme ve beslenme durumları ile beslenmeye ilişkin sorunları değerlendirildi. Sağlıklı beslenme ilkeleri, mevcut beslenmenin iyileştirilmesi, enerji arttırma yolları konularında çocuklar ve aileler bilgilendirildi. Annelerin çocuklarının beslenmesine ilişkin endişelerinin giderilmesine, yemek sırasında sorumluluğun çocuklara verilmesine ve yemek saatlerinin sosyal bir olay olarak algılanmasının sağlanmasına çalışıldı. Bulgular: Çalışmanın sonunda, çocukların büyüme-gelişme ve beslenme durumlarında istatistiksel olarak önemli artışların olduğu, beslenmeye ilişkin sorunların azaldığı ve çalışmanın başında yemekler sırasında annelerin üstlendiği sorumluluğun, çocuklara devredildiği saptandı. Sonuç: Beslenme sorunu olan çocukların tedavisinde, daha uzun süreli ve gerektiğinde diğer meslek gruplarının da katılımı ile uygulanacak tedavilerin yararlı olacağı kanısına varıldı.

Results obtained by multidisciplinary approach to children with feeding difficulty

Aim: The study was carried out to examine the results of a multidisciplinary approach by a team consisting of pediatrician, dietitian and psychologist to a group of children with feeding difficulty and their parents. Method: The group consisted of 20 children between 1-10 years who had no organic problems. The physical development, nutritional condition and feeding problems of the children were periodically assessed during a treatment period of 3 months,. At the start of the study and during the follow-up, the parents as well as the older children were informed about the principles of healthy nutrition, improvement of current feeding habits and methods of increasing the energy intake. The team also tried to reduce the mothers' concerns about the feeding of their children, to give more eating responsibility to the children and to make the children perceive meals as a social event. Results: At the end of the study, statistically significant improvement in the physical development and nutritional conditions of the children has been observed. As a further achievement , eating problems decreased and feeding responsibility which was initially on mothers has been handed over to the children. Conclusion: It has been concluded that in the treatment of children with feeding difficulties, a longer term approach and if necessary supporter by multidisciplinary contributions will be helpful.

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