研究

吞咽困难管理中质地改性食品和稠化液体术语和定义的新国际标准:IDDSI框架

作者:Cichero JA, Lam P, Steele CM, Hanson B, Chen J, Dantas RO, Duivestein J, Kayashita J, Lecko C, Murray J, Pillay M, Riquelme L, Stanschus S.;

链接:https://www.ncbi.nlm.nih.gov/pubmed/27913916

文摘:

据估计,世界约8%的人口(约5.9亿人)患有吞咽困难。改性食品和增稠饮料通常用于减少窒息和吸入的风险。国际吞咽困难饮食标准化倡议(IDDSI)成立的目标是开发适用于所有年龄、所有护理环境和所有文化的吞咽困难患者的纹理改性食品和液体的全球标准化术语和定义。一个多专业志愿者委员会通过系统的审查和利益相关方的咨询,制定了一个吞咽困难饮食框架。首先,对现有的国家术语和现行做法进行了调查,收到了来自33个国家的2050份答复。受访者包括有吞咽困难的个体;他们的照顾者;支持有吞咽困难的个人的组织;医疗保健专业人员;食品服务提供商; researchers; and industry. The results revealed common use of 3-4 levels of food texture (54 different names) and ≥3 levels of liquid thickness (27 different names). Substantial support was expressed for international standardization. Next, a systematic review regarding the impact of food texture and liquid consistency on swallowing was completed. A meeting was then convened to review data from previous phases, and develop a draft framework. A further international stakeholder survey sought feedback to guide framework refinement; 3190 responses were received from 57 countries. The IDDSI Framework (released in November, 2015) involves a continuum of 8 levels (0-7) identified by numbers, text labels, color codes, definitions, and measurement methods. The IDDSI Framework is recommended for implementation throughout the world.