Elaboração e validação de protocolo para padronização da atenção nutricional na alergia à proteína do leite de vaca em um hospital pediátrico
Introduction: Cow's milk protein allergy (CMPA) is the most common type of food allergy in childhood. Professionals who work in Hospital Food and Nutrition Units must be aware of the points that avoid the cross contact of food and utensils with cow's milk protein, and consequently, the...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/52727 |
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| Resumo: | Introduction: Cow's milk protein allergy (CMPA) is the most common type of food
allergy in childhood. Professionals who work in Hospital Food and Nutrition Units must
be aware of the points that avoid the cross contact of food and utensils with cow's
milk protein, and consequently, the onset of hypersensitization reactions in children
with CMPA after a meal. Objective: To develop and validate a protocol for
standardizing nutritional care in a Food and Nutrition Unit of a pediatric hospital,
based on scientific evidence of good nutritricionan management practices in cow´s
milk protein allergy. Method: This is a methodological research, with a quantitative
approach, which comprises the development and validation of a protocol. The location
of the study was the Food and Nutrition Unit of a pediatric public hospital. Experts
with knowledge and working on the cow's milk protein allergy participated in the
research, selected according to inclusion and exclusion criteria. This study will be
developed according to the following steps: an integrative literature review;
development of the protocol text for standardizing nutritional care in cow's milk protein
allergy in a pediatric hospital; elaboration and pre-test of the protocol validation
questionnaire; filling out the questionnaire for validation of the protocol's appearance
and content by the judges. To analyze the data from the judges' evaluation, the
Content Validity Index (CVI) calculation was used, focused on the analysis criteria of
clarity, relevance and precision of each item. This study was developed out after
approval by the Research Ethics Committee of the Federal University of Rio Grande
do Norte. Results: The validation analysis of the content and appearance of the
protocol went through a Delphi round where the items were considered adequate with
a minimum agreement of CVI=0.83. Therefore, the developed instrument was
validated. The Protocol domains arising from the research categories reflecte the
essentisl points of attention in the treatment of CMPA in the hospital environment.
Final considerations: Since nutritional therapy aimed at children with CMPA is
paramount in their treatment, the technical product resulting from this research called
Nutritional Assistance Protool in Cow´s Milk Protein Allergy constitutes a resource
that will be made available to the instituiton for the the structuring of a safe and
adequate flow in the food and nutrition services of hospitals that assist these patients. |
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