Elaboração e validação de protocolo para padronização da atenção nutricional na alergia à proteína do leite de vaca em um hospital pediátrico

• Ano de defesa: 2023
• Autor(a) principal: Sousa, Eneida Lais de Oliveira
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE E SOCIEDADE
• Palavras-chave em Português: Saúde da criança; Hipersensibilidade a leite; Proteínas do leite; Alergia à proteína do leite de vaca; Serviço hospitalar de nutrição; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/52727

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.