Motnje veščine hranjenja in požiranja pri otroku : diplomsko delo

Šket, Tina (avtor), Vičič, Vid (mentor), Vettorazzi, Renata (recenzent)

Uvod: Motnje veščin hranjenja in požiranja pri otrocih povzročajo neustrezen vnos hranil in povečano tveganje za podhranjenost, aspiracijo ter zaostanek v rasti, pogosto zaradi razvojnih, nevroloških ali anatomsko-vedenjskih vzrokov. Zgodnje prepoznavanje in zanesljiva ocena teh motenj sta ključni za ustrezno obravnavo, pri čemer sta potrebna multidisciplinarni pristop in uporaba standardiziranih orodij. Osredotočili smo se na prevod, priredbo in validacijo slovenske različice Montrealske lestvice za prepoznavanje težav pri hranjenju otrok, kar prispeva k zgodnjemu odkrivanju motenj in podpori družinam. Namen: Želeli smo izvesti vsebinsko validacijo slovenske različice Montrealske lestvice za prepoznavanje težav pri hranjenju otrok (MCH-FS) in pripravo prosto dostopnega vprašalnika za zgodnje odkrivanje motenj hranjenja. Metode dela: Uporabljena je bila kombinacija pregleda literature in kvantitativnega pristopa za validacijo MCH-FS. Literatura je bila iskana v bazah PubMed, ScienceDirect in COBISS, empirični del pa je obsegal prevod, kulturno priredbo in preverjanje vsebinske ustreznosti vprašanj s strani sedmih strokovnjakov. Vsebina vprašalnika je bila analizirana, indeks vsebinske veljavnosti (CVI) pa je bil kvantitativno ocenjen in statistično obdelan. Rezultati: Validacija lestvice je pokazala visoko vsebinsko veljavnost večine vprašanj (S-CVI/Ave = 0,93), z nekaj postavkami, ki so zahtevale dodatni premislek, kar potrjuje ustreznost in soglasje strokovnjakov. Razprava in zaključek: Validacija slovenske različice Montrealske lestvice (MCH-FS) za otroke, stare od 6 mesecev do 6 let, je pokazala visoko vsebinsko veljavnost (S-CVI/Ave = 0,93). MCH-FS predstavlja zanesljivo presejalno orodje za zgodnje prepoznavanje težav hranjenja in omogoča pravočasno multidisciplinarno obravnavo otrok. Rezultati potrjujejo uporabnost lestvice za podporo staršem in strokovnjakom pri oceni prehranskega in psihosocialnega razvoja otrok.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, babištvo, validacija, motnja hranjenja, motnja požiranja, disfagija, pediatrična disfagija, hranjenje, otroci
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [T. Šket]
• Leto izida: 2026
• Št. strani: VIII, 27 str., [14] str. pril.
• PID: 20.500.12556/RUL-183740
• UDK: 618.2/.7
• COBISS.SI-ID: 282033155
• Datum objave v RUL: 18.06.2026

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Disorders of feeding and swallowing skills in children : diploma work

Izvleček

Introduction: Feeding and swallowing disorders in children result in inadequate nutrient intake and an increased risk of malnutrition, aspiration, and growth retardation, often due to developmental, neurological, or anatomical-behavioral causes. Early identification and reliable assessment of these disorders are essential for appropriate management and require a multidisciplinary approach and the use of standardized assessment tools. This thesis focused on the translation, adaptation, and validation of the Slovenian version of the Montreal Children’s Hospital Feeding Scale, which contributes to the early identification of feeding disorders and provides support to families. Purpose: The aim of this diploma thesis was to conduct a content validation of the Slovenian version of the Montreal Children’s Hospital Feeding Scale (MCH-FS) and to develop a freely accessible questionnaire for the early detection of feeding disorders. Methods: A combination of a literature review and a quantitative research approach was used for the validation of the MCH-FS. Literature was searched in the PubMed, ScienceDirect, and COBISS databases, while the empirical part included translation, cultural adaptation, and evaluation of the content relevance of the questionnaire items by seven experts. The questionnaire content was analyzed, and the Content Validity Index (CVI) was quantitatively assessed and statistically analyzed. Results: The validation of the scale demonstrated high content validity for most items (S-CVI/Ave = 0.93), with several items requiring additional consideration, confirming the appropriateness of the scale and a high level of agreement among experts. Discussion and Conclusion: The validation of the Slovenian version of the Montreal Children’s Hospital Feeding Scale (MCH-FS) for children aged 6 months to 6 years demonstrated high content validity (S-CVI/Ave = 0.93). The MCH-FS represents a reliable screening tool for the early identification of feeding difficulties and enables timely multidisciplinary management of children. The results confirm the usefulness of the scale in supporting parents and professionals in the assessment of children’s nutritional and psychosocial development.

• Ključne besede: diploma theses, midwifery, validation, feeding disorder, swallowing disorder, dysphagia, pediatric dysphagia, feeding, children