Winkler H R
J Can Diet Assoc. 1985 Summer;46(3):195-8.
As emphasis on early hospital discharge increases, home tube feeding is becoming a popular method of efficiently delivering nutritional support. This paper describes the team approach to home enteral feeding practices at the Foothills Hospital in Calgary, Alberta. Three groups of patients are referred to the program: those who require tube feedings permanently as the sole means of nutrition; those who require supplementation from tube feedings; and those who temporarily require tube feeding. The dietitian selects an enteral formula suitble for the patient. Although continuous enteral feedings are generally better tolerated by patients, intermittent feedings may be more psychologically acceptable. Continuous feedings are initiated at 50 ml per hour and increased to approximately 150 ml per hour, depending upon patient tolerance and nutritional goals. Complications can result from mechanical problems (e.g. equipment failure) and metabolic/physiologic problems (e.g. constipation). A total of 35 patients have been taught the technique of home tube feeding. The program has been well accepted by patients and physicians.
随着对早期出院的重视程度增加，家庭管饲正成为有效提供营养支持的一种流行方法。本文描述了艾伯塔省卡尔加里山麓医院采用团队方式进行家庭肠内喂养的实践。三组患者被转诊至该项目：那些永久性需要管饲作为唯一营养方式的患者；那些需要通过管饲进行补充营养的患者；以及那些暂时需要管饲的患者。营养师会选择适合患者的肠内配方。虽然持续肠内喂养通常患者耐受性更好，但间歇喂养在心理上可能更容易被接受。持续喂养开始时速度为每小时50毫升，根据患者耐受性和营养目标增加到约每小时150毫升。并发症可能由机械问题（如设备故障）和代谢/生理问题（如便秘）引起。共有35名患者学会了家庭管饲技术。该项目受到了患者和医生的广泛认可。
