Riba Sicart M, Rivero i Urgell M, Serra Majem L
Servicio de Restauración, Universitat Autónoma de Barcelona, Bellaterra, España.
Nutr Hosp. 1999 Jan-Feb;14(1):44-50.
To study the evolution of Enteral Nutrition (EN) and Parenteral Nutrition (PN) in Catalonia, Spain, between 1989-1993.
all hospitals (60) of level A/B, B, B/C and C level of Catalonia. A mailed questionnaire was used.
Between 1989-1993, The Hospital Enteral Nutrition (HEN) increased 72%, 2.15% the PN, 507% the Home Enteral Nutrition (HON) and more then 200% the patients who went out to the hospital with EN. The services that assume the clinical control and the responsibles to prepare the HEN are among a wide narrow. 87% of the hospitals use pharmaceuticals phórmulas and 41% of them use only their phormulary, and 75% of the hospitals use feed pumps. The HON was supervised by many different professionals. Important differences were detected between the Higher level and the other levels hospitals in the control, dispensation and administration of the NE.
In 1993 there is not a proper settlement and protocol for the HEN in Catalonia. However, the trends make us a better situation of HEN in the near future. The creation of a multidisciplinary team for nutrition support in those hospitals that are not able to have a specific service is encouraged.
研究1989 - 1993年间西班牙加泰罗尼亚地区肠内营养（EN）和肠外营养（PN）的发展情况。
加泰罗尼亚地区所有A/B级、B级、B/C级和C级医院（共60家）。采用邮寄问卷的方式。
1989 - 1993年间，医院肠内营养（HEN）增长了72%，肠外营养（PN）增长了2.15%，家庭肠内营养（HON）增长了507%，使用肠内营养出院的患者增长超过200%。承担HEN临床管理和负责配制的服务范围宽窄不一。87%的医院使用药物配方，其中41%仅使用本院配方，75%的医院使用输液泵。HON由许多不同专业人员监管。在HEN的管理、分发和应用方面，高级别医院与其他级别医院之间存在显著差异。
1993年加泰罗尼亚地区尚无完善的HEN解决方案和方案。然而，这些趋势使我们相信在不久的将来HEN状况会有所改善。鼓励在没有专门服务的医院成立多学科营养支持团队。
