McNamara E P, Flood P, Kennedy N P
Department of Clinical Medicine, Trinity Centre for Health Sciences, Dublin 8, Ireland.
J Hum Nutr Diet. 2001 Feb;14(1):13-9. doi: 10.1046/j.1365-277x.2001.00266.x.
Long-term enteral tube feeding is increasingly required by patients in the community setting. A previous study of 50 adults on home enteral tube feeding in the Dublin area found that some experienced logistical problems and many individuals did not choose to seek advice from their GP regarding their tube feeding.
To assess the contribution of health professionals to the care of patients on enteral tube feeding in the community.
GPs and hospital dietitians were surveyed using postal questionnaires and nutritional company representatives using structured interviews, to assess their involvement with patients on home tube feeding. Completed questionnaires were received from 77 dietitians and 80 GPs. Ten company representatives were interviewed.
Hospital dietitians carry out most of the initial education and training of patients, in addition to the nutritional aftercare. General practitioners tend not to be involved, although nutrition specialists working in the nutritional products area report encountering patients with tube-feeding complications in the community.
Improved co-ordination between hospital and community services and more consistent monitoring of those on home enteral tube feeding would be an advantage to such patients.
社区环境中的患者对长期肠内管饲的需求日益增加。先前一项针对都柏林地区50名接受家庭肠内管饲的成年人的研究发现，一些人遇到了后勤问题，而且许多人并未就其管饲问题向全科医生寻求建议。
评估卫生专业人员对社区中接受肠内管饲患者护理的贡献。
通过邮寄问卷对全科医生和医院营养师进行调查，并对营养公司代表进行结构化访谈，以评估他们对接受家庭管饲患者的参与情况。共收到77名营养师和80名全科医生填写的问卷。对10名公司代表进行了访谈。
除营养后续护理外，医院营养师还对患者进行大部分的初始教育和培训。全科医生往往不参与其中，尽管在营养产品领域工作的营养专家报告称，在社区中遇到过有管饲并发症的患者。
改善医院和社区服务之间的协调，并对接受家庭肠内管饲的患者进行更持续的监测，将对这类患者有益。
