Brotherton Ailsa, Lyons Christina
School of Nursing, University of Central Lancashire, Preston.
Br J Community Nurs. 2006 Dec;11(12):511-8. doi: 10.12968/bjcn.2006.11.12.22419.
The number of patients receiving home enteral tube feeding (HETF) in the UK is growing, despite little evidence that it improves survival or quality of life in many cases. There is also little work that has been done to explore the emotional impact of this invasive procedure on patients or carers. This article draws on a literature review to highlight some of the issues that may arise with patients receiving HETF, focusing particularly on the largest group of these patients: those with neurological conditions. The literature shows that emotional adjustments are required for both patient and carers following the placement of a percutaneous endoscopic gastrostomy. Therefore consideration of the likely emotional and psychological consequences of home enteral tube feeding has implications for clinical practice during the decision-making process for appropriate patient selection. There is a need for community nurses to consider these issues and ensure appropriate support is provided for patients and their carers.
在英国，接受家庭肠内管饲（HETF）的患者数量正在增加，尽管在许多情况下几乎没有证据表明它能提高生存率或生活质量。也几乎没有开展工作来探究这种侵入性操作对患者或护理人员的情感影响。本文通过文献综述，强调了接受HETF的患者可能出现的一些问题，尤其关注这类患者中最大的群体：患有神经系统疾病的患者。文献表明，经皮内镜下胃造口术后，患者和护理人员都需要进行情绪调整。因此，在为合适的患者选择进行决策的过程中，考虑家庭肠内管饲可能产生的情感和心理后果对临床实践具有重要意义。社区护士有必要考虑这些问题，并确保为患者及其护理人员提供适当的支持。
