Fogg Louisa
Kingston Hospital NHS Trust, London.
Br J Community Nurs. 2007 Jun;12(6):246, 248, 250-52. doi: 10.12968/bjcn.2007.12.6.23771.
Preventing or reducing malnutrition using nutritional support is proven to be effective both clinically and financially. The continuation of enteral tube feeding in the community continues to grow and the population are an increasingly elderly and disabled group, with the majority living in their own homes and requiring some or total help with their enteral tube feeding. Part 1 of this two-part article looks at some of the key aspects in the management of patients in the community, including routine monitoring, the administration of feed and medications and management of the various tubes. Part 2 will discuss some of the current areas of controversy/debate, including the use of syringes, water type, feed hanging times and confirmation of nasogastric tube position in patients on acid reducing therapy.
事实证明,使用营养支持来预防或减少营养不良在临床和经济方面均有效。社区中肠内管饲的持续使用情况不断增加,且人群日益老龄化和残疾,大多数人居住在自己家中,在肠内管饲方面需要部分或全部帮助。这篇分两部分的文章的第一部分探讨了社区患者管理中的一些关键方面,包括常规监测、喂养和药物的给药以及各种管道的管理。第二部分将讨论一些当前存在争议/辩论的领域,包括注射器的使用、水的类型、喂养悬挂时间以及接受酸减少治疗患者的鼻胃管位置确认。