Fogg Louisa
Kingston Hospital NHS Trust.
Br J Community Nurs. 2007 Jul;12(7):296, 298-300. doi: 10.12968/bjcn.2007.12.7.23820.
Part 1 provided an overview of enteral tube feeding and management in the community. Due to the limited evidence base there are many aspects of the practical management of patients on home enteral tube feeding (HETF) that has as yet not been standardized, particularly around issues such as the type of syringes and water that should be used in HETF. There are also some areas where the guidelines are clear but difficult to apply in the community (such as with maximum feed 'hanging times') or where further guidance is required (such as for confirming the position of nasogastric tubes in patients on acid-reducing therapy). Finally, as NHS trusts look at further ways to save money, enteral feeding is being increasingly scrutinised and needs to be carefully managed, with the involvement of healthcare professionals who understand patient needs and the commercial HETF market. This article is based on personal views and local discussions about the issues in question and, until further research and national standards are available, are subject to local interpretation.
第一部分概述了社区中的肠内管饲及其管理。由于证据基础有限，家庭肠内管饲（HETF）患者实际管理的许多方面尚未标准化，特别是在诸如HETF中应使用的注射器类型和水等问题上。也有一些领域，指南很明确，但在社区中难以应用（如最大喂养“悬挂时间”），或者需要进一步指导（如在接受减酸治疗的患者中确认鼻胃管位置）。最后，随着国民保健服务信托基金寻求更多省钱方法，肠内喂养受到越来越多的审查，需要精心管理，由了解患者需求和商业HETF市场的医疗专业人员参与。本文基于对相关问题的个人观点和本地讨论，在有进一步研究和国家标准之前，可能会有不同的本地解读。
