Shellnutt Cathleen
Cathleen Shellnutt, DNP, APRN, AGCNS-BC, CGRN, is Complex GI APRN, Medical City Plano, Plano, Texas.
Gastroenterol Nurs. 2019 Sep/Oct;42(5):420-427. doi: 10.1097/SGA.0000000000000393.
Feeding initiation after percutaneous endoscopic gastrostomy tube insertion might occur anywhere from 4 to 24 hours after insertion in the practice setting. A review and appraisal of the literature reveals that feeding initiation is both safe and prudent within 4 hours of placement. Early feeding initiation allows for medications and nutrition to be given by enteral means earlier, resulting in a cost benefit for facilities and allowing patients to be discharged home or transferred to long-term care sooner. Nursing theory supports early feeding after percutaneous endoscopic gastrostomy tube placement. Early feedings provide patients with relief of their hunger and allow the patients and caregivers to move forward with the next level of care in their recovery.
在实际操作中，经皮内镜下胃造口管置入术后开始喂养的时间可能在置管后4至24小时之间的任何时候。对文献的回顾和评估表明，在置管后4小时内开始喂养既安全又谨慎。早期开始喂养可使药物和营养更早地通过肠内途径给予，为医疗机构带来成本效益，并使患者能够更快出院回家或转至长期护理机构。护理理论支持经皮内镜下胃造口管置管后早期喂养。早期喂养可缓解患者的饥饿感，并使患者及其护理人员能够在康复过程中进入下一阶段的护理。
