School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
PLoS One. 2020 Feb 12;15(2):e0228924. doi: 10.1371/journal.pone.0228924. eCollection 2020.
The need for specialized care, particularly enteral nutritional therapy in community settings is now increasing with implications for both patients and primary care providers. More research is needed to identify the needs of patients and primary caregivers. The study aimed to explore the perceived support needs regarding the provision of home-based enteral nutritional therapy among critically ill adult patients and family caregivers in the KwaZulu-Natal Province of South Africa.
A qualitative study of purposely selected adult patients on homebased enteral nutritional therapy and family caregivers was conducted in a district hospital, a community health centre, two primary health care clinics and selected households in the KwaZulu-Natal Province, South Africa. Semi-structured individual interviews were conducted between June and September 2018 and the content analysis approach was used to analyse data.
Two major themes and five subthemes emerged from the results of the interviews. The major themes concerned socioeconomic and psychosocial support needs related to the provision of home-based enteral nutritional therapy. Subthemes included the need for financial assistance, need for enteral nutrition products and supplementary supplies, need for infrastructure for continuity of care, and psychological support needs.
Results of this study confirm the need for developing strategies adapted to a South African context and yonder to meet patients' and family caregivers' needs with regard to nutritional services. More research on the identification of needs through monitoring and evaluation of the implementation of nutritional guidelines is needed, particularly in the district hospital and primary health care (PHC) setting.
随着对患者和初级保健提供者的影响，社区环境中专门护理的需求（尤其是肠内营养治疗）正在增加。需要更多的研究来确定患者和初级护理人员的需求。本研究旨在探讨南非夸祖鲁-纳塔尔省危重症成年患者和家庭照顾者在家中接受肠内营养治疗的感知支持需求。
在南非夸祖鲁-纳塔尔省的一家地区医院、一家社区卫生中心、两家初级保健诊所和选定的家庭中，对接受家庭肠内营养治疗的成年患者和家庭照顾者进行了一项定性研究。2018 年 6 月至 9 月期间进行了半结构化的个体访谈，并采用内容分析方法分析数据。
访谈结果得出了两个主要主题和五个子主题。主要主题涉及与家庭肠内营养治疗提供相关的社会经济和心理社会支持需求。子主题包括经济援助需求、肠内营养产品和补充用品需求、连续性护理基础设施需求以及心理支持需求。
本研究的结果证实了需要制定适应南非国情的策略，以满足患者和家庭照顾者在营养服务方面的需求。需要通过监测和评估营养指南的实施情况，进一步研究确定需求，特别是在地区医院和初级卫生保健（PHC）环境中。
