Carter-Stephens Ruth
Community Nutrition Nurse, West Cheshire Integrated Care Partnership, Countess of Chester Hospital, Chester.
Br J Community Nurs. 2020 Apr 2;25(4):178-183. doi: 10.12968/bjcn.2020.25.4.178.
Home enteral tube feeding is an increasingly common intervention for patients who are unable to meet their full nutritional requirements. These patients require specialist support to enable them to live as normal a life as possible at home. An integrated acute and community nutrition service developed a new role of community nutrition nurse (CNN) in 2016, with the goal of reducing the number of unplanned hospital attendances relating to enteral tube feeding issues. Following the introduction of the CNN and related troubleshooting interventions, there was a 93% reduction in unplanned hospital admissions between 2017 and 2018. The role has been found to have many benefits, such as improved patient experience, care closer to the patient's home and empowerment of patients, their relatives and carers. It has also helped to increased patient and carer confidence to self-care and has reduced costs within the acute hospital system relating to unplanned hospital attendances and admissions.
家庭肠内管饲对于无法满足全部营养需求的患者而言,是一种越来越常见的干预措施。这些患者需要专业支持,以便能够在家中尽可能正常地生活。一个综合的急性和社区营养服务机构在2016年设立了社区营养护士(CNN)这一新角色,目标是减少与肠内管饲问题相关的非计划住院次数。在引入社区营养护士及相关故障排除干预措施后,2017年至2018年间非计划住院人数减少了93%。人们发现该角色有诸多益处,比如改善患者体验、在更靠近患者家的地方提供护理以及增强患者及其亲属和护理人员的能力。它还有助于增强患者和护理人员的自我护理信心,并降低了急性医院系统内与非计划就诊和住院相关的成本。