家庭环境中基于食欲指导的儿科肠内管拔管方法：一项试点研究。
Appetite-guided approach to pediatric enteral tube weaning in the home setting: A pilot study.
机构信息
Growing Independent Eaters, Spokane, Washington, USA.
Department of Medicine, University of Colorado Denver, Denver, Colorado, USA.
出版信息
JPEN J Parenter Enteral Nutr. 2022 Sep;46(7):1725-1730. doi: 10.1002/jpen.2394. Epub 2022 May 28.
BACKGROUND
Infants and children, who temporarily use feeding tubes to maintain body composition and growth, often have difficulty resuming oral feeds once medically stable. We report survey results from Growing Independent Eaters (GIE), an interdisciplinary approach providing home-based virtual support during a child-led appetite-guided enteral wean.
METHOD
Surveys addressing participant wean success, weight, and feeding practices were sent to 76 families who participated in a GIE-led wean; 31 surveys were completed and returned.
RESULTS
All participants who were not eating or drinking orally prewean were fully or partially weaned off enteral support. Infants weaned faster (37.7 days) than children (80.1 days). Mean weight loss during the intervention was 6.6% for infants and 5.9% for children. Six months postwean, 93% of participants surpassed their prewean weight.
CONCLUSION
The GIE method was successful for weaning infants and children off enteral support.
背景
需要通过喂养管来维持身体成分和生长的婴儿和儿童，一旦在医学上稳定下来，往往很难重新开始口服喂养。我们报告了一项来自 Growing Independent Eaters（GIE）的调查结果，这是一种提供家庭为基础的虚拟支持的跨学科方法，在儿童主导的食欲引导的肠内断奶期间提供支持。
方法
我们向 76 个参加 GIE 主导的断奶的家庭发送了调查，询问参与者的断奶成功、体重和喂养实践情况；其中 31 份调查完成并返回。
结果
所有在断奶前没有经口进食或饮水的参与者都完全或部分地停止了肠内支持。婴儿的断奶速度（37.7 天）快于儿童（80.1 天）。干预期间婴儿的平均体重减轻了 6.6%，儿童的体重减轻了 5.9%。断奶后 6 个月，93%的参与者超过了他们的断奶前体重。
结论
GIE 方法在婴儿和儿童断奶方面取得了成功。
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