Vivisol Srl., Clinical Nutrition Unit, National Institute of Health and Science on Aging, IRCCS INRCA Ancona, Via della Montagnola 81, 60127 Ancona, Italy.
Clinical Nutrition Unit, National Institute of Health and Science on Aging, IRCCS INRCA Ancona, Via della Montagnola 81, 60127 Ancona, Italy.
Nutrients. 2023 Jul 12;15(14):3119. doi: 10.3390/nu15143119.
The evidence on the safety, efficacy and patient centeredness of Home Enteral Nutrition (HEN) services is scarce. In 2015, we carried out a search of the literature to identify specific indicators for HEN services as tools to be used to assess the quality of INRCA HEN services. No specific indicators for HEN services were found. Through a subsequent search of the literature, we have identified the appropriate methodology to define quality indicators and developed eight (8) specific indicators to track the quality of our HEN service for geriatric patients. Following Donabiedan's classification, we have defined two structure indicators, two process indicators and four outcome indicators that are presented in this manuscript. Though they may be used to make a comparison of HEN services for geriatric patients and to monitor the quality of therapy provided at patients' homes, the definition of quality system indicators for HEN services requires the additional joint efforts of experts in the field of nutrition and the scientific community for their validation.
关于家庭肠内营养（HEN）服务的安全性、有效性和以患者为中心的证据很少。2015 年，我们进行了文献检索，以确定 HEN 服务的具体指标，作为评估 INRCA HEN 服务质量的工具。没有找到 HEN 服务的具体指标。通过随后对文献的检索，我们确定了定义质量指标的适当方法，并为老年患者的 HEN 服务制定了八项（8）项具体指标来跟踪其质量。根据 Donabedian 的分类，我们定义了两个结构指标、两个过程指标和四个结果指标，这些指标在本文中都有介绍。尽管这些指标可用于比较老年患者的 HEN 服务，并监测患者家中提供的治疗质量，但 HEN 服务质量体系指标的定义还需要营养领域的专家和科学界的共同努力，以对其进行验证。
