Reilly Claire, Ross Nicole, Watene Stacey, Lindeback Rachel, Coelho Tanya, Krishnan Usha, Perez William Pinzon, Chandrasekar Neha, Yap Jason, Breik Lina, Arrowsmith Fiona
School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Department of Dietetics and Food Services, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Nutr Diet. 2025 Apr;82(2):143-151. doi: 10.1111/1747-0080.12909. Epub 2024 Oct 21.
This study investigates the utilisation of blended tube feeding by health professionals in Australia and New Zealand, assessing factors influencing its implementation following the Australasian Society of Parenteral and Enteral Nutrition blended tube feeding consensus statement.
A cross-sectional survey was conducted targeting health professionals across Australia and New Zealand. The survey comprised 35-questions including multiple choice, Likert scales and open-ended responses, to gain insights into blended tube feeding practices and perspectives. The effect of the health professional factors on outcomes was explored in pairs with a series of Chi-squared tests. Odds ratios (ORs) were calculated using standard univariate logistic regression. An exploratory content analysis was used to code the open-ended text responses to the survey questions which were then categorised and further synthesised into overarching themes.
Out of 89 health professionals who completed the survey, the majority were dietitians, 63% reported managing fewer than five patients using blended tube feeding within their services. Parental request was the leading reason for adoption. Notable barriers included clinician time constraints, resource limitations and a lack of formal guidelines. Some health professionals considered the primary risk associated with blended tube feeding to be poor growth and/or weight loss. Professional development was pivotal in increasing confidence and advocating for blended tube feeding, with significant correlations observed between blended tube feeding training and clinical practice.
This study emphasises the essential role of education, resource availability and institutional policy in promoting blended tube feeding practices for health professionals. Findings suggest that focusing on professional development and standardised resources could significantly enhance knowledge, confidence and competence of health professionals in blended tube feeding application. The outcomes point towards the need for a coordinated approach to support evidence-based blended tube feeding practices, aligning with the Australasian Society of Parenteral and Enteral Nutrition blended tube feeding resources and recommendations.
本研究调查了澳大利亚和新西兰的医疗保健专业人员对混合管饲法的使用情况，并根据澳大利亚和新西兰胃肠外与肠内营养学会的混合管饲法共识声明，评估影响其实施的因素。
针对澳大利亚和新西兰的医疗保健专业人员开展了一项横断面调查。该调查包含35个问题，包括多项选择题、李克特量表和开放式回答，以深入了解混合管饲法的实践情况和观点。通过一系列卡方检验成对探讨医疗保健专业人员因素对结果的影响。使用标准单变量逻辑回归计算比值比（OR）。采用探索性内容分析法对调查问卷开放式文本回答进行编码，然后进行分类并进一步综合成总体主题。
在完成调查的89名医疗保健专业人员中，大多数是营养师，63%报告称其所在机构中使用混合管饲法管理的患者少于5名。家长的要求是采用该方法的主要原因。显著障碍包括临床医生时间限制、资源限制和缺乏正式指南。一些医疗保健专业人员认为与混合管饲法相关的主要风险是生长发育不良和/或体重减轻。专业发展对于增强信心和推广混合管饲法至关重要，混合管饲法培训与临床实践之间存在显著相关性。
本研究强调了教育、资源可及性和机构政策在促进医疗保健专业人员采用混合管饲法方面的重要作用。研究结果表明，关注专业发展和标准化资源可显著提高医疗保健专业人员在混合管饲法应用方面的知识、信心和能力。结果表明需要采取协调一致的方法来支持基于证据的混合管饲法实践，与澳大利亚和新西兰胃肠外与肠内营养学会的混合管饲法资源及建议保持一致。
