Zhu Huiya, Liu Aihua, Han Zhongyan, Yang Yanling, Ma Xiao, Shi Haiyan
Department of Cardiovasology, the Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, People's Republic of China.
Department of Gastroenterology, the Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, People's Republic of China.
Patient Prefer Adherence. 2025 Jan 7;19:49-63. doi: 10.2147/PPA.S498890. eCollection 2025.
To evaluate and summarize the best evidence of home enteral tube feeding (HETF) care management in the elderly to provide an evidence-based basis for caregivers to implement care interventions.
Evidence on HETF care management in the elderly was retrieved from Chinese and international databases, guidelines, and websites of professional associations, including systematic reviews and expert consensuses, using the keywords of home enteral nutrition, home tube feeding, old, elder, home care, etc. The literature considered in this study was published from April 2019 to April 2024. Two trained researchers independently evaluated the quality of the included literature, graded the literature using the JBI evidence pre-grading system, classified and summarized the extracted evidence.
A total of 15 articles were included, including 1 clinical decision, 1 guideline, 3 best evidence summaries, 4 systematic reviews, 2 randomized controlled trials, and 4 quasi-experimental studies. 18 pieces of the best evidence were summarized in 3 aspects, including the NST administration, education of caregivers, and selection of nutrition formulas.
This study comprehensively summarized the best evidence of home enteral tube feeding care management in the elderly and provided a scientific basis for caregivers to implement care interventions. In home care settings, using evidence-based practices requires developing a comprehensive care management system based on the trinity of hospital, community and home, in order to reduce the incidence of HETF-related complications, improve the quality of life of the elderly with HETF, and provide a practical reference for NST members and caregivers.
评估并总结老年人家庭肠内管饲（HETF）护理管理的最佳证据，为护理人员实施护理干预提供循证依据。
使用家庭肠内营养、家庭管饲、老年人、老年、家庭护理等关键词，从中国和国际数据库、指南以及专业协会网站检索老年人HETF护理管理的证据，包括系统评价和专家共识。本研究纳入的文献发表于2019年4月至2024年4月。两名经过培训的研究人员独立评估纳入文献的质量，使用JBI证据预分级系统对文献进行分级，对提取的证据进行分类和总结。
共纳入15篇文章，包括1篇临床决策、1篇指南、3篇最佳证据总结、4篇系统评价、2篇随机对照试验和4篇准实验研究。从非甾体类抗炎药（NSAIDs）给药、护理人员教育和营养配方选择3个方面总结出18条最佳证据。
本研究全面总结了老年人家庭肠内管饲护理管理的最佳证据，为护理人员实施护理干预提供了科学依据。在家庭护理环境中，采用循证实践需要基于医院、社区和家庭三位一体建立全面的护理管理体系，以降低HETF相关并发症的发生率，提高接受HETF的老年人的生活质量，并为非甾体类抗炎药使用者和护理人员提供实践参考。
