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澳大利亚家庭肠内营养的叙述性综述:聚焦混合管饲

A Narrative Review of Home Enteral Nutrition in Australia with a Focus on Blended Tube Feeding.

作者信息

Breik Lina, Barker Lisa A, Bauer Judy, Davidson Zoe E

机构信息

Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, VIC 3168, Australia.

出版信息

Nutrients. 2025 Mar 7;17(6):931. doi: 10.3390/nu17060931.

DOI:10.3390/nu17060931
PMID:40289937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11944310/
Abstract

Enteral nutrition, commonly known as tube feeding, is a life-sustaining intervention for individuals who cannot meet their nutritional needs orally due to medical conditions affecting swallowing, digestion, or nutrient absorption. Since its introduction in the 1970s, home enteral nutrition (HEN) has enabled the safe delivery of complete or supplemental nutrition in community settings, enhancing both quality of life and healthcare outcomes. The HEN landscape in Australia is rapidly evolving, driven in part by the renewed interest in blended tube feeding (BTF). This narrative review explores the current state of HEN care and BTF support in Australia, focusing on prevalence, funding models, provider and client perspectives, clinical guidelines, and advocacy efforts.

摘要

肠内营养,通常称为管饲,是一种维持生命的干预措施,适用于因影响吞咽、消化或营养吸收的医疗状况而无法通过口服满足营养需求的个体。自20世纪70年代引入以来,家庭肠内营养(HEN)已能够在社区环境中安全地提供完全或补充营养,提高了生活质量和医疗保健效果。澳大利亚的家庭肠内营养状况正在迅速演变,部分原因是对混合管饲(BTF)的重新关注。这篇叙述性综述探讨了澳大利亚家庭肠内营养护理和混合管饲支持的现状,重点关注患病率、资助模式、提供者和客户的观点、临床指南以及宣传工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cb/11944310/19692d5aa72f/nutrients-17-00931-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cb/11944310/b6dc160ca336/nutrients-17-00931-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cb/11944310/19692d5aa72f/nutrients-17-00931-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cb/11944310/b6dc160ca336/nutrients-17-00931-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cb/11944310/19692d5aa72f/nutrients-17-00931-g002.jpg

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本文引用的文献

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The effect of blended tube feeding compared to conventional formula on clinical outcomes in adults: A systematic review.
Nutr Diet. 2024 Oct 25. doi: 10.1111/1747-0080.12912.
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Blended diets for children and young people: applying the evidence to nursing practice.混合饮食在儿童和青少年中的应用:将证据应用于护理实践。
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A study of professional practices, attitudes and barriers to blended tube feeding in Australia and New Zealand.一项关于澳大利亚和新西兰混合管饲的专业实践、态度及障碍的研究。
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Glycemic Control in Diabetic Patients Receiving a Diabetes-Specific Nutritional Enteral Formula: A Case Series in Home Care Settings.糖尿病患者接受糖尿病专用肠内营养配方的血糖控制:家庭护理环境中的病例系列。
Nutrients. 2024 Aug 7;16(16):2602. doi: 10.3390/nu16162602.
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