Jones L, Ramsey-Stewart G, Storey D
Aust J Adv Nurs. 1995 Winter;12(4):22-5.
This paper reviews the outcomes for 14 patients treated with long-term home parenteral nutrition at the Royal Prince Alfred Hospital between 1978 and 1994. Prior to the introduction of home parenteral nutrition, all patients were unable to maintain adequate nutrition by enteral means and all had experienced repeated and/or long term admissions to hospital for total parenteral nutrition. The median time patients had been on home parenteral nutrition was 468 days (range 7 days to 5,352 days) and seven patients were on home parenteral nutrition at the time of the review. The majority of patients were able to resume a reasonable place in society for varying periods and four of the patients returned to work. The conclusion from the Royal Prince Alfred experience is that home parenteral nutrition is a cost-effective method of maintaining nutrition in selected patients with chronic intestinal failure.
本文回顾了1978年至1994年间在皇家阿尔弗雷德王子医院接受长期家庭肠外营养治疗的14例患者的治疗结果。在引入家庭肠外营养之前,所有患者均无法通过肠内途径维持充足营养,并且都因接受全肠外营养而多次和/或长期住院。患者接受家庭肠外营养的中位时间为468天(范围7天至5352天),在审查时7例患者正在接受家庭肠外营养治疗。大多数患者能够在不同时期重新在社会中占据合理位置,其中4例患者恢复了工作。皇家阿尔弗雷德王子医院的经验得出的结论是,家庭肠外营养是维持选定慢性肠衰竭患者营养状况的一种具有成本效益的方法。