摘要
肿瘤患者营养不良发病率高,规范有效的营养治疗有利于改善患者生活质量,缩短住院时间,提高生存率。家庭肠内营养是院内营养治疗的重要延伸,如果患者营养摄入的种类和数量不足1周或更长时间,则应予以考虑。在家庭肠内营养实施过程中,患者常常因摄入不足或严重肠内营养并发症等导致能量不达标或肠内营养中断,因此给予及时专业的指导和监测尤为重要,比如:肠内营养接入设备的使用,肠内营养制剂的使用与储存,并发症识别处理等。本文以国内外最新家庭肠内营养管理相关指南为参考,检索近年来发表的随机对照试验、系统评价和meta分析等各类研究并结合临床经验,围绕肿瘤患者家庭肠内营养护理的最佳照护模式、筛查与评估、方案实施、营养教育等方面作总结和推荐,为临床护理的规范化和标准化提供依据。
The incidence rate of malnutrition in cancer patients is high.Standardized and effective nutrition treatment is conducive to improving the quality of life of patients,shortening the length of hospital stay,and improving the survival rate.Home enteral nutrition is an important extension of in-hospital nutrition support,and should be considered if the type and quantity of nutrients consumed by patients are less than a week or longer.In the process of implementing enteral nutrition at home,patients often experience energy failure or interruption of enteral nutrition due to insufficient nutrient intake or serious complications.Therefore,timely and professional guidance and monitoring are particularly important,such as the use of enteral nutrition access equipment,the use and storage of enteral nutrition preparations,and the identification and management of complications.This article takes the latest guidelines on home enteral nutrition management at home and abroad as a reference,searches for various studies published in recent years such as randomized controlled trials,systematic evaluations,and meta-analyses,and combines clinical experience to summarize and recommend the best care mode,screening and evaluation,program implementation,nutrition education,and other aspects of home enteral nutrition care for cancer patients,providing a basis for the standardization and standardization of clinical nursing.
出处
《肿瘤代谢与营养电子杂志》
2024年第3期314-321,共8页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
中国初级卫生保健基金会课题项目(20230413-1001)。
关键词
肿瘤
家庭肠内营养
营养护理
Oncology
Home enteral nutrition
Nutritional nursing
作者简介
通信作者:谌永毅,电子邮箱:414700595@qq.com。
