在家中进行肠外营养/长期进行肠外营养
Vanessa J Kumpf1, Brenda Gray2, Jessica Monczka3
1Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, TN, USA.
概括
家庭亲肠道营养 (HPN) 需要对患者进行仔细的教育和协调,特别是在医院和家庭之间的过渡期间. 优化PN配方和输送系统是长期患者安全和护理的关键.
科学领域:
- 临床营养学 临床营养学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 长时间的肠外营养 (PN) 对某些疾病是必要的,但会带来风险.
- 家庭PN (HPN) 增加了长期营养支持的复杂性.
- 国际安全和质量PN峰会的重点是改善HPN实践.
研究的目的:
- 提供有关家庭PN (HPN) 实践的见解.
- 要突出一些HPN良好实践的例子.
- 为了应对长期PN治疗的挑战.
主要方法:
- 来自PN国际安全和质量峰会的讨论和演讲.
- 审查当前的HPN流程和挑战.
- 对配方和交付系统偏好的分析.
主要成果:
- 患者在医院和家庭之间过渡是一个关键的HPN步骤.
- 在HPN设置中,电子PN订单往往是不可行的.
- 患者/护理人员的教育和能力对于HPN的成功至关重要.
- 现代脂质乳液在长期的HPN中可能有利于肝功能.
- 在国际上存在HPN交付的变化 (复合PN与多室袋).
结论:
- 有效的教育和沟通对于成功的HPN至关重要.
- 改善HPN流程需要考虑患者和医疗保健专业人士的观点.
- 优化PN配方和输送系统可以改善患者的护理.
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