An exploration of the experiences and attitudes of healthcare professionals towards enteral tube feeding for adults living in the community following stroke

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2024-05-22 DOI:10.1111/jhn.13320

Konstantinos Eleftheriadis, Angela M. Madden

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引用次数: 0

Abstract

Background

Guidelines recommend enteral feeding via gastrostomy should be considered for adult survivors of stroke with dysphagia who cannot eat or drink sufficiently for >4 weeks. Many people continue long-term tube-feeding via this route in the community where healthcare professionals contribute to their care and nutritional management, although little is known about their experiences of or attitudes towards enteral feeding in this situation. The present study aimed to explore the experiences and attitudes of healthcare professionals working with this patient group.

Methods

Healthcare professionals were invited to complete a questionnaire devised for the study which comprised closed and open questions about tube-feeding including their patients' participation in feeding processes and mealtimes and how these might be improved. Responses to closed questions were analysed descriptively and free-text responses analysed using thematic analysis.

Results

Fifty-seven participants met the inclusion criteria. They identified patients' quality of life (77% of respondents) and nutritional support (75%) as the most important aspects of tube-feeding. Good communication and training with healthcare teams and carers were considered important. Their patients' participation in tube-feed administration and mealtime involvement were described as variable and potentially beneficial, but both were related to patients' choice and health impairment. Blended tube-feeding was considered an option by 89% provided practical and safety conditions were met.

Conclusions

Participants' experiences of and attitudes towards tube feeding in adults living with stroke in the community in the sample in the present study are varied and focussed on individual patients' needs, safety and professional standards.

查看原文本刊更多论文

探讨医护专业人员对中风后在社区生活的成年人进行肠管喂养的经验和态度。

背景：指南建议，对于有吞咽困难且不能充分进食或饮水超过 4 周的中风成年幸存者，应考虑通过胃造口进行肠内喂养。许多人在社区继续通过这种途径进行长期管饲，由医护人员对他们进行护理和营养管理，但人们对他们在这种情况下进行肠内喂养的经验或态度知之甚少。本研究旨在探讨医护人员在为这一患者群体提供服务时的经验和态度。方法：医护人员受邀填写一份为本研究设计的调查问卷，其中包括有关管式喂养的封闭式和开放式问题，包括患者参与喂养过程和进餐时间的情况，以及如何改善这些情况。对封闭式问题的回答进行描述性分析，对自由文本回答进行主题分析：57 名参与者符合纳入标准。他们认为患者的生活质量（77% 的受访者）和营养支持（75% 的受访者）是管饲最重要的方面。他们认为与医疗团队和护理人员的良好沟通和培训非常重要。受访者认为，患者参与管饲和进餐时间的情况各不相同，但都与患者的选择和健康受损程度有关。89%的人认为，在满足实际和安全条件的情况下，混合管式喂食是一种选择：在本研究的样本中，参与者对社区中风成人患者管饲的经验和态度各不相同，并侧重于患者的个人需求、安全性和专业标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.