Reemergence of Blended Tube Feeding and Parent's Reported Experiences in Their Tube Fed Children.

Teresa W Johnson, Amy L Spurlock, Lisa Epp, Ryan T Hurt, Manpreet S Mundi
{"title":"Reemergence of Blended Tube Feeding and Parent's Reported Experiences in Their Tube Fed Children.","authors":"Teresa W Johnson,&nbsp;Amy L Spurlock,&nbsp;Lisa Epp,&nbsp;Ryan T Hurt,&nbsp;Manpreet S Mundi","doi":"10.1089/acm.2017.0134","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Healthcare providers (HCPs) report increased interest in blenderized tube feeding (BTF) as an alternative to commercial formula (CF) feeding-particularly in families of tube fed children. The objective of this study was to explore parents' reported experiences of CF and BTF in their children.</p><p><strong>Design: </strong>Prospective descriptive study utilizing a convenience sample.</p><p><strong>Setting/subjects: </strong>Parents (n = 433) of tube fed children in an online tube feeding support group completed an electronic survey to compare experiences of CF and BTF in their tube fed children.</p><p><strong>Results: </strong>The sample was evenly represented by parents using CF (50.5%) and BTF (49.5%). Reasons parents chose BTF included desire to provide whole foods (20.2%), decrease symptoms of tube feeding intolerance (19.7%), provide family meals (12.2%), increase oral intake (10.8%), address allergies (5.3%), or because they did not like formula (19.7%). Parents reported fewer symptoms of tube feeding intolerance on BTF and their children more frequently met growth goals compared to formula feeding. Only half (49.3%) of parents using BTF referred to HCPs for recipes and feeding oversight. The primary reasons parents did not use BTF included lack of knowledge (50.9%) or time constraints (20.0%).</p><p><strong>Conclusions: </strong>A significant number of parents in this sample successfully provide full or partial BTF to their children but only half rely on HCPs for guidance. There is wide variability in BTF preparation and delivery. Parents who use or have interest in BTF need knowledgeable and supportive HCPs for guidance and follow-up due to the unique nutritional needs of this patient population. HCPs need to be prepared to screen families of tube fed children who are using BTF or are interested in this feeding alternative to CF. Healthcare facilities need to evaluate their enteral feeding policies to accommodate patients on BTF.</p>","PeriodicalId":520659,"journal":{"name":"Journal of alternative and complementary medicine (New York, N.Y.)","volume":" ","pages":"369-373"},"PeriodicalIF":0.0000,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/acm.2017.0134","citationCount":"31","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of alternative and complementary medicine (New York, N.Y.)","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/acm.2017.0134","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2017/11/29 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 31

Abstract

Objective: Healthcare providers (HCPs) report increased interest in blenderized tube feeding (BTF) as an alternative to commercial formula (CF) feeding-particularly in families of tube fed children. The objective of this study was to explore parents' reported experiences of CF and BTF in their children.

Design: Prospective descriptive study utilizing a convenience sample.

Setting/subjects: Parents (n = 433) of tube fed children in an online tube feeding support group completed an electronic survey to compare experiences of CF and BTF in their tube fed children.

Results: The sample was evenly represented by parents using CF (50.5%) and BTF (49.5%). Reasons parents chose BTF included desire to provide whole foods (20.2%), decrease symptoms of tube feeding intolerance (19.7%), provide family meals (12.2%), increase oral intake (10.8%), address allergies (5.3%), or because they did not like formula (19.7%). Parents reported fewer symptoms of tube feeding intolerance on BTF and their children more frequently met growth goals compared to formula feeding. Only half (49.3%) of parents using BTF referred to HCPs for recipes and feeding oversight. The primary reasons parents did not use BTF included lack of knowledge (50.9%) or time constraints (20.0%).

Conclusions: A significant number of parents in this sample successfully provide full or partial BTF to their children but only half rely on HCPs for guidance. There is wide variability in BTF preparation and delivery. Parents who use or have interest in BTF need knowledgeable and supportive HCPs for guidance and follow-up due to the unique nutritional needs of this patient population. HCPs need to be prepared to screen families of tube fed children who are using BTF or are interested in this feeding alternative to CF. Healthcare facilities need to evaluate their enteral feeding policies to accommodate patients on BTF.

混合式管饲的再次出现及家长对管饲儿童的经验报告。
目的:医疗保健提供者(HCPs)报告对混合管饲(BTF)作为商业配方奶粉(CF)喂养的替代方案的兴趣增加-特别是在管饲儿童的家庭中。本研究的目的是探讨父母报告的CF和BTF在他们孩子中的经历。设计:采用方便样本的前瞻性描述性研究。背景/对象:在线管饲支持组管饲儿童的家长(n = 433)完成了一项电子调查,比较其管饲儿童的CF和BTF经历。结果:使用CF(50.5%)和BTF(49.5%)的家长占样本的平均比例。家长选择BTF的原因包括希望提供全食物(20.2%)、减轻管饲不耐受症状(19.7%)、提供家庭聚餐(12.2%)、增加口服摄入(10.8%)、解决过敏(5.3%)或不喜欢配方奶粉(19.7%)。与配方奶喂养相比,父母报告的BTF管饲不耐受症状较少,他们的孩子更经常达到生长目标。只有一半(49.3%)的使用BTF的父母将食谱和喂养监督交给了HCPs。家长不使用BTF的主要原因是缺乏知识(50.9%)或时间限制(20.0%)。结论:本样本中有相当数量的父母成功地为孩子提供了全部或部分的BTF,但只有一半的父母依赖于HCPs的指导。BTF的制备和交付有很大的可变性。由于这一患者群体独特的营养需求,使用或对BTF感兴趣的家长需要知识渊博和支持性的HCPs进行指导和随访。医护人员需要准备好对正在使用BTF或对这种替代CF的喂养方式感兴趣的管饲儿童的家庭进行筛查。医疗机构需要评估其肠内喂养政策,以适应BTF患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信