{"title":"医生对人工营养建议的认识","authors":"Vérane Peyratout Gueho, Simon Atmeare","doi":"10.1016/j.nupar.2025.05.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Nutrition, as a cross-disciplinary field, is sometimes difficult to fully integrate into daily medical practice, despite its complementarity with many specialties. Nevertheless, its prescription remains inconsistent, and a lack of knowledge or mastery of the various forms of artificial nutrition can hinder their appropriate use. This study aims to assess medical doctor's level of knowledge regarding current recommendations on artificial nutrition.</div></div><div><h3>Methods</h3><div>The study was conducted among 46 medical doctor at a peripheral hospital center involved in the nutritional management of adult patients. Participants answered four open-ended questions designed to explore their knowledge of current guidelines on artificial nutrition.</div></div><div><h3>Results</h3><div>The findings reveal a significant gap between the most recent recommendations and medical doctor’ knowledge, which may help explain the underprescription of appropriate nutritional support. Although oral, enteral, and parenteral nutrition are generally well known, some contraindications reported by respondents are not supported by current guidelines. The precautionary principle, patient refusal, and technical difficulties are frequently cited as barriers to prescription. Enteral nutrition is preferred as the first-line approach over parenteral nutrition, but its initiation is sometimes delayed due to negative perceptions (pain, discomfort, stigma). Additionally, social and technical factors contribute to a reluctance toward enteral nutrition, leading to the use of parenteral nutrition, sometimes inappropriately.</div></div><div><h3>Conclusion</h3><div>This survey highlights a gap between recommendations and clinical practice, underlining the importance of ongoing theoretical and practical training in clinical nutrition throughout the care pathway. Clarifying indications, improving communication with patients, and developing decision-support tools could enhance the relevance of nutritional prescriptions. Regular training in nutrition would help align medical practices with current guidelines, optimize the management of malnourished patients, and reduce associated complications. The issue is clinical, ethical, and medico-economic.</div></div>","PeriodicalId":54702,"journal":{"name":"Nutrition Clinique et Metabolisme","volume":"39 3","pages":"Pages 150-153"},"PeriodicalIF":0.4000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Connaissances des recommandations de nutrition artificielle par les médecins\",\"authors\":\"Vérane Peyratout Gueho, Simon Atmeare\",\"doi\":\"10.1016/j.nupar.2025.05.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Nutrition, as a cross-disciplinary field, is sometimes difficult to fully integrate into daily medical practice, despite its complementarity with many specialties. Nevertheless, its prescription remains inconsistent, and a lack of knowledge or mastery of the various forms of artificial nutrition can hinder their appropriate use. This study aims to assess medical doctor's level of knowledge regarding current recommendations on artificial nutrition.</div></div><div><h3>Methods</h3><div>The study was conducted among 46 medical doctor at a peripheral hospital center involved in the nutritional management of adult patients. Participants answered four open-ended questions designed to explore their knowledge of current guidelines on artificial nutrition.</div></div><div><h3>Results</h3><div>The findings reveal a significant gap between the most recent recommendations and medical doctor’ knowledge, which may help explain the underprescription of appropriate nutritional support. Although oral, enteral, and parenteral nutrition are generally well known, some contraindications reported by respondents are not supported by current guidelines. The precautionary principle, patient refusal, and technical difficulties are frequently cited as barriers to prescription. Enteral nutrition is preferred as the first-line approach over parenteral nutrition, but its initiation is sometimes delayed due to negative perceptions (pain, discomfort, stigma). Additionally, social and technical factors contribute to a reluctance toward enteral nutrition, leading to the use of parenteral nutrition, sometimes inappropriately.</div></div><div><h3>Conclusion</h3><div>This survey highlights a gap between recommendations and clinical practice, underlining the importance of ongoing theoretical and practical training in clinical nutrition throughout the care pathway. Clarifying indications, improving communication with patients, and developing decision-support tools could enhance the relevance of nutritional prescriptions. Regular training in nutrition would help align medical practices with current guidelines, optimize the management of malnourished patients, and reduce associated complications. The issue is clinical, ethical, and medico-economic.</div></div>\",\"PeriodicalId\":54702,\"journal\":{\"name\":\"Nutrition Clinique et Metabolisme\",\"volume\":\"39 3\",\"pages\":\"Pages 150-153\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-06-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition Clinique et Metabolisme\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0985056225000482\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition Clinique et Metabolisme","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0985056225000482","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Connaissances des recommandations de nutrition artificielle par les médecins
Objective
Nutrition, as a cross-disciplinary field, is sometimes difficult to fully integrate into daily medical practice, despite its complementarity with many specialties. Nevertheless, its prescription remains inconsistent, and a lack of knowledge or mastery of the various forms of artificial nutrition can hinder their appropriate use. This study aims to assess medical doctor's level of knowledge regarding current recommendations on artificial nutrition.
Methods
The study was conducted among 46 medical doctor at a peripheral hospital center involved in the nutritional management of adult patients. Participants answered four open-ended questions designed to explore their knowledge of current guidelines on artificial nutrition.
Results
The findings reveal a significant gap between the most recent recommendations and medical doctor’ knowledge, which may help explain the underprescription of appropriate nutritional support. Although oral, enteral, and parenteral nutrition are generally well known, some contraindications reported by respondents are not supported by current guidelines. The precautionary principle, patient refusal, and technical difficulties are frequently cited as barriers to prescription. Enteral nutrition is preferred as the first-line approach over parenteral nutrition, but its initiation is sometimes delayed due to negative perceptions (pain, discomfort, stigma). Additionally, social and technical factors contribute to a reluctance toward enteral nutrition, leading to the use of parenteral nutrition, sometimes inappropriately.
Conclusion
This survey highlights a gap between recommendations and clinical practice, underlining the importance of ongoing theoretical and practical training in clinical nutrition throughout the care pathway. Clarifying indications, improving communication with patients, and developing decision-support tools could enhance the relevance of nutritional prescriptions. Regular training in nutrition would help align medical practices with current guidelines, optimize the management of malnourished patients, and reduce associated complications. The issue is clinical, ethical, and medico-economic.
期刊介绍:
Nutrition Clinique et Métabolisme is the journal of the French-speaking Society of Enteral and Parenteral Nutrition. Associating clinicians, biologists, pharmacists, and fundamentalists, the articles presented in the journal concern man and animals, and deal with organs and cells. The goal is a better understanding of the effects of artificial nutrition and human metabolism. Original articles, general reviews, update articles, technical notes and communications are published, as well as editorials and case reports.