家庭肠内营养在巴西统一卫生系统的综合评价。

IF 4.9 2区 医学 Q1 NUTRITION & DIETETICS
Rubia D Thieme, Thais S Rolim, Luana F Engel, Giuliane de M Wrobel, Maria E M Schieferdecker
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引用次数: 0

摘要

背景:家庭肠内营养(HEN)的适应症在世界范围内有所增加。在巴西,卫生部建议各市政当局制定一项针对HEN患者的营养保健方案。目的:验证和描述统一卫生系统中HEN的科学证据,并讨论其不足和潜力。数据来源:MEDLINE、LILACS和SciELO数据库于2024年1月进行,包括2012年至2022年发表的文章。数据提取:共确定875篇出版物,最终样本包括16篇文章。数据分析:研究的主题包括HEN患者及其护理人员的社会经济和人口统计资料、针对特殊喂养需求的公共政策和计划、HEN患者的营养和临床状况、与使用喂食管有关的事件、护理人员的角色、卫生工作者的担忧以及使用HEN的指南。结论:在巴西,统一卫生系统中关于HEN的科学证据是多样化的,反映了稀疏的现实,这是观察到的弱点之一。证据表明,改善注册系统对于巩固与该地区相关的公共政策和计划的重要性,这是将HEN患者的医疗保健系统化的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Integrative Review of Home Enteral Nutrition in the Brazilian Unified Health System.

Context: Indication for home enteral nutrition (HEN) has increased throughout the world. In Brazil, the Ministry of Health recommends that municipalities define a protocol for nutritional care to patients on HEN.

Objective: To verify and describe the scientific evidence about HEN in the Unified Health System and discuss its weaknesses and potentialities.

Data sources: MEDLINE, LILACS, and SciELO databases were carried out in January 2024 and included articles published from 2012 to 2022.

Data extraction: A total of 875 publications were identified, and the final sample comprised 16 articles.

Data analysis: The themes of the studies included the socioeconomic and demographic profiles of patients on HEN and their caregivers, public policies and programs aimed at special feeding needs, the nutritional and clinical status of patients on HEN, incidents related to the use of feeding tubes, the caregiver's role, the health workers' apprehensions, and guidelines for the use of HEN.

Conclusions: The scientific evidence on HEN in Unified Health System is diverse and reflects sparse realities in Brazil, which is one of the weaknesses observed. The evidence demonstrates the importance of improving the registration system to consolidate public policies and programs related to the area-presented as a potential for systematizing the health care of patients on HEN.

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来源期刊
Nutrition reviews
Nutrition reviews 医学-营养学
CiteScore
12.20
自引率
1.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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