Home Enteral Nutrition in Adults: Effectiveness of Nutritional Therapy and Educational Programme
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Le résumé fourni par la source
Abstract PurposeHome Enteral Nutrition (HEN) is used to prevent or correct malnutrition in outpatients. Due to the complexity of this process, the indication, follow-up, and results of an educational programme of HEN patients was evaluated.MethodsA prospective, observational, real-life, multicentre study of patients receiving HEN by nasogastric tube or ostomy in 21 hospitals was conducted. The following variables were collected: age, gender, HEN indication, type of formula, nutritional requirements, laboratory variables, complications, and quality standards of the educational programme. All data were analysed using SPSS.24.Results414 patients were included. Most conditions diagnosed were neurodegenerative diseases (64.8%). 100 patients (25.3%) were diabetic. The mean weight was 59.3±10.4kg and BMI 22.6±3.2. Moderate protein-calorie malnutrition was predominant at baseline (46.4%). Improvement in nutritional status at six months was recorded in more than 75% of patients (p<0.05). Tolerance problems, diarrhoea and abdominal distension fell between the 3- and 6-month visits (p <0.05). Patients who received intermittent Enteral Nutrition (EN) had fewer tolerance-related effects (OR: 0.042; 95% CI: 0.006-0.279) and less diarrhoea (OR: 0.042; 95% CI: 0.006-0.279), while those who received EN via nasogastric tube had fewer tolerance-related effects (OR: 0.042; 95% CI: 0.006-0.279). At the baseline and 6-month visits, compliance with the educational measures proposed by the prescriber was ≥ 99%. ConclusionThe nutritional assessment to prescribe individualised HEN to each patient, together with educational measures and training in the proper use of this treatment for both patients and trainers, improves nutritional status and reduces the onset of adverse reactions.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Home Enteral Nutrition in Adults: Effectiveness of Nutritional Therapy and Educational Programme
- Date Crossref
- 09/08/2021
- Éditeur
- Research Square Platform LLC
- Type
- posted-content
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Instituto de Investigación Biosanitaria de Granada pays non établi dans la noticeStructure de recherche
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Hospital Universitario San Agustín pays non établi dans la noticeÉtablissement de santé
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Consorcio Hospitalario Provincial de Castellón pays non établi dans la noticeÉtablissement de santé
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Hospital Clínico Universitario Virgen de la Victoria pays non établi dans la noticeÉtablissement de santé
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Hospital Universitario Virgen de las Nieves pays non établi dans la noticeÉtablissement de santé
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Unidad de Nutrición Clínica y Dietética Hospital Universitario Virgen de la Victoria pays non établi dans la noticeÉtablissement de santé
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Departamento de Medicina. Facultad de Medicina. UGR pays non établi dans la noticeInstitution
Instituto de Investigación Biosanitaria de Granada, Hospital Universitario San Agustín et Consorcio Hospitalario Provincial de Castellón, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.