Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home
Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home
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DOI：
10.1093/intqhc/9.4.297
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发表时间：
1997-08-01
影响因子：
2.6
通讯作者：
Decamps, A
中科院分区：
文献类型：
--
作者：
BourdelMarchasson, I;Dumas, F;Decamps, A
目的：经皮内镜下胃造口术（PEG）现在很容易用于长期肠内营养。长期肠内喂养的耐受性已在不同人群中记录，但在老年人和体弱者的情况下，记录不完整。我们的目的是描述早期和晚期的耐受性，在这个人群中，并提出方法，它可以被improved.Design：回顾性研究分为两个部分：宽容和护理质量;病例对照研究tolerance.Setting：一个养老院，240张病床。研究参与者：PEG组由1990年1月至1994年6月期间接受PEG插入的所有患者组成。58名患者参与，12名65岁以下（48 +/- 10.6），46名65岁以上（80.7 +/- 9.3）。6名患者因植物人状态、31名患者吞咽困难和21名患者厌食而进行胃造口术插入。于1996年12月召集了一个对照组，其中包括所有在工作人员手册中提到营养支持问题但由于患者或家属拒绝或工作人员决定而没有实施人工营养的患者。该组包括50例患者，5例年龄小于65岁（54 +/- 8.3），45例年龄较大（84.7 +/- 7.6）。22例患者的营养问题为吞咽困难，28例患者为厌食。PEG组有34名患者在置入前出现压疮，对照组有7名（p
Objectives: Percutaneous endoscopic gastrostomy (PEG) is now easily used in the event of long-term enteral nutrition. Tolerance of long-term enteral feeding has been documented in different populations but the documentation is incomplete in the case of older and frail people. Our aim was to describe early and late tolerance in this population, and to propose ways in which it could be improved.Design: Retrospective study in two parts: tolerance and quality of care; case-control study for tolerance.Setting: A nursing home with 240 beds in. south-west France.Study participants: The PEG group consisted of all patients who had undergone PEG insertion between January 1990 and June 1994. Fifty-eight patients were involved, 12 under 65 years (48 +/- 10.6), and 46 over 65 (80.7 +/- 9.3). The gastrostomy insertion was performed because of a vegetative state in 6 patients, swallowing difficulties in 31 and anorexia in 21. A control group was gathered in December 1996, which included all patients for whom the question of nutritional support was mentioned in staff books but where no artificial nutrition had been implemented due to the patients' or families' refusal or to a staff decision. This group included 50 patients, 5 younger than 65 years (54 +/- 8.3), and 45 older (84.7 +/- 7.6). In 22 cases the nutritional problem was swallowing difficulties and in 28 cases anorexia. Pressure ulcers were present before insertion in 34 patients in the PEG group and in 7 of the control group (p