护士在肿瘤患者家庭肠内营养管理中的作用与思考

The role and consideration of nurses in the management of home enteral nutrition of cancer patients

家庭肠内营养是指将营养液通过胃肠道输送给病情稳定但无法满足营养需要的患者,可以改善患者营养状况、提高其生活质量,是肿瘤患者营养治疗的重要组成部分。患者及照顾者是家庭肠内营养的重要实施者,但常常因为其操作不当、并发症认知不足等问题而出现能量摄入不达标或肠内营养中断的情况,需要营养支持团队的长期监测与管理,目前虽有循证医学证据为肿瘤患者家庭肠内营养管理提供参考,但仍需要本土化的实践验证。护士作为肿瘤患者家庭肠内营养管理团队的重要一员,承担着协调沟通者、教育者、研究者和伦理决策者的角色,从而促进团队间的沟通协调,加强患者的健康教育,保障肿瘤患者家庭肠内营养管理顺利进行。本文介绍了家庭肠内营养的概念与内涵、重点阐述护士在家庭肠内营养管理中的作用与思考,以期对护士在肿瘤患者家庭肠内营养管理中更好发挥作用有所启示。

Home enteral nutrition refers to the delivery of nutrient solution through the gastrointestinal tract to patients with stable conditions but unable to meet their nutritional needs.It can improve the nutritional status of patients and enhance their quality of life,and is an important component of nutritional support for cancer patients.Patients and caregivers are important implementers of home enteral nutrition,but often experience energy intake failure or interruption of enteral nutrition due to improper operation,insufficient awareness of complications,and other issues.Long-term monitoring and management by nutrition support teams are needed.Although there is evidence-based medicine to provide reference for home enteral nutrition management of cancer patients,localized practical verification is still needed.As an important member of the team managing home enteral nutrition for cancer patients,nurses play the role of coordinating communicators,educators,researchers,and ethical decision-makers,thereby promoting communication and coordination among teams,strengthening patient health education,and ensuring the smooth progress of home enteral nutrition management for cancer patients.This article delves into the concept and essence of home enteral nutrition,emphasizing the role and considerations of nurses in managing home enteral nutrition,aiming to offer insights for nurses to better contribute to the management of home enteral nutrition for cancer patients.