关键词: enteral nutrition home nutrition support nutrition support teams outcomes research/quality pediatrics weight loss enteral nutrition home nutrition support nutrition support teams outcomes research/quality pediatrics weight loss

Mesh : Appetite Child Enteral Nutrition / methods Humans Infant Intubation, Gastrointestinal Pilot Projects Weaning

来  源:   DOI:10.1002/jpen.2394

Abstract:
BACKGROUND: Infants and children, who temporarily use feeding tubes to maintain body composition and growth, often have difficulty resuming oral feeds once medically stable. We report survey results from Growing Independent Eaters (GIE), an interdisciplinary approach providing home-based virtual support during a child-led appetite-guided enteral wean.
METHODS: Surveys addressing participant wean success, weight, and feeding practices were sent to 76 families who participated in a GIE-led wean; 31 surveys were completed and returned.
RESULTS: All participants who were not eating or drinking orally prewean were fully or partially weaned off enteral support. Infants weaned faster (37.7 days) than children (80.1 days). Mean weight loss during the intervention was 6.6% for infants and 5.9% for children. Six months postwean, 93% of participants surpassed their prewean weight.
CONCLUSIONS: The GIE method was successful for weaning infants and children off enteral support.
摘要:
背景:婴儿和儿童,暂时使用饲管来维持身体成分和生长,一旦医学稳定,通常很难恢复口服喂养。我们报告了成长中的独立饮食者(GIE)的调查结果,一种跨学科方法,在儿童主导的食欲引导的肠内断奶期间提供基于家庭的虚拟支持。
方法:针对参与者断奶成功的调查,体重,并向参加GIE领导的断奶的76个家庭发送了喂养方法;完成并返回了31项调查。
结果:所有未在断奶前进食或饮水的参与者均完全或部分断奶。婴儿断奶时间(37.7天)比儿童(80.1天)快。干预期间,婴儿的平均体重减轻为6.6%,儿童为5.9%。断奶六个月后,93%的参与者超过了他们的前体重。
结论:GIE方法对于断奶婴儿和脱离肠内支持的儿童是成功的。
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