Abstract：
OBJECTIVE: To estimate the number of patients on paediatric wards in England who received nasogastric tube (NGT) feeding under physical restraint from April 2022 to March 2023, identify the demographics and clinical characteristics of these patients, and which personnel facilitated the restraint.
METHODS: Audit and anonymous case series SETTING: Paediatric wards in England.
METHODS: Children and young people receiving this intervention in a 1-year period.
METHODS: An online survey was sent to all paediatric wards in England, with the option of submitting anonymous case studies.
RESULTS: 136/143 (95.1%) acute paediatric units responded. 144 young people received this intervention across 55 (38.5%) paediatric units. The predominant diagnosis was anorexia nervosa (64.5%), age range 9-18 years (M=14.2, SD=2.1). The duration of NGT feeding under restraint ranged from 1 to 425 days, (M=60.2, SD=80.4). Numerous personnel facilitated the restraints, including mental health nurses, paediatric nurses, security staff, healthcare assistants and parents/carers.
CONCLUSIONS: NGT feeding under restraint is a relatively common intervention in acute paediatric units in England. Understanding the demographics of those receiving this intervention may highlight where additional support is needed. Further research is needed to understand when this intervention transitions from a lifesaving intervention to ongoing management.
METHODS: Audit and anonymous case series SETTING: Paediatric wards in England.
METHODS: Children and young people receiving this intervention in a 1-year period.
METHODS: An online survey was sent to all paediatric wards in England, with the option of submitting anonymous case studies.
RESULTS: 136/143 (95.1%) acute paediatric units responded. 144 young people received this intervention across 55 (38.5%) paediatric units. The predominant diagnosis was anorexia nervosa (64.5%), age range 9-18 years (M=14.2, SD=2.1). The duration of NGT feeding under restraint ranged from 1 to 425 days, (M=60.2, SD=80.4). Numerous personnel facilitated the restraints, including mental health nurses, paediatric nurses, security staff, healthcare assistants and parents/carers.
CONCLUSIONS: NGT feeding under restraint is a relatively common intervention in acute paediatric units in England. Understanding the demographics of those receiving this intervention may highlight where additional support is needed. Further research is needed to understand when this intervention transitions from a lifesaving intervention to ongoing management.
摘要：
目的：估计2022年4月至2023年3月在英格兰儿科病房接受身体约束下的鼻胃管（NGT）喂养的患者人数，确定这些患者的人口统计学和临床特征，以及哪些人员促成了约束。
方法：审计和匿名案例系列设置：英格兰的儿科病房。
方法：儿童和青少年在1年内接受这种干预。
方法：向英国所有儿科病房发送了一项在线调查，可以选择提交匿名案例研究。
结果：136/143（95.1%）急性儿科单位有反应。144名年轻人在55个（38.5％）儿科单元中接受了这种干预。主要诊断为神经性厌食症（64.5％），年龄范围9-18岁（M=14.2，SD=2.1）。约束下NGT喂养的持续时间为1至425天，(M=60.2,SD=80.4)。许多人员为限制提供了便利，包括心理健康护士,儿科护士,保安人员,医疗助理和父母/照顾者。
结论：约束下的NGT喂养是英格兰急性儿科单位中相对常见的干预措施。了解接受这种干预的人的人口统计数据可能会突出需要额外支持的地方。需要进一步的研究来了解这种干预何时从救生干预过渡到持续管理。
方法：审计和匿名案例系列设置：英格兰的儿科病房。
方法：儿童和青少年在1年内接受这种干预。
方法：向英国所有儿科病房发送了一项在线调查，可以选择提交匿名案例研究。
结果：136/143（95.1%）急性儿科单位有反应。144名年轻人在55个（38.5％）儿科单元中接受了这种干预。主要诊断为神经性厌食症（64.5％），年龄范围9-18岁（M=14.2，SD=2.1）。约束下NGT喂养的持续时间为1至425天，(M=60.2,SD=80.4)。许多人员为限制提供了便利，包括心理健康护士,儿科护士,保安人员,医疗助理和父母/照顾者。
结论：约束下的NGT喂养是英格兰急性儿科单位中相对常见的干预措施。了解接受这种干预的人的人口统计数据可能会突出需要额外支持的地方。需要进一步的研究来了解这种干预何时从救生干预过渡到持续管理。
