Abstract：
Home parenteral nutrition (HPN) is a complex therapy, which requires dedicated facilities and expertise. However, the management and provision of HPN differs significantly between countries and between HPN centers within countries. These differences lead to heterogeneity in the quality of care received by patients, with variable impact on the appropriateness, safety, and effectiveness of HPN, and resultant variability in the quality of life that a patient may expect. The European Society for Clinical Nutrition and Metabolism (ESPEN) have published guidelines on the appropriate and safe provision of HPN, with an associated practical version describing a short and precise way to implement the guidelines\' recommendations in clinical practice. This educational paper suggests means of implementation of evidence supported HPN guidelines, using \"operational recommendations\" applitngto healthcare professionals, administrators and stakeholders, with the ultimate aim of enhancing equity of patient access to an appropriate and safe HPN program of care.
摘要：
家庭肠外营养（HPN）是一种复杂的治疗方法，这需要专门的设施和专业知识。然而,HPN的管理和提供在国家之间以及国家内部的HPN中心之间存在显著差异。这些差异导致患者接受护理质量的异质性，对适当性的影响可变，安全,和HPN的有效性，以及患者可能期望的生活质量的差异。欧洲临床营养和代谢学会（ESPEN）已经发布了关于适当和安全提供HPN的指南，相关的实用版本描述了在临床实践中实施指南建议的简短而精确的方法。这篇教育论文提出了实施支持HPN指南的证据的方法，使用“操作建议”适用于医疗保健专业人员，管理员和利益相关者，最终目标是提高患者获得适当和安全的HPN护理计划的公平性。
