PDF(Pubmed)
Abstract：
UNASSIGNED: Children maintain growth and development by ingesting adequate calories and nutrients, typically achieved via oral intake of food and liquids. When unable to eat and drink orally, they need temporary or permanent enteral nutritional support via nasogastric, nasoduodenal, gastrostomy, or jejunostomy tubes. The objectives of this retrospective study are to describe lessons learned from operating a weaning program at ALYN Hospital for over a decade, the characteristics of the patient population (gender, age, medical condition, and type of tube feeding and hospitalization), and which of these characteristics correlate with successful weaning.
UNASSIGNED: Data were obtained from the hospital\'s secure database of 82 infants and toddlers, 37 boys (45.4%) and 45 girls (54.9%) aged 3 months to 10.8 years who took part in a tube feeding intervention from 2011 to 2020. Descriptive and correlational analyses were performed to characterize the participants and their responses to the program.
UNASSIGNED: Fifty-one children (62.2%) were less than 2 years, 26 children (31.7%) were 2-4.11 years, and only 5 children were aged 5 years (6.1%) and older. Fifty-six children were successfully weaned from tube feeding, 9 children were eventually successful, but the process took longer than anticipated, 11 children were partially weaned and 6 were not successfully weaned.
UNASSIGNED: These results are discussed within the context of a successful weaning program related to participant characteristics (medical condition, age, gender, and weight), and subsequent recommendations are offered related to the intervention setting, duration, and intensity; redefining success in weaning and the need for long-term follow-up.
UNASSIGNED: Data were obtained from the hospital\'s secure database of 82 infants and toddlers, 37 boys (45.4%) and 45 girls (54.9%) aged 3 months to 10.8 years who took part in a tube feeding intervention from 2011 to 2020. Descriptive and correlational analyses were performed to characterize the participants and their responses to the program.
UNASSIGNED: Fifty-one children (62.2%) were less than 2 years, 26 children (31.7%) were 2-4.11 years, and only 5 children were aged 5 years (6.1%) and older. Fifty-six children were successfully weaned from tube feeding, 9 children were eventually successful, but the process took longer than anticipated, 11 children were partially weaned and 6 were not successfully weaned.
UNASSIGNED: These results are discussed within the context of a successful weaning program related to participant characteristics (medical condition, age, gender, and weight), and subsequent recommendations are offered related to the intervention setting, duration, and intensity; redefining success in weaning and the need for long-term follow-up.
摘要：
■儿童通过摄取足够的热量和营养来维持生长发育，通常通过口服食物和液体来实现。当不能吃和喝口服，他们需要通过鼻饲临时或永久的肠内营养支持，鼻十二指肠，胃造口术,或者空肠造口管.这项回顾性研究的目的是描述在ALYN医院进行断奶计划十多年的经验教训。患者人群的特征(性别，年龄,医疗状况,以及管饲和住院的类型)，这些特征中的哪些与成功断奶相关。
■数据来自医院的82名婴幼儿的安全数据库，从2011年到2020年，37名3个月至10.8岁的男孩（45.4％）和45名女孩（54.9％）参加了管饲干预。进行描述性和相关性分析以表征参与者及其对程序的反应。
■51名儿童（62.2％）不到2岁，26名儿童（31.7％）为2-4.11岁，只有5名5岁(6.1%)及以上儿童。56名儿童成功断奶,9个孩子最终成功了，但是这个过程比预期的要长，11名儿童部分断奶，6名未成功断奶。
■这些结果是在与参与者特征（医疗状况，年龄,性别,和重量)，并提供与干预设置相关的后续建议，持续时间,和强度；重新定义断奶成功和长期随访的必要性。
■数据来自医院的82名婴幼儿的安全数据库，从2011年到2020年，37名3个月至10.8岁的男孩（45.4％）和45名女孩（54.9％）参加了管饲干预。进行描述性和相关性分析以表征参与者及其对程序的反应。
■51名儿童（62.2％）不到2岁，26名儿童（31.7％）为2-4.11岁，只有5名5岁(6.1%)及以上儿童。56名儿童成功断奶,9个孩子最终成功了，但是这个过程比预期的要长，11名儿童部分断奶，6名未成功断奶。
■这些结果是在与参与者特征（医疗状况，年龄,性别,和重量)，并提供与干预设置相关的后续建议，持续时间,和强度；重新定义断奶成功和长期随访的必要性。
