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首页> 外文期刊>Journal of human nutrition and dietetics >Current practice in relation to nutritional assessment and dietary management of enteral nutrition in adults with Crohn's disease
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Current practice in relation to nutritional assessment and dietary management of enteral nutrition in adults with Crohn's disease

机译：与克罗恩病成人有关的营养评估和肠内营养饮食管理的现行实践

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Background Nutritional assessment and dietary intervention, particularly enteral nutrition, are important in the management of Crohn's disease (CD). National audits have reported that dietetic resourcing in gastroenterology is inadequate. The present study aimed to identify current practice in the nutritional assessment and dietary management of enteral nutrition in CD, as well as investigate the factors that influenced it. Methods A nationwide questionnaire survey adopting complete population sampling of all 296 UK acute hospitals was undertaken aiming to determine dietetic resourcing for gastroenterology. In addition, the case-note review method was used to investigate approaches to nutritional assessment and dietary management of enteral nutrition as treatment for active CD. Results Data were returned from 149 (56%) hospitals, providing assessment and management information on 190 patients. The median number of dietetic sessions dedicated to gastroenterology was 2 per week (interquartile range 4). Hospitals with five or more sessions per week dedicated to gastroenterology used a greater number of components in their nutritional assessment [mean (SD) 21.5 ( 5.0)] than those with fewer sessions [mean (SD) 19.6 (SD) 6.1, P?=?0.05]. Enteral nutrition was perceived to be effective in 100 (55%) of 182 patients. The major reasons for limited success were poor compliance and inadequate volumes consumed, as well as insufficient treatment duration. Conclusions The components included in a nutritional assessment of CD patients are significantly lower in hospitals with fewer dietetic gastroenterology sessions. Focus on improving compliance and duration of enteral nutrition is urgently required to maximise the success of enteral nutrition in the treatment of CD.
机译：背景技术营养评估和饮食干预，尤其是肠内营养，对克罗恩病（CD）的治疗很重要。国家审计报告说，胃肠病的饮食资源不足。本研究旨在确定CD肠内营养的营养评估和饮食管理方面的当前实践，并调查影响其的因素。方法进行了一项全国性问卷调查，对英国所有296所急诊医院进行了全面的人口抽样，旨在确定胃肠病的饮食资源。此外，案例注释审查方法用于研究营养评估和肠道营养饮食管理（作为活性CD的治疗方法）的方法。结果从149家医院（56％）中返回了数据，提供了190例患者的评估和管理信息。专门从事胃肠病学的饮食治疗的中位数是每周2（四分位间距4）。每周进行五次或更多次胃肠病学检查的医院在营养评估中使用的成分数量较多（平均值（SD）21.5（5.0）），比进行较少次数的医院[平均（SD）19.6（SD）6.1，P = [0.05]。 182名患者中有100名（55％）认为肠内营养有效。成功有限的主要原因是依从性差，消耗量不足以及治疗持续时间不足。结论在饮食性胃肠病学课程较少的医院中，CD患者的营养评估中所含成分明显较低。迫切需要关注改善肠内营养的依从性和持续时间，以最大程度地提高肠内营养在CD治疗中的成功率。

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