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Efficacy of Feeding Pump for Patients on Enteral Tube Feeding: A Systematic Literature Review and Analysis
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¸ðÁø¾Æ(Mo Jin-A) - Çѱ¹º¸°ÇÀǷῬ±¸¿ø
À̼±Èñ(Lee Sun-Hee) - Çѱ¹º¸°ÇÀǷῬ±¸¿ø
Àü¹ÌÇý(Jeon Mi-Hye) - Çѱ¹º¸°ÇÀǷῬ±¸¿ø
±è°æ½Ä(Kim Kyung-Sik) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
±èȼø(Kim Hwa-Soon) - ÀÎÇÏ´ëÇб³ ÀÇ°ú´ëÇÐ °£È£Çаú
ÀåÀ翵(Jang Jae-Young) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
À̸í´ö(Lee Myung-Duk) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
Abstract
¸ñÀû: °æÀ念¾çÆßÇÁ »ç¿ëÀÇ ¾ÈÀü¼º ¹× À¯È¿¼º¿¡ ´ëÇÑ ¿¬±¸ ¹® ÇåÀ» ÃÑ°ý Á¤¸®ÇÔÀ¸·Î½á Çö½Ç¿¡ ¸Â´Â °æÀ念¾çÆßÇÁ »ç¿ë±âÁØ À» ¸¶·ÃÇØ º¸°íÀÚ ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: ù°, ÀÓ»óÀû À¯¿ë¼ºÀ» °¡Àεå¶óÀÎÀ» ÅëÇØ °ËÅä ÇÏ¿´°í, µÑ°, ¾ÈÀü¼º°ú À¯È¿¼ºÀ» ü°èÀû ¹®Çå°íÂûÀ» ÅëÇØ °Ë ÅäÇÏ¿´´Ù. °æÀ念¾çÆßÇÁ¸¦ ÀÌ¿ëÇÑ °ü±Þ½Ä ¿ä¹ýÀº 8°³ ±¹³» µ¥ ÀÌÅͺ£À̽º¿Í Ovid-MEDLINE, Ovid-EMBASE ¹× Cochrane Library µîÀÇ ±¹¿Ü µ¥ÀÌÅͺ£À̽º¸¦ ÀÌ¿ëÇÏ¿´´Ù. °ü·Ã¹®ÇåÀº ¡°(enteral feeding.mp AND pump.mp)¡±¿Í °ü·ÃµÈ °Ë»ö¾î¸¦ È°¿ëÇÏ¿© ÃÑ 2,016ÆíÀÇ ¹®ÇåÀÌ °Ë»öµÇ¾ú°í, Áߺ¹ ¹®Çå(686Æí) ¹èÁ¦ ÈÄ ¼±ÅÃ/¹èÁ¦±âÁØÀ» Àû¿ëÇÏ¿© ÃÑ 11ÆíÀÌ ÃÖÁ¾ Æò°¡¿¡ Æ÷ÇԵǾú´Ù. ¹®Çå°Ë»öºÎÅÍ ¼±ÅñâÁØ Àû¿ë ¹× ÀÚ·áÃßÃâ±îÁö °¢ ´Ü°è´Â ¸ðµÎ ¼ÒÀ§¿øȸ¿Í ¾Æ¿ï·¯ 2¸íÀÇ Æò°¡ÀÚ°¡ °¢ °úÁ¤À» µ¶¸³ÀûÀ¸·Î ¼öÇàÇÏ¿´À¸¸ç, ¹®ÇåÀÇ Áú Æò°¡´Â SIGNÀÇ µµ±¸¸¦ ÀÌ¿ëÇÏ¿´°í ÀÌ¿¡ µû¶ó ±Ù°ÅÀÇ ¼öÁØ°ú ±Ç°íÀÇ µî±ÞÀ» ¼±Á¤ÇÏ¿´ ´Ù.
°á°ú: À¯¿ë¼º °ËÅä °á°ú, °æÀ念¾çÆßÇÁ¸¦ ÀÌ¿ëÇÑ °ü±Þ½Ä ¿ä¹ý ¿¡ ´ëÇØ ¿¬±¸ÇÑ °¢ ¹®Çå¿¡¼ »ç¿ëÇÑ ¿µ¾ç¾× Á¾·ù, ÁÖÀÔ¼Óµµ, Æ©ºêÀÇ Å©±â°¡ ¸ðµÎ ´Þ¶ó °æÀ念¾çÆßÇÁÀÇ È¿°ú¿¡ ´ëÇÑ °á·ÐÀ» ³¾ ¼ö´Â ¾ø¾úÀ¸³ª, ¼ÒÀå±Þ½Ä°üÀ» ÅëÇÏ¿© °æ°ü±Þ½ÄÀ» ÇØ¾ß ÇÏ ´Â ȯÀÚ, À§Àå±Þ½Ä°üÀ» ÅëÇÏ¿© ¿µ¾ç¾×À» °æ°ü±Þ½ÄÇØ¾ß ÇÏ´Â ÁßÁõȯÀÚ, ¹Ì¼÷¾Æ, ÁßÁõ ¹× ¿µ¾ç°ø±Þ ºÒ·®¾Æµ¿¿¡°Ô °æÀ念¾ç ÆßÇÁ »ç¿ëÀÌ ±Ç°íµÈ °ÍÀº Ÿ´çÇÏ´Ù´Â °á·Ð¿¡ Àü¹®°¡ ±×·ìÀº ÇÕÀÇÇÏ¿´´Ù. ü°èÀû ¹®Çå°íÂû °á°ú, °æÀ念¾çÆßÇÁ¸¦ ÀÌ¿ëÇÑ °æ°ü±Þ½Ä ¿ä¹ýÀÇ ¾ÈÀü¼ºÀº ÇÕº´Áõ ¹ß»ý·üÀ» ÁÖ¿äÁöÇ¥·Î Æò°¡ ÇÏ¿´À¸¸ç, ¸ðµÎ ÀÓ»óÀûÀ¸·Î Çã¿ëÇÒ ¼ö ÀÖ´Â ¼öÁØÀ̾ú°í, °æÀå ¿µ¾ç ºÎÀûÀÀ °ü·Ã ÇÕº´Áõ ¹ß»ý °¡´É¼ºÀ» ÁÙ¿©ÁÖ¾î ¾ÈÀüÇÏ´Ù°í º¸°íµÇ¾ú´Ù. À¯È¿¼ºÀº °æÀ念¾ç ÀûÀÀµµ¸¦ º¸°íÇÑ ¿¬±¸¿¡¼ µ¿ ÀÏÇÑ °á°ú·Î ±â¼úµÇÁö ¾Ê¾ÒÁö¸¸, ¼ÒÀå±Þ½Ä°üÀ» ÅëÇÏ¿© °æ°ü±Þ ½Ä ¹Þ´Â ȯÀÚ, À§Àå±Þ½Ä°üÀ» ÅëÇÏ¿© ¿µ¾ç¾×À» °æ°ü±Þ½Ä ¹Þ´Â ÁßÁõȯÀÚ, ¹Ì¼÷¾Æ, ÁßÁõ ¹× ¿µ¾ç°ø±ÞÀÌ ºÒ·®ÇÑ ¾Æµ¿ÀÇ °æ¿ì, ÆßÇÁ¸¦ »ç¿ëÇÏÁö ¾Ê°í °æÀ念¾ç¾× ÁÖÀÔ ½Ã Á÷Á¢ ¿µ¾ç¾×ÀÌ Åõ ¿©µÇ´Â À§Àå°ü³»ÀÇ Æ¯Á¤ ºÎÀ§ÀÇ ´ÜÀ§ ½Ã°£´ç ¼ö¿ë °¡´ÉÇÑ ¿ë ÀûÀÇ ÇѰ輺À» ³Ñ°Ô µÇ´Â À§ÇèÀ¸·Î ÀÎÇØ °æÀ念¾ç ºÎÀûÀÀ °ü ·Ã ÇÕº´Áõ ¹ß»ý °¡´É¼ºÀÌ ³ô±â ¶§¹®¿¡ °æÀ念¾çÆßÇÁ »ç¿ëÀÌ ÇÊ¿äÇÏ´Ù´Â ÀνÄÀ» ÇÔ²² ÇÏ¿´´Ù.
°á·Ð: °æÀ念¾çÆßÇÁ¸¦ ÀÌ¿ëÇÑ °æ°ü±Þ½Ä ¿ä¹ýÀº ¼ÒÀå±Þ½Ä°üÀ» ÅëÇÏ¿© °æ°ü±Þ½ÄÀ» ¹Þ´Â ȯÀÚ, À§Àå±Þ½Ä°üÀ» ÅëÇÏ¿© ¿µ¾ç¾×À» °æ°ü±Þ½Ä ¹Þ´Â ÁßÁõȯÀÚ, ¹Ì¼÷¾Æ, ÁßÁõ ¹× ¿µ¾ç°ø±ÞÀÌ ºÒ·®ÇÑ ¾Æµ¿À» ´ë»óÀ¸·Î ¾ÈÀü¼º ¹× À¯È¿¼ºÀÇ ±Ù°Å°¡ ÀÖ´Â ±â¼ú·Î Æò °¡µÈ´Ù(±Ç°íµî±Þ D).
Background/Aims: This study was conducted to establish a guideline on the utilizing of feeding pump in patients requiring enteral tube feeding.
Methods: As a first step, textbooks on nutrition and guidelines from regional clinical nutrition societies were analyzed. Afterwards, data on the efficacy, safety, and practicality of feeding pump application were collected and evaluated by systematically reviewing the related literature. As data sources, 8 domestic databases including KoreaMed and global databases such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were utilized. A total of 2,016 related articles was selected by applying the keyword ¡°(enteral feeding.mp AND pump.mp)¡±.
Results: Textbooks and guidelines were not able to draw conclusions on the effects of the feeding pump because the injection speed, tube size, and etcetera were different for enteral feeding. Feeding pump assisted enteral tube feeding was an efficient, safe, and practical procedure for reducing maladjustment-related complications of enteral tube feeding, which are obvious obstacles for maintaining nutritional balances in patients requiring tube feeding.
Conclusions: Feeding pump application can be considered an efficient and safe measure that is acceptable in patients on small intestinal tube feeding, critically-ill patients on gastro-intestinal tube feeding, premature babies, and critically-ill or severely malnourished children (recommendation grade D).
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Enteral nutrition, Feeding methods, Review
KMID :
0614620140630020099
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