Journal
JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION
Volume 22, Issue 6, Pages 449-468Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1078390316657872
Keywords
enteral feeding; nasogastric tube feeding; anorexia nervosa; eating disorders; malnutrition
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BACKGROUND: The use of nasogastric (NG) feeding in individuals with anorexia nervosa (AN) is endorsed by national professional organizations; however, no guidelines currently exist. OBJECTIVES: The objectives of this review were to identify and evaluate outcomes of NG feedings for individuals with AN and to develop recommendations for future research, policy, and practice. DESIGN: An integrative review of the research literature was conducted. RESULTS: Of the 19 studies reviewed, all indicated short-term weight gain following NG feeding. Four studies examined adherence; nearly 30% of subjects were nonadherent as evidenced by tube manipulation. Seven studies reported psychiatric outcomes, suggesting NG feeding reduces eating disorder behaviors but not overall symptomology. CONCLUSIONS: NG feeding promotes short-term weight gain; however, long-term outcomes are poorly understood. Future research, using rigorous methods, is still needed to inform practice.
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