"临床营养"团体标准在提高神经重症患者肠内营养治疗全流程管理达标率中的应用
Application of"Clinical Nutrition"Group Standard in Improving the Compliance Rate of the Whole Process Management of Enteral Nu-trition Therapy in Patients with Severe Neurological Diseases
梁素娟 1邓莹 1邬燕 1胡秀嫦 1陈冰清 1李永斌 2姚瑶1
作者信息
- 1. 南方医科大学珠江医院 广东 广州 510280
- 2. 中国医院协会 北京 100191
- 折叠
摘要
目的 提高神经重症患者肠内营养治疗全流程管理达标率.方法 对照中国医院协会中国《医院质量安全管理》"第 2-29 部分 患者服务 临床营养"团体标准中肠内营养标准条款,对神经创伤重症科住院患者肠内营养治疗全流程管理达标情况进行调查,通过现状调查、原因解析,制订针对性方策,从组建肠内营养治疗全流程管理"医-护-营-康"多学科团队、构建基于"知-信-行"理论的肠内营养治疗培训闭环管理模式、建立以肠内营养治疗数据精准分析为基础的质量改进体系 3 方面予以改进.结果 科室肠内营养治疗全流程管理达标率由改善前 33.9%上升至改善后 62.5%.结论 开展"临床营养"团体标准实践可有效提高神经重症患者肠内营养治疗全流程管理达标率,规范肠内营养治疗操作流程,减少并发症,保障患者安全.
Abstract
Objective To improve the compliance rate of whole process management of enteral nutrition therapy in patients with severe neurological diseases.Methods According to the"Part 2-29:Patient Services Clinical Nutrition"of Chinese"Hospital Quality and Safety Management"group standards issued by Chinese Hospital Association,the whole process management of enteral nutrition treatment for hospitalized patients in the Intensive Care Department of Neurotrauma was investigated.Through the current situation investigation and cause analysis,targeted strategies were formulated.It should be improved from three aspects:the establishment of a multidisciplinary team for the whole-process management of enteral nutrition therapy,the establishment of a closed-loop management mode for enteral nu-trition therapy training based on the theory of"awareness,trust,practice",and the establishment of a quality improve-ment system based on accurate analysis of enteral nutrition therapy data.Results The compliance rate of enteral nu-trition of the whole process management increased from 33.9%to 62.5%after improvement.Conclusion The group standard practice of"clinical nutrition"can effectively improve the compliance rate of the whole process management of enteral nutrition therapy for patients with severe neurological conditions,standardize the operation process of enteral nu-trition therapy,reduce complications,and ensure patient safety.
关键词
团体标准/神经重症监护室/肠内营养/全流程管理Key words
Group Standards/Neurotrauma Intensive Care Department/Enteral Nutrition/Whole Process Management引用本文复制引用
基金项目
2023年度广东省卫生健康适宜技术推广项目()
出版年
2024
NETL
NSTL
万方数据