基于住院患者营养风险筛查构建营养护理模式的实践  

The practice of constructing nutrition nursing mode based on nurses' nutritional risk screening of hospitalized patients

作　　者：黄师菊[1] 蔡有弟[1] 周雪玲[1] 李晓玲[1] 何晓兰[1] 王雪华[1] 马盈盈[1] 孙珂[2] 郑丽花[3] 陈景莲[4] 陈妙霞[5] 

机构地区：[1]中山大学附属第三医院外科,广州市510630 [2]中山大学附属第三医院妇产科,广州市510630 [3]中山大学附属第三医院感染科,广州市510630 [4]中山大学附属第三医院内科,广州市510630 [5]中山大学附属第三医院护理部,广州市510630

出　　处：《中国护理管理》2017年第9期1287-1291,共5页Chinese Nursing Management

基　　金：2013-2014年度国家临床重点专科建设项目(国卫办医函[2013]544号)

摘　　要：目的 :评价基于护士对住院患者营养风险筛查构建营养护理模式的实践效果。方法 :针对住院患者营养护理现状,逐步构建住院患者营养护理模式,从组建临床营养护理小组、培训护士、设计营养风险筛查相关表格和指引、编印《临床营养护理知识手册》、制定住院患者营养护理流程图等多形式开展工作。结果 :项目实施后临床护士营养知识水平得到提高(P<0.01),营养护理学术水平进一步提高,肠内营养制剂使用和营养会诊量明显增多,住院患者对护士饮食营养指导满意度得到提升(P<0.01)。结论 :初步完成住院患者营养护理工作模式体系构建,即"入院营养风险筛查-评估-干预-评价"体系;历经两年的实践,对改善患者营养状况、提升护理品质,取得良好的效果。Objective： To explore the effect of constructing nutritional nursing mode basing on nurses＇ nutritional risk screening of hospitalized patients. Methods： According to current situation of nutritional care, we gradually built nutritional care model of hospitalized patients, including establishing clinical nutrition care team, training nurses, designing related forms and guidelines about nutritional risk screening, editing ＇Clinical nutrition care knowledge manual＇, making flow chart about nutrition care, and cooperating with multiple disciplines. Results： After implementation of the mode, clinical nurses＇ nutrition knowledge level was improved （P〈0.01）. Meanwhile, the use of enteral nutrition preparations and the number of nutrition consultation increased obviously and hospitalized patients＇ satisfaction to nurses＇ nutrition guidance improved （P〈0.01）. Conclusion： We have initially established the nutritional nursing mode of hospitalized patents, that is ＇nutritional risk screening after admission--nutritional evaluation--nutritional intervention--effect evaluation＇. With two years＇ practice, it has achieved good results in improving clinical outcomes and the quality of nursing and it is worth generalizing in clinic.

关 键 词：护士 住院患者 营养风险筛查 营养护理 模式构建 

分 类 号：R47[医药卫生—护理学]