品管圈在降低胃癌化疗患者中重度营养不良发生率中的应用  

Corresponding Application of quality control circle in reducing the incidence of moderate or severe malnutrition in gastric cancer patients under chemotherapy

作　　者：牟倩倩 李洪娟 李林娟[1] 汪秀云[1] Mou Qianqian;Li Hongjuan;Li Linjuan;Wang Xiuyun(Department of Abdominal Oncology,West China Hospital of Sichuan University f Chengdu 610041,China)

机构地区：[1]四川大学华西医院腹部肿瘤科,成都610041

出　　处：《中华临床营养杂志》2019年第5期276-280,共5页Chinese Journal of Clinical Nutrition

基　　金：四川省卫计委科研项目(18PJ235)。

摘　　要：目的探讨品管圈在降低胃癌化疗患者中重度营养不良发生率中的应用效果。方法选取活动开展前(2016年2~3月)146例胃癌化疗患者为对照组,给予常规营养护理(饮食指导和定期的营养相关健康讲座),活动开展后(2017年2~3月)139例胃癌化疗患者为品管圈组,实施品管圈标准干预,比较两组患者的营养状况。结果经过查找真因、制定措施并实施后,品管圈组24 h会诊率、患者恶心/呕吐未完全缓解率、癌性厌食发生率、患者营养随访漏访率与对照组比较差异有统计学意义(P<0.05);品管圈组中重度营养不良发生率为16.55%,对照组为65.07%,两组比较差异有统计学意义(P<0.01)。结论品管圈活动能有效降低胃癌化疗患者中重度营养不良发生率,提高患者生活质量;还能提高医护人员工作的自律性和主动性,提升医疗护理品质。Objective To explore the effect of quality control circle(QCC)on reducing the incidence of moderate or severe malnutrition in gastric cancer patients under chemotherapy.Methods Before the activity(February to March 2016),146 gastric cancer patients under chemotherapy were selected as the control group,and regular nutrition nursing(dietary guidance and regular nutrition-related health lectures)was given.After the activity(February to March 2017),139 gastric cancer patients under chemotherapy were selected as QCC group,and the standard intervention of quality control circle was implemented.The nutritional status of patients before and after improvement was compared.Results After finding the cause and formulating and implementing the measures,the 24-hour consultation rate,the incomplete remission rate of nausea/vomiting,the incidence of cancer anorexia,and the rate of missed visits in QCC group were significantly different with those in control group(P<0.05).The incidence of moderate or severe malnutrition was 16.55%in QCC group and 65.07%in control group,and the difference was statistically significant(P<0.01).Conclusions The quality control circle activity can effectively reduce the incidence of moderate or severe malnutrition and improve the quality of life in gastric cancer patients under chemotherapy.It can also improve the self-discipline and initiative of medical staff and improve the quality of medical care.

关 键 词：品管圈 胃癌 化疗 中重度营养不良 

分 类 号：R47[医药卫生—护理学]