PDCA循环联合营养指导在降低住院患者营养风险发生率中的应用  

Application of PDCA Cycle with Nutritional Guidance in Reducing the Incidence of Nutritional Risk in Hospitalized Patients

作　　者：刁英飞 张克明[1] 夏焱[1] 吴圣楠 张晓会 李艳玲[1] DIAO Ying-fei;ZHANG Ke-ming;XIA Yan;WU Sheng-nan;ZHANG Xiao-hui;LI Yan-ling(Department of Nutrition,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center of Chinese Medicine Acupuncture and Moxibustion,Tianjin 300380,China)

机构地区：[1]天津中医药大学第一附属医院营养科/国家中医针灸临床医学研究中心,天津市300380

出　　处：《现代医院管理》2023年第3期67-71,共5页Modern Hospital Management

基　　金：天津中医药大学第一附属医院科研基金(院2020031)。

摘　　要：目的探讨PDCA循环在降低住院患者的营养风险发生率中的应用。方法运用PDCA循环管理方法,对2020年11月至2021年3月的针灸部、心血管科、肿瘤科的新入院患者进行用NRS 2002营养风险筛查,得出营养风险发生率,运用头脑风暴、鱼骨图等管理工具进行原因分析,制定并执行相应对策,出院时再次进行NRS 2002营养风险筛查,不断进行督查反馈,促进持续质量改进。结果实施PDCA联合营养指导循环管理方案后,新入院患者的营养风险发生率由入院时的42.4%下降到出院时的28.3%,差异有统计学意义(P<0.05)。结论实施PDCA循环管理方法联合多种管理工具的工作模式下,对住院患者进行营养指导,能有效降低住院患者的营养风险发生率,值得广泛推广和运用。Objective:To explore the application of PDCA cycle in reducing the incidence of nutritional risk in inpatients.Method:Management tools such as brainstorming and fishbone map were used to analyze the causes and obtain the incidence of nutritional risk by conducting NRS 2002 nutritional risk screening for newly admitted patients in departments of acupuncture and moxibology,cardiovascular and oncology from November 2020 to March 2021 with PDCA cycle management.Then,the corresponding countermeasures were developed and implemented.NRS 2002 nutritional risk screening was conducted again upon discharge,and continuous supervision and feedback were carried out to promote continuous quality improvement.Result:After implementing the PDCA joint nutrition guidance cycle management plan,the incidence of nutritional risk of newly admitted patients decreased from 42.4%at admission to 28.3%at discharge,the difference was statistically significant(P<0.05).Conclusion:Under the working mode of PDCA cycle management combined with a variety of management tools,nutrition guidance for inpatients can effectively reduce the incidence of nutritional risk of inpatients,and is worthy of extensive promotion and application.

关 键 词：PDCA循环 营养指导 NRS 2002营养风险筛查 营养风险发生率 

分 类 号：R197[医药卫生—卫生事业管理]