“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 Nutrition Therapy in Patients with Severe Neurological Diseases

作　　者：梁素娟[1] 邓莹 邬燕[1] 胡秀嫦 陈冰清 李永斌 姚瑶[1] LIANG Sujuan;DENG Ying;WU Yan(Zhujiang Hospital,Southern Medical University,Guangzhou,Guangdong,510280,China;不详)

机构地区：[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

出　　处：《中国卫生质量管理》2024年第2期19-23,共5页Chinese Health Quality Management

基　　金：2023年度广东省卫生健康适宜技术推广项目。

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。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 nutrition therapy training based on the theory of"awareness,trust,practice",and the establishment of a quality improvement system based on accurate analysis of enteral nutrition therapy data.Results The compliance rate of enteral nutrition 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 nutrition 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 

分 类 号：R197.3[医药卫生—卫生事业管理]