Application of QCC intervention in the early parenteral nutrition nursing on ELBW infants with electrolyte disorder
10.3760/cma.j.issn.1674-2907.2016.20.023
- VernacularTitle:品管圈活动在超低出生体质量儿电解质紊乱早期胃肠外营养护理中的应用
- Author:
Lixiao WU
1
;
Zimin HAN
;
Yingying CHEN
;
Xiaochun CHEN
Author Information
1. 325000 温州医科大学附属第二医院/育英儿童医院新生儿科
- Keywords:
Quality control circle;
Extremely low birth weight;
Electrolyte disorder
- From:
Chinese Journal of Modern Nursing
2016;22(20):2909-2911
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and evaluate the application effects of quality control circle ( QCC) intervention in the early parenteral nutrition nursing on extremely low birth weight ( ELBW) infants with electrolyte disorder.Methods Totals of 100 of ELBW infants admitted to the Neonatal Intensive Care Unit (NICU) between January 2014 and January 2015 were collected randomly and equally divided into intervention group and control group based on different care regimens .Intervention group were given early parenteral nutrition under the guidance of QCC intervention while control group were only with routine early parenteral nutrition .Plasma K+, Ca2+levels, hyperkalemia, hypocalcemia incidence and mortality were compared between two groups .Results The serum K+levels of intervention group were lower than the control group and the serum Ca 2+levels were higher than that of control group significantly ( P <0.05 ); The hyperkalemia and hypocalcemia incidence of intervention group were lower than that of control group greatly ( P<0 .05 ); No death occurred in intervention group, while 6 cases in the control group died of invalid correction of serum K +concentrations eventually , of which the mortality was 12.00%.Conclusions Early parenteral nutrition nursing care with the guidance of QCC on ELBW infants , can effectively correct infants′electrolyte disorder state , reduce the incidence of hyperkalemia and hypocalcemia and mortality of the infants .
