Construction and clinical practice of enteral nutrition nursing quality control system for critically ill patients
10.3760/cma.j.cn211501-20191006-02792
- VernacularTitle:危重症患者肠内营养护理质控体系的构建与临床实践
- Author:
Yangyang LI
1
;
Xiaoping SHAO
;
Jufei DING
;
Zhuojuan JIANG
;
Hehua YU
;
Dongmei ZHANG
Author Information
1. 海军军医大学附属长征医院综合ICU，上海 200003
- From:
Chinese Journal of Practical Nursing
2020;36(14):1052-1057
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a quality control system of enteral nutrition nursing for critically ill patients, and to apply this system in clinical practice and evaluate its effect.Methods:Delphi method was used to construct the quality control system. By training nurses in this system, through the training of the system for nurses and clinical quality control, enteral nutrition complications of patients before and after the training and nurses' knowledge of enteral nutrition were compared.Results:after the system applied in the nursing clinic, the incidence of enteral nutrition gastrointestinal complications, infectious complications, metabolic complications and mechanical complications in patients with critical illness decreased from 11.3% (18/160), 1.9% (3/160), 5.6% (9/160), 6.9% (11/160) to 3.9% (6/152), 0.7% (1/152), 1.3% (2/152), 1.9% (3/152) respectively, with statistically significant differences ( χ 2 values were 6.35-91.33, P <0.01). ICU nurses' awareness of enteral nutrition theory was significantly improved, and the questionnaire score increased from (70.22±8.78) points to (95.25±4.18) points, with statistically significant difference ( t value was 18.792, P<0.01). Conclusion:The enteral nutrition nursing quality control system developed in this study can effectively guide nursing staff to implement enteral nutrition during nursing behavior, reduce the occurrence of enteral nutrition complications in patients with critical illness, to ensure the safety of patients, and is worthy of clinical promotion and application.
