持续质量改进在脑卒中鼻饲患者管理中应用.docVIP

持续质量改进在脑卒中鼻饲患者管理中应用 　　【摘要】 目的：探析持续质量改进在脑卒中鼻饲患者管理中的应用效果。方法：选择2011年10月-2014年10月笔者所在医院采用传统鼻饲方法进行鼻饲管理的40例患者作为对照组，同时选取同一时期来笔者所在医院采用持续质量改进方式进行鼻饲管理的40例患者为观察组，将实施持续质量改进前后血液指标变化情况以及相关并发症发生情况进行对比分析。结果：对照组患者血清白蛋白和血红蛋白指标相对于鼻饲营养前未明显升高（P0.05），血清前蛋白水平有所升高（P0.05），观察组患者鼻饲营养支持后相关项指标改善情况显著优于对照组（P0.05），观察组出现腹胀、腹泻、呕吐、便秘等情况明显优于对照组（P0.05）。 结论：脑卒中鼻饲患者实施持续质量改进管理的临床效果良好，可有效改善患者的营养状况，降低相关并发症发生率，有助于提高脑卒中患者的生活质量。 　　【关键词】 脑卒中； 持续质量改进管理； 鼻饲 　　中图分类号 R743.3 文献标识码 B 文章编号 1674-6805（2016）1-0016-03 　　【Abstract】 Objective：To explore the application effect of continuous quality improvement on stroke nasal feeding patients.Method：From October 2011 to October 2014 in our hospital for treatment 40 cases of nasal feeding patients with traditional nasal feeding management methods were chosen as the control group，at the same time 40 cases of nasal feeding patients with continuous quality improvement management were selected as the observation group，to contrast and analysis the change of blood indexes and complication happened conditions before and after continuous quality improvement.Result：The serum protein indexes and hemoglobin indexes of the control group were not higher than those of before nasal feeding（P0.05），the serum protein indexes were higher（P0.05），the whole indexes improvement condition of the observation group after nasal feeding nutrition were obviously better than those of the control group（P0.05），the distention，diarrhea，vomiting，constipation conditions of the observation group were obviously better than those of the control group（P0.05）.Conclusion：The clinic effect of the stroke nasal feeding patients using continuous quality improvement management is good，it can effectively improve the patients’ nutrition condition，and it can release the complication incidence，it can help the stroke patients improve life quality. 　　【Key words】 Stroke； Continuous quality improvement management； Nasal feeding 　　First-author’s address：Guangxi Medical University Affiliated National Hospital，Nanning 530001，