Application analysis of Six Sigma DMAIC model in new nurse training and effects of nutritional diet nursing on postoperative nutritional status in the elderly patients with fracture.
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Abstract
Background: In the current medical system, the insufficient efficiency of the standardized training for new nurses is a major issue. At the same time, elderly patients with fractures are prone to nutritional deficiencies after surgery, which seriously affects their rehabilitation process and treatment outcomes.
Objectives: This study evaluated the application of the Six Sigma DMAIC model in the training of new nurses, as well as the impact of nutritional diet nursing on the postoperative nutritional status in the elderly patients with fractures.
Methods: This was a prospective intervention study. From September 2021 to September 2022, 260 newly recruited female nurses were randomly divided into the study group and the control group using a random number table method. The control group received traditional training management model, while the study group received training using the Six Sigma DMAIC model. In addition, from November 2022 to November 2023, a total of 80 elderly patients with fractures received treatment were divided into two groups: one group received conventional nursing, and the other group received nutritional diet nursing.
Results: Two years later, the study group outperformed the control group in terms of theoretical and practical assessment scores, critical thinking ability, self-efficacy, and training satisfaction, with significant difference (p < 0.05). Compared to the conventional nursing group, the nutritional diet nursing group had shorter incision drying time, shorter drainage placement time, and shorter healing time, with significant difference (p < 0.01). After nursing, the levels of albumin, prealbumin, total protein, and immunoglobulins were higher in the intervention group compared to the routine nursing group, with significant difference (p < 0.05). Compared to the routine nursing group, the intervention group also had a lower incidence of complications, with significant difference (p < 0.05 and p = 0.03).
Conclusion: The Six Sigma DMAIC model effectively improves the quality of nurse training, while nutritional diet nursing enhances postoperative healing, nutritional status, and immune function in elderly fracture patients.
背景：在当前的医疗体制下，新护士规范化培训效率不高是一个主要问题。同时，老年骨折患者术后易出现营养缺乏，严重影响其康复过程和治疗效果。目的：本研究评估六西格玛DMAIC模型在新护士培训中的应用，以及营养饮食护理对老年骨折患者术后营养状况的影响。方法：前瞻性干预研究。采用随机数字表法，于2021年9月至2022年9月将260名新入职女护士随机分为研究组和对照组。对照组采用传统的培训管理模式，研究组采用六西格玛DMAIC模式进行培训。另外，从2022年11月至2023年11月，将80例接受治疗的老年骨折患者分为两组，一组接受常规护理，另一组接受营养饮食护理。结果：两年后，研究组在理论和实践评估得分、批判性思维能力、自我效能感、培训满意度等方面均优于对照组，差异有统计学意义（p p p p p = 0.03）。结论：六西格玛DMAIC模型有效提高了护士培训质量，营养饮食护理提高了老年骨折患者术后愈合、营养状况和免疫功能。
期刊介绍：
Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate
- the use of patient-reported outcomes under real world conditions
- the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines
- the scientific bases for guidelines and decisions from regulatory authorities
- access to medicinal products and medical devices worldwide
- addressing the grand health challenges around the world
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