Corresponding Application of quality control circle in reducing the incidence of moderate or severe malnutrition in gastric cancer patients under chemotherapy

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-10-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.05.003

Q. Mou, Hongjuan Li, Li Linjuan

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Abstract

Objective To explore the effect of quality control circle(QCC)on reducing the incidence of moderate or severe malnutrition in gastric cancer patients under chemotherapy. Methods Before the activity (February to March 2016), 146 gastric cancer patients under chemotherapy were selected as the control group, and regular nutrition nursing (dietary guidance and regular nutrition-related health lectures) was given. After the activity (February to March 2017), 139 gastric cancer patients under chemotherapy were selected as QCC group, and the standard intervention of quality control circle was implemented. The nutritional status of patients before and after improvement was compared. Results After finding the cause and formulating and implementing the measures, the 24-hour consultation rate, the incomplete remission rate of nausea/vomiting, the incidence of cancer anorexia, and the rate of missed visits in QCC group were significantly different with those in control group (P<0.05). The incidence of moderate or severe malnutrition was 16.55% in QCC group and 65.07% in control group, and the difference was statistically significant (P<0.01). Conclusions The quality control circle activity can effectively reduce the incidence of moderate or severe malnutrition and improve the quality of life in gastric cancer patients under chemotherapy. It can also improve the self-discipline and initiative of medical staff and improve the quality of medical care. Key words: Quality control circle; Gastric cancer; Chemotherapy; Moderate or severe malnutrition

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相应的品管圈在降低胃癌化疗患者中重度营养不良发生率中的应用

目的探讨质量控制圈(QCC)对降低胃癌化疗患者中重度营养不良发生率的作用。方法选取活动前(2016年2月至3月)146例胃癌化疗患者作为对照组，给予定期营养护理(饮食指导及定期营养相关健康讲座)。活动结束后(2017年2月至3月)，选取139例正在化疗的胃癌患者作为QCC组，实施品管圈标准干预。比较改善前后患者的营养状况。结果发现原因并制定实施措施后，QCC组患者24小时问诊率、恶心/呕吐不完全缓解率、癌性厌食症发生率、漏诊率与对照组比较差异均有统计学意义(P<0.05)。QCC组中重度营养不良发生率为16.55%，对照组为65.07%，差异有统计学意义(P<0.01)。结论质控圈活动可有效降低胃癌化疗患者中、重度营养不良发生率，提高患者生活质量。提高医务人员的自律性和主动性，提高医疗服务质量。关键词:品管圈;胃癌;化疗;中度或重度营养不良

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.