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

Q4 Nursing
Q. Mou, Hongjuan Li, Li Linjuan
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引用次数: 0

摘要

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
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Corresponding Application of quality control circle in reducing the incidence of moderate or severe malnutrition in gastric cancer patients under chemotherapy
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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来源期刊
中华临床营养杂志
中华临床营养杂志 Nursing-Nutrition and Dietetics
CiteScore
0.20
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0.00%
发文量
2282
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