改善重症监护病房患者的营养支持管理系统
Yuan-Yuan Zhang1, Chun-Yi Wang1, Dong-Xian Guo1
1Department of Critical Care Medicine, Shulan (Hangzhou) Hospital, Zhejiang Shuren University Shulan International Medical College, Hangzhou 310022, Zhejiang Province, China.
对重症监护室 (ICU) 患者的新营养支持系统改善了医务人员的做法,增加了肠道营养 (EN) 的使用. 该系统还减少了患者的焦虑和抑郁,缩短了ICU停留时间.
科学领域:
- 临床营养学 临床营养学
- 医疗保健管理的管理
- 信息系统信息系统信息系统
背景情况:
- 营养支持对重症监护室 (ICU) 患者至关重要,但面临实施挑战.
- 在ICU中有效的营养管理需要系统的方法和综合系统.
研究的目的:
- 为ICU患者引入修改后的营养支持管理系统.
- 该系统集成了闭环信息管理和心理咨询.
主要方法:
- 系统管理涉及职能划分,员工培训和系统构建.
- 为营养支持开发了一个智能决策软件系统.
- 质量控制和持续改进是整个过程的组成部分.
主要成果:
- 加强了ICU医务人员对营养支持的知识,态度和做法.
- 更多地利用肠道营养 (EN) 和联合EN/亲肠道营养.
- 在48小时内提高了EN启动率,并在72小时内提高了合规性.
- 降低了患者焦虑和抑郁的得分,并缩短了ICU停留时间.
结论:
- 实施的营养支持管理系统在ICU患者的临床应用中显示出显著的改善.
- 闭环信息管理和心理咨询是ICU营养支持的有效组成部分.
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