基于体积的料:一个质量改善项目,以改善营养
Puja Jagasia1, Olatundun Ladele2, Hanna Slutsky3
1School of Medicine, Vanderbilt University, Nashville, TN 37232, USA.
概括
这项研究改善了烧伤患者的大面积烧伤的营养供应. 干预措施将处方管养的比例从43%提高到78%,有助于伤口愈合.
科学领域:
- 医学研究 医学研究
- 提高质量 提高质量
- 烧伤护理 烧伤护理
背景情况:
- 适当的营养对于烧伤患者的伤口愈合至关重要.
- 患有超过20%的全体表面积 (TBSA) 的烧伤患者通常需要通过输液管养来提供营养支持.
- 优化处方管食的输送对于患者的康复至关重要.
研究的目的:
- 为了提高成年烧伤患者的处方管食的输送>20%的TBSA.
- 评估质量改善干预措施对这一群体的营养支持的影响.
主要方法:
- 从2018年1月到2022年7月,对成人烧伤患者 (>20%的TBSA) 的回顾性图表审查.
- 在干预实施后,从2022年8月到2023年7月的前景数据收集.
- 多学科团队实施了8项干预措施,以改善输管料的输送.
主要成果:
- 输送的处方管料的平均比例显著增加,从43%增加到78%.
- 这种改善表明,对重症烧伤患者的营养支持有所提高.
- 进一步的分析比较了队列之间的停留时间和体重变化.
结论:
- 一个多学科的质量改进项目成功地增加了严重烧伤患者的输送管料.
- 改善营养供应对于促进伤口愈合和恢复在烧伤人口中至关重要.
- 实施的干预措施提供了一个可扩展的模型,用于增强专业烧伤病房的患者护理.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
92
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
92
Enteral Nutrition I: Orogastric and Nasogastric Feeding
224
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
224
Health Information Technology and Healthcare Information System
811
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
811
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
112
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
112
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K


