降低胰十二指肠术后患者首次肠内营养开始时间>48小时百分率

Lowering the Proportion of Initial Enteral Nutrition above 48-Hour for Patients after Pancreaticoduodenal Surgery

针对胰十二指肠术后患者首次肠内营养开始时间>48小时百分率高开展品管圈活动,经现状分析,认为手术结束-医嘱开立时间、医嘱审核-医嘱执行时间为改善重点;利用系统图寻找问题原因,经真因验证,共寻找出5条真因,分别拟定对策,并逐一实施;通过制定规范化流程、开展营养知识培训、腹胀循证护理实践,使胰十二指肠切除术后患者首次肠内营养开始时间>48小时百分率从62.89%降低到31.43%,提高了患者的生活质量.

The quality control circle activities were carried out on the high proportion of postoperative initialenteral nutrition above 48-hour among patients with pancreaticoduodenal surgery. Based on the analysis of the current situation, it was considered that the key point of improvement was the time from the end of surgery to the doctors advice issued and the time from doctors advice to be reviewed to the time for doctofs advice to be executed.The system diagram was used to find the true causes of the problem, and a total of five true causes were found. Furthermore, countermeasures were drawn up and implemented.The proportion of postoperative initial enteral nutrition above 48-hour among patients with pancreaticoduodenal surgery was reduced from 62.89% to 31.43%, and the quality of life of patients was improved by formulating standard procedures, nutrition knowledge training and evidence- based nursing practice for abdominal distension.