运用品质圈管理对老年肺结核强化期患者营养管理的研究

Study on nutritional management of elderly patients with pulmonary tuberculosis in intensive stage by using quality circle management

目的探讨运用品质圈管理对老年肺结核强化期患者的应用效果。方法选取2017年9月至2018年4月96例老年肺结核强化期患者,随机分为实验组和对照组,每组48例,运用品质圈管理和常规护理模式进行营养管理,4周后分析营养风险筛查及相关营养指标数据。结果两组患者的营养风险、营养不良、肺部病灶吸收率、痰菌转阴率都有下降,实验组优于对照组,但差异均无统计学意义;实验组患者的体质量指数、血清白蛋白、血红蛋白分别由观察前的(17.65±4.20)kg/m^2、(1.75±0.59)g/L、(31.20±4.90)g/L,提升为观察后的(22.08±4.10)kg/m^2、(2.35±0.54)g/L、(41.22±2.50)g/L,实验组观察前与观察后比较差异均有统计学意义(均P<0.01),实验组与对照组观察后比较差异均有统计学意义(均P<0.01)。结论品质圈管理改善了患者的营养状态,加强了护士在肺结核患者营养管理中的作用,提高了患者对营养管理的满意度。

Objective To explore the application effect of quality circle management in elderly patients with pulmonary tuberculosis in intensive stage.Methods A total of 96 elderly patients with pulmonary tuberculosis in intensive stage from September 2017 to April 2018 were randomly divided into experimental group and control group,quality circle management and routine nursing models were used for nutrition management.The nutrition risk screening and related nutrition index were analyzed after 4 weeks.Results There was a decrease in nutritional risk,malnutrition,lung focus absorption,and sputum negative conversion in both two groups,that in the experimental group was better,but the difference was not statistically significant.The body mass index,serum albumin,and hemoglobin in the experimental group increased from(17.65±4.20)kg/m^2,(1.75±0.59)g/L,(31.20±4.90)g/L before observation to(22.08±4.10)kg/m^2,(2.35±0.54)g/L,(41.22±2.50)g/L after observation,there were statistically significant differences before and after observation in the experimental group(all P<0.01),there were statistically significant differences between the experimental group and the control group after observation(all P<0.01).Conclusion QCC management improves the nutritional status of patients,strengthens the role of nurses in the nutrition management of tuberculosis patients,improves the satisfaction of patients to nutrition management.