应用品管圈方式降低鼻空肠管肠内营养堵管发生

Quality control circle reduced the occurrence of tube blockage of nose-jejunum nutrition tube

目的探究在鼻空肠管肠内营养中应用品管圈方式减少堵管情况发生的合理性与必要性。方法结合解放军总医院消化内科收治住院患者的实际情况,将2021年1月1日至2021年9月30日入院接受鼻空肠管置入治疗的120例患者随机分为两组,品管圈组和不采用品管圈手段对患者进行鼻空肠管肠内营养治疗的一般治疗组,一般治疗组给予传统治疗方式,进行正确合理必要的给药指导。品管圈组的护士提前接受专业培训,制定详细的治疗策略,实施科学规范的品管圈方式,观察两组患者堵管的发生情况,并调查患者本人与家属满意度。结果两组数据表明,品管圈方式能够减少鼻空肠管肠内营养堵管的发生,组间差异具有统计学意义。结论品管圈组在基础治疗方式的基础上增添了品管圈方式,有助于患者恢复,并且能够大幅度提高治疗人员的专业技术水平,相对基础治疗方法具有明显优势,能够为未来鼻空肠管肠内营养临床应用提供有效地帮助。

Objective To explore the rationality and necessity of using quality control circle(QCC)which could reduce tube blockage in the enteral nutrition of nose-jejunum nutrition tube.Methods According to the actual situation of inpatients admitted to the Department of Gastroenterology,PLA General Hospital,120 patients admitted to the hospital from January 1st,2021 to September 30th,2021 for the treatment of nasojejunal tube implantation were randomly divided into two groups:the quality control circle group and the general treatment group.The general treatment group was given the traditional treatment and the correct reasonable and necessary medication guidance.Nurses in the quality control circle group received professional training in advance,and formulated detailed treatment strategies,implemented scientific and standardized quality control circle mode.Finally,we observed the occurance of tube plugging in the two groups,and investigated the satisfaction of patients and their families.Results The data of the two groups showed that the quality control circle method could significantly reduce the occurrence of nasojejunal nutrient blockage,and the difference between the clinical trial groups was statistically significant.Conclusion The quality control circle group added the quality control circle mode on the basis of the basic treatment,which is conducive to the recovery of patients and can greatly improve the professional and technical level of the treatment staff.Compared with the basic treatment,it has obvious advantages and can provide effective help for the clinical application of nasojejunal tube enteral nutrition in the future.