老年肠内营养患者项目管理法的护理实践

Enteral nutrition care for elder patients based on project management

目的探讨项目管理法在老年患者肠内营养护理中的应用效果。方法将有营养不良风险或营养不良的老年患者216例按住院时间分为两组,观察组(108例)采用项目管理法进行营养护理,对照组(108例)采用常规方法进行营养护理。比较干预3个月后两组患者肠内营养并发症的发生情况,老年简易营养评估量表得分、血红蛋白、血清白蛋白。结果两组肠内营养并发症发生率比较,差异无统计学意义(均P> 0. 05),观察组老年简易营养评估量表得分、血红蛋白、血清白蛋白显著优于对照组(P <0. 05,P <0. 01)。结论项目管理利于营养护理过程实施监测和管控,保证项目的顺利开展,提高老年患者的营养指标。

Objective To explore the effect of project management based enteral nutrition care for older adults. Methods A total of 216 older adults at risk of malnutrition or with malnutrition were divided into 2 groups according to their admission time. The intervention group received enteral nutrition care based on project management method,while the control group were managed with routine enteral nutrition care. Three months after theintervention,the incidence rates of enteral nutrition complications,and the scores of Mini Nutritional Assessment Short Form( MNA-SF),hemoglobin levels,serum albumin levels were compared between the two groups. Results The incidence rates of enteral nutrition complications in the 2 groups had no significant differences( P > 0. 05). The score of MNA-SF,hemoglobin levels and serum albumin levels in the intervention group were significantly better than those in the control group( P < 0. 05,P < 0. 01). Conclusion Project management enables monitoring of nutrition care process,guarantees smooth progress of the project,and improves nutritional indicators of older adults.