Font Noguera I, Jiménez Torres N V
Servicio de Farmacia, Hospital Gran Vía, Castellón.
Nutr Hosp. 1992 Sep-Oct;7(5):321-8.
Patients subjected to parenteral nutrition (PN) must be treated based on a therapeutical plan which has been adapted to their nutritional and clinical needs within a normalizing framework. Furthermore, for this therapeutical plan to be effective and safe, not only must it be suitable for the patient, but also "exact" with regard to daily routines. The quality control programme designed was applied retrospectively to 148 patients. Evaluation was made based on the following indicators: a) delay in initiating parenteral nutrition, b) average intake of macronutrients, c) administration of micronutrients, d) duration of the PN, e) temporary interruptions of the PN, f) errors in medication and g) return of nutrient units. The compliance percentage obtained was 100, 100, 28.7, 89.5, 63.2 100 and 100 respectively. The results obtained have made it possible to understand the quality profile of the therapeutical plan applied to patients on PN. It is also a useful method for the continued improvement of this therapy.
接受肠外营养（PN）的患者必须依据在规范化框架内根据其营养和临床需求调整的治疗计划进行治疗。此外，为使该治疗计划有效且安全，它不仅要适合患者，而且在日常安排方面也要“精确”。所设计的质量控制方案被追溯应用于148例患者。基于以下指标进行评估：a）开始肠外营养的延迟情况，b）常量营养素的平均摄入量，c）微量营养素的给予情况，d）肠外营养的持续时间，e）肠外营养的临时中断情况，f）用药错误情况，以及g）营养单元的归还情况。所获得的依从率分别为100%、100%、28.7%、89.5%、63.2%、100%和100%。所获得的结果使得了解应用于接受肠外营养患者的治疗计划的质量概况成为可能。这也是持续改进该治疗方法的一种有用方法。
