Font Noguera I, Jiménez Torres N V
Servicio de Farmacia, Hospital Gran Vía, Castellón.
Nutr Hosp. 1992 Mar-Apr;7(2):108-19.
The establishing of indications for parenteral nutrition and the evaluation criteria for the nutritional state of patients used in selecting the candidates for parenteral nutrition are the two main pillars upon which the rationalization of nutritional therapy iv is based. This is an important aspect which conditions the quality of therapeutics. The aim of this study is to apply a quality control programme in the process of selecting candidates for parenteral nutrition. The programme was applied retrospectively to 148 patients. The following parameters were evaluated as quality indicators, based on criteria and standards: "Indications", "Clinical Justification", "Evaluation of the Nutritional State at the commencement of PN", and "Administration of Albumin". The degree of compliance obtained for each of these indicators (100; 87.4; 88.0 and 93.9% respectively) showed no statistically significant difference from the previous standards (100, 80, 80 and 100 respectively). The quality control results obtained have permitted us to select the right candidate for PN, and is a useful tool for improving this therapy through the establishing of new objectives.
肠外营养适应证的确定以及用于选择肠外营养候选患者的患者营养状况评估标准，是营养治疗合理化所基于的两大主要支柱。这是影响治疗质量的一个重要方面。本研究的目的是在选择肠外营养候选患者的过程中应用质量控制程序。该程序回顾性应用于148例患者。基于标准对以下参数作为质量指标进行评估：“适应证”、“临床合理性”、“肠外营养开始时的营养状况评估”以及“白蛋白的使用”。这些指标各自获得的符合程度（分别为100%、87.4%、88.0%和93.9%）与先前标准（分别为100%、80%、80%和100%）相比，差异无统计学意义。所获得的质量控制结果使我们能够为肠外营养选择合适的候选患者，并且是通过设定新目标来改善这种治疗的有用工具。
