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KMID : 1034120140060030101
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Journal of Clinical Nutrition
2014 Volume.6 No. 3 p.101 ~ p.107
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Quality Improvement Activities for Establishment of Intestinal Rehabilitation in Intestinal Failure Patients
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Park Hyo-Jung
Lee Sang-Hoon
Yoon Ji-Hye
Kim Hyun-Jung
Hong Seul-Hee
Kim Eun-Ju
Min Ja-Kyung
Kim Hyun-Jung
Bo-Kyung Jung
Oh Chae-Yon
In Yong-Won
Lee Young-Mee
Seo Jeong-Meen
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Abstract
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Purpose: Intestinal failure (IF) is a complex clinical condition requiring a multi-disciplinary team approach. Our objective was to set up the treatment protocols and education documents for IF patients for development of intestinal rehabilitation programs in our hospital.
Methods: We compared the number of inpatients, length of hospital stay, mode of nutrition and calorie supply at discharge, and the frequency of blood transfusions before and after quality improvement of multidisciplinary activities, in order to evaluate the indirect effects of new protocols and training materials and for development of the intestinal rehabilitation system.
Results: We integrated eleven protocols for treatment and monitoring and seven educational materials for patients and caregivers. We compared indirect effects before and after the quality improvement activities. The number of IF patients hospitalized was reduced from 12 to 9. The mean days of hospital stay was decreased from 322 days to 73 days, the average number of monthly blood transfusions was also reduced from 1.8 to 0.3. In addition, the percentage of patients administered enteral nutrition and calories supplied was increased at discharge.
Conclusion: By integrating IF protocols and education materials for IF patients, we found possible indirect effects of intestinal rehabilitation using a multidisciplinary team approach.
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KEYWORD
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Intestinal failure, Intestinal rehabilitation, Team approach, Quality improvement
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