基于HACCP的肠外营养模式在医学教育中的运用

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英文篇名：Application of HACCP-based Parenteral Nutrition Model in Medical Education 作者：孔粼 ; 何莹 ; 吴青 英文作者：KONG Lin;HE Ying;WU Qing;Clinical Nutrition Department, Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics;Educational Administration Department, Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics;Pharmaceutical Department, Children's Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics; 关键词：肠外营养 ; 临床营养 ; 营养教育 ; 多学科培养 ; 医学生 ; 危害分析关键控制点 英文关键词：parenteral nutrition;;clinical nutrition;;nutrition education;;multidisciplinary training;;medical student;;hazard analysis critical control point 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：重庆医科大学附属儿童医院/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室营养科;重庆医科大学附属儿童医院/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室教务处;重庆医科大学附属儿童医院/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室药学部; 出版日期：2019-05-10 出版单位：中国继续医学教育 年：2019 期：v.11 基金：重庆市高等教育教学改革研究项目(173043) 语种：中文; 页：JXUY201913025 页数：3 CN：13 ISSN：11-5709/R 分类号：71-73

摘要

肠外营养治疗是临床营养治疗的重要组成部分,规范合理的肠外营养治疗可以改善患者的临床结局。然而,在目前国内高等医学院校的营养专科教育中,涉及公共营养的知识较多,而有关肠外营养知识的临床营养教育不足;在医院中各专科相关标准欠缺统一,医学生实践与操作不充分,医疗质量和安全难以得到保障。因此,对医学生进行系统化的临床营养教育有较大的现实意义。基于危害分析关键控制点(Hazard Analysis Critical Control Point,HACCP)的多学科培养模式,可以整合多学科人才加强肠外营养基础教育,并把临床专病教育、营养科处方设计教育、药学部审方和配制教育等同时纳入院内实践中,为培养具有高水平肠外营养治疗水平的医学生奠定基础。
        Parenteral nutrition therapy is an important part of clinical nutrition therapy, Standardized and reasonable parenteral nutrition therapy can improve clinical outcomes. However,most of nutrition specialized education in domesticmedical colleges and universities are related to public nutrition knowledge, the clinical nutrion education which related to parenteral nutrition knowledge was insufficient;there is no unified standard in hospital departments, medical student has not practiced adequately, medical quality and safety cannot be guaranteed. So systematic clinical nutrition education for medical students is of great practical significance. To lay a foundation for training medical students with high level of parenteral nutrition therapy, the application of HACCP-based multidisciplinary training model can integrate multidisciplinary talents to strengthen basic education of parenteral nutrition,and bring clinical specialized disease education, prescription design education of nutrition department, prescription-checking and medicine admixture of pharmacy department in hospital practice simultaneously.

引文

[1]焦广宇,李增宁,陈伟.临床营养学[M].北京:人民卫生出版社,2017:105.
    [2]李逊,龚沺沺.住院医师规范化培训开展临床营养学教育的必要性[J].中国继续医学教育,2018,10(25):5-7.
    [3]孔粼,吴青,吕麟亚.基于HACCP的儿科肠外营养多学科协作价值及效益分析[J].中国医院管理,2018,38(12):53-55.
    [4]沈春燕,曹瑞丽,王思雨.临床营养教学工作探讨[J].中国继续医学教育,2018,10(34):34-36.
    [5]周蜜,徐武,江涛.医学生营养教育现状研究[J].重庆医学,2017,46(20):2864-2865.
    [6]Kris-Etherton PM,Akabas SR,Douglas P,et al.Nutrition Competencies in Health Professionals'Education and Training:ANew Paradigm[J].Adv Nutr,2015,6(1):83-87.
    [7]刘锦秀,施惠斌,白绍蓓,等.HACCP在肠内营养配制室的应用[J].食品安全质量检测学报,2019,10(4):1054-1059.
    [8]顾学范.临床遗传代谢病[M].北京:人民卫生出版社,2015:1.
    [9]张雄坤,李琛,张晗,等.高校师生关系调查分析及对策研究[J].教育现代化,2018,5(17):299-303.
    [10]Wilks C,Krisle E,Westrich K,et al.Optimization of medication use at accountable care organizations[J].J Manag Care Spec Pharm,2017,23(10):1054-1064.
    [11]陈伟,周春凌,周芸.临床营养诊疗技术[M].北京:人民卫生出版社,2017:88.
    [12]王钢,郑耀光,王宁,等.我国首次临床营养师培训考核考生成绩相关因素分析[J].中华医学教育探索杂志,2016,15(5):433-436.