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目的:探讨综合医院临床营养护理分级培训模式的构建与实践效果。方法:组建临床营养护理小组,下设核心管理组、教育培训组、质控组和联络护士组,在全院开展分级培训与实践,评价培训实施效果。结果:培训前护士的临床营养知识、态度和行为分别为(66.60 ± 9.72)、(72.38 ± 5.55)和(66.87 ± 6.83)分,培训后分别为(85.06 ± 7.85)、(92.50 ± 5.10)和(88.76 ± 7.60)分,差异有统计学意义(n t值为-15.520、-11.128、-12.238,n P<0.01),全院患者营养风险筛查率和有风险患者营养干预率上升为100%,护士学术水平得到进一步提高。n 结论:对护士进行临床营养护理分级培训,有利于提高护士的营养知识和技能,提升护士专科水平和学术水平,从而改善患者临床结局。“,”Objective:To establish and evaluate the effect of graded training mode of clinical nutrition nursing in general hospital.Methods:A clinical nutrition nursing group was established, including core management group, quality control group, education and training group and liaison nurse group. Hierarchical training and practice of clinical nutrition nursing was conducted throughout the hospital, and effect of training was evaluated.Results:The nurses' nutrition knowledge increased from (66.60±9.72) to (85.06±7.85) points, nutrition attitude increased from (72.38±5.55) to (92.50±5.10) points, nutrition behavior increased from (66.87 ± 6.83) to (88.76 ± 7.60) points, and the differences were statistically significant (n t values were -15.520, -11.128, -12.238, n P<0.01). The nutritional risk screening rate and nutritional intervention rate of patients were improved to 100%, and the academic level of nurses in nutritional nursing was further improved.n Conclusion:The application of graded training mode of clinical nutrition nursing can improve nurses' nutritional knowledge and skills, improve nurses' professional and academic level, and improve patient clinical outcomes.