持续质量改进在血液透析患者管理中的运用

目的探讨持续质量改进在血液透析患者管理中的运用效果。方法制订相关的规章制度,对血液透析患者入室、透析时间安排、饮食、健康教育、感染的预防等进行合理管理。结果血液透析患者急性左心衰竭发生率由1.62%下降到0.04%,高钾血症发生率由0.51%下降到0.02%;患者生活质量提高,生活可自理患者由79%上升到92%,可参加工作的患者由41%上升到57%;维持性透析患者5年生存率达70%以上;患者满意度由85%上升到96%。结论在血液透析患者的管理中运用持续质量改进,减少了血液透析并发症的发生,提高了护理服务质量。

Objective To explore the effect of continuous quality improvement of nursing management in dialysis patients. Methods The protocol of dialysis, the prevention of cross infections, as well as the diet and health education for patients were studied and redesigned in order to reach a higher level of nursing. Results The rate of acute left heart failure was decreased from 1. 62% to 0. 04%, and the rate hyper-potassimia dropped from 0. 51% to 0.02%. Improved life quality resulted in that 92% patients, compared with the past 79%, were capable for the daily activity. More patients were able to manage their job, in which the rate was elevated from 41% to 57%. A 5-year survival rate over 70% was obtained. And patient satisfaction was improved from 85% to 96%. Conclusion Continuous quality improvement of nursing reduced the complication in the dialysis and made a better standard of nursing as well.