基层医院创建腹膜透析中心的护理管理实践与体会

Nursing management practice and experience of the primary hospitals to create a peritoneal dialysis center

目的:探讨在二级医院创建腹膜透析中心的护理质量管理。方法:建立腹膜透析病区,培训一支护理专业团队,开展延续护理。成立质量控制小组,通过PDCA循环进行质量持续改进(CQI)。结果:通过加强护理质量管理,腹膜透析患者治疗依从性由24.7%上升为90.2%,饮食控制由29.7%上升为91.8%,腹膜炎发生率由1次/30患者月下降为1次/59患者月,无掉队患者。结论:在基层医院建立腹膜透析中心,重要的是培训一支腹膜透析护理专业团队,严格执行"以患者为中心"的护理理念,认真落实PD护士管理的延续护理模式。

Objective To investigate the nursing quality management to create peritoneal dialysis center in primary hospi- tal Method We built a peritoneal dialysis ward, trained a nursing team, to carry out continuous nursing. We established quality control groups to do the quality continuous improvement through the PDCA cycle （CQI）. Results By strengthening the nursing quality manage- ment,treatment compliance of patients who had peritoneal dialysis increased from 24. 7% to 90. 2%, Diet increased from 29. 7% to 91.8%, the incidence of peritonitis fell from 1 /30 patients to 1 /59 patient months, without patients who left be- hind. Conclusion Peritoneal dialysis centre is established in the primary hospital. It is important to train a peritoneal dialysis nursing team. They strict implementation of patient - centered care philosophy, conscientiously implement the continuation of PD nursing care model.