持续质量改进小组活动开展对糖尿病肾病血液透析患者负性情绪和满意度的影响

Effects of quality control group activities on negative emotions and satisfaction for hemodialysis patients with diabetic nephropathy

目的：探讨临床开展持续质量改进（ QC）活动对糖尿病肾病血液透析患者负性情绪与满意度的影响。方法建立QC小组，对浙江省丽水市中心医院血液净化中心80例糖尿病肾病血液透析患者进行分析，主要包括实施前后患者的护理满意度和抑郁自评量表（ SDS ）评分、焦虑自评量表（ SAS ）评分。并找出具体的原因，制定针对性的策略，严格地遵循循证学的原理进行持续治疗改善。结果干预后80例糖尿病肾病血液透析患者的临床护理满意度为95．0％（76例），干预前患者的临床护理满意度为73．8％（59例），干预前后的护理满意度比较差异有统计学意义（P＜0．05）。干预前患者的SDS评分和SAS评分分别为（54．3±3．6）分、（55．2±4．6）分；干预后患者的SDS 评分和SAS评分分别为（32．2±1．4）分、（30．4±1．2）分；干预后患者的SDS评分和SAS评分与干预前比较，差异均有统计学意义（均P＜0．05）。结论糖尿病肾病血液透析治疗中开展QC小组活动能够改善患者不良情绪，提高患者对临床护理的满意度。

Objective To investigate the clinical effects of quality control （ QC） group activities on nega-tive emotions and satisfaction for hemodialysis patients with diabetic nephropathy .Methods QC group was estab-lished, status quo of eighty hospital hemodialysis patients with diabetic nephropathy in blood purification , from Lishui Central Hospital , were investigated and analyzed , including patient care before and after implementation of satisfaction and self-rating depression scale （SDS） scores, self-rating anxiety scale （SAS） score.The specific rea-sons were identified and targeted strategies were developed with strictly followed principles of evidence -based treat-ment of school-going improvements.Results Satisfaction of clinical care of patients was 95.0%（76 cases） after the intervention;clinical care and patient satisfaction was 73.8%（59 cases） before the intervention;nursing satis-faction before and after the intervention were statistically significantly different （ P〈0 .05 ） .SDS scores and SAS scores of patients before intervention were （54.3 ±3.6）, （55.2 ±4.6 ）, respectively;SDS score and SAS score after the intervention were （32.2 ±1.4）, （30.4 ±1.2）, respectively.Compared with those before intervention , the patient′s SDS score and SAS score after the intervention was statistically significant （ P 〈0.05 ） . Conclusion Hemodialysis treatment of diabetic nephropathy in the QC group activities can improve patients ′bad mood and improve clinical care satisfaction .