血液透析护理质量持续改进的方法研究与效果评价

Hemodldysis nuraing quality continuous Improvement method and effect eveluation

目的：探讨血液透析护理质量持续改进的方法研究与效果。方法：选取2011年11月至2013年10月本院收治的105例血液透析的患者，从完善并制定相关的制度，加强操作规范，预防交叉感染等多方面着手实施一系列护理。结果：血液透析护理质量持续改进后，本组105例血液透析患者并发症减少，生活质量提高。患者血流量达到220-280 mL/min；低血压发生率由改进前的7.55%下降到2.46%，高钾血症由1.69%下降到0.19%；生活自理者数由66%上升到92.5%；问卷调查显示，患者满意度由84%上升到97%。效果良好。结论：对血液透析患者的护理质量进行持续改进，能够减少并发症的发生，保证了患者接下来的治疗计划顺利进行，提高了患者的生活质量。

To explore the hemodialysis nursing quality continuous improvement method and effect evaluation. Select 105 cases of patients with hemodialysis admit ed to our hospital in November,2011 to October,2013.From perfect and formulate the relevant system, strengthen the practice, to prevent cross infection aspects embarked on a series of nursing. This group of 105 cases of patients with hemodialysis,after the continuous improvement in the hemodialysis nursing quality, the complications were reduced, and the quality of life improved. The patient＆#39;s blood flow of 220-280 ml/min;The incidence of hypotension from 7.55%to 7.55%,hyperkalemia fel to 0.19%from 1.69%;Self-reliance is from 66%to 92.5%;Questionnaire indicated, patient satisfaction from 84%to 97%. The result is good. The quality of nursing in patients with hemodialysis for continuous improvement,can reduce complications, ensure the patient for the next treatment plan smoothly, and improve the life quality of patients.