PDCA管理对血液透析血管通路患者并发症及自护能力的影响

Effect of PDCA management on complications and self-care ability of patients with vascular access for hemodialysis

目的:探讨PDCA管理对血液透析血管通路患者并发症及自护能力的影响。方法:2015年1月~2016年12月选取本院收治行血液透析血管通路治疗的84例患者,根据时间先后将患者等分为观察组和对照组,对照组给予常规性护理,观察组在对照组基础上应用PDCA管理,比较两组患者血液透析期间并发症发生情况及干预前后患者自护能力。结果:观察组血路感染、血路阻塞、动脉瘤、内瘘血栓发生率明显低于对照组(P<0.05),而观察组患者满意度高于对照组(P<0.05)。观察组患者干预后自护能力总评分、健康知识、自我护理技能、自我概念、自护责任感评分明显高于对照组(P<0.05)。结论:PDCA管理能有效提高血液透析血管通路患者自护能力,降低血管通路相关并发症,提高患者治疗满意度。

Objective： To investigate the effect of PDCA management on complications and self-care ability of patients with vascular access for hemodialysis. Methods： A total of 84 patients who received hemodialysis for vascular access in our hospital from January 2015 to December 2016 were selected and were divided in two observation group and control group with the same numbers of people according to the time. The control group was given routine care.The observation group was treated with PDCA management on the basis of treatment of the control group. The incidence of complications during hemodialysis and the self-care ability of the patients before and after the intervention in the two groups were compared. Results： The incidence of blood infection,blood clotting,aneurysm and fistula thrombosis in the observation group was significantly lower than that in the control group（ P〈0. 05）,while the satisfaction rate of the observation group was higher than that of the control group（ P〈0. 05）. The scores of self-care ability,health knowledge,self-care skills,self-concept and self-care responsibility were significantly higher in the observation group than in the control group（ P〈0. 05）. Conclusion： PDCA management can improve the self-care ability of hemodialysis vascular access patients and reduce the complications of vascular access as well as improve the satisfaction of patients.