持续质量改进对维持性血液透析患者矿物质骨代谢影响的效果探讨

Effect of Continuous Quality Improvement on Mineral Bone Metabolism in Maintenance Hemodialysis Patients

目的研究血液透析患者实施持续质量改进对于患者的矿物质骨代谢的影响效果,从而为血液透析患者的治疗提供一定的借鉴和帮助。方法选择100例该院所收治的血液透析患者作为研究案例,2016年10月—2018年10月作为该研究的时间范围,以2017年10月为分界点将这些患者分为持续质量改进后组与持续质量改进前组两组,各为50例。比较两组患者的血钙、血磷、全段甲状旁腺激素水平以及达标率的变化。结果持续质量改进后的患者达标率明显有所上升,达标率分别为28.00%,20.00%,22.00%,在持续质量改进后的达标率分别为62.00%,40.00%,48.00%,两组患者之间的数据差异有统计学意义(χ^2=5.760、4.762、4.443,P<0.05)。结论在该次研究调查当中,可以明确得出结论,持续质量改进可以有效改善持续性血液透析患者的矿物质代谢水平,值得在临床当中推广应用。

Objective To study the effect of continuous quality improvement of hemodialysis patients on the mineral bone metabolism of patients,so as to provide some reference and help for the treatment of hemodialysis patients.Methods 100 cases of hemodialysis patients admitted to our hospital were selected as the research case,and the time range of this study was October 2016 to October 2018.Taking October 2017 as the cut-off point,these patients were divided into two groups after continuous quality improvement and one before continuous quality improvement,there were 50 cases in each group.The changes of blood calcium,blood phosphorus,total parathyroid hormone levels and compliance rate were compared between the two groups.Results The compliance rate of patients after continuous quality improvement increased significantly,the compliance rate was 28.00%,20.00%,22.00%,and the compliance rate after continuous quality improvement was 62.00%,40.00%,48.00%,there were differences between the data and the differences were statistically significant(χ^2=5.760,4.762,4.443,P<0.05).Conclusion In this research survey,it can be clearly concluded that continuous quality improvement can effectively improve the mineral metabolism level of patients with continuous hemodialysis,which is worthy of popularization and application in the clinic.