多学科协作联合精益管理方法在肾病患者血液透析感染管理中的应用

Application of multidisciplinary cooperation and lean management method in hemodialysis infection management of patients with nephropathy

目的探究多学科协作与精益管理联合在肾病患者血液透析感染管理中的作用。方法选取2019年4月至2021年3月青海省第五人民医院血液透析肾病患者90例为研究对象,根据随机数字表法将其分为对照组和观察组,每组各45例。对照组予传统肾病血液透析感染管理,观察组行多学科协作联合精益管理。比较两组临床疗效、生理指标、生存状态、并发症发生率、满意度差异。结果干预后,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。两组收缩压(SBP)较治疗前降低,观察组舒张压(DBP)、血红蛋白(HGB)、白蛋白(ALB)较治疗前升高,且观察组SBP低于对照组,DBP、HGB、ALB高于对照组,差异有统计学意义(P<0.05)。两组心理状态、躯体恢复情况、社会状态评分较干预前升高,且观察组心理状态、躯体恢复情况、社会状态评分高于对照组,差异有统计学意义(P<0.05)。观察组满意度优于对照组,差异有统计学意义(P<0.05)。结论多学科协作联合精益管理方法可显著增强肾病血液透析患者临床疗效,改善其生理指标、生存状态,还可降低并发症发生率,提高患者满意度。

Objective To explore the role of multidisciplinary cooperation and lean management method in hemodialysis infection management of patients with nephropathy.Methods A total of 90 patients with hemodialysis nephropathy in the Fifth People’s Hospital of Qinghai Province from April 2019 to March 2021 were selected as the research subjects,according to random number table method,the patients were divided into control group and observation group,with 45 cases in each group.The control group received traditional nephrotic hemodialysis infection management,and the observation group received multidisciplinary collaborative lean management.Clinical efficacy,physiological indicators,survival status,complication rate,and satisfaction were compared between the two groups.Results After intervention,the clinical efficacy of observation group was better than control group,the difference was statistically significant(P<0.05).Systolic blood pressure(SBP)in both groups decreased compared with before treatment,while diastolic blood pressure(DBP),hemoglobin(HGB),and albumin(ALB)in observation group increased compared with before treatment,and SBP in observation group was lower than control group,while DBP,HGB and ALB were higher than control group,the differences were statistically significant(P<0.05).The psychological state,physical recovery,and social status scores of the two groups were higher than those before intervention,and the psychological state,physical recovery,and social status scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The satisfaction of observation group was better than control group,and the difference was statistically significant(P<0.05).Conclusion Multidisciplinary cooperation combined with lean management can significantly enhance the clinical efficacy of nephrotic hemodialysis patients,improve their physiological indexes and survival status,reduce the incidence of complications and improve patient satisfaction.