基于品管圈质控的个案化教育及护理在维持性血液透析患者中的应用效果

Application effect of individualized education and nursing based on quality control circle quality control in maintenance hemodialysis patients

目的研究基于品管圈(QCC)质控的个案化教育及护理在维持性血液透析患者中的应用效果。方法选取安徽省亳州市人民医院血透室2019年1月到2021年6月接诊的维持性血液透析患者80例为研究对象,按随机数字表法分为研究组和对照组,各40例。对照组采用常规护理,研究组采用基于QCC质控的个案化教育及护理。记录两组依从性评分、自我管理能力评分、生活质量评分及并发症发生率。结果研究组用药依从性、饮食依从性、透析方案依从性、液体摄入依从性的评分均高于对照组(P<0.05);两组生活质量评分与自我管理能力评分均高于护理前,且研究组高于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05)。结论基于QCC质控的个案化教育及护理能明显改善维持性血液透析患者的依从性、自我管理能力及生活质量,且并发症少,具有临床应用价值,值得推广。

Objective To study the application effect of individualized education and nursing based on quality control circle(QCC)quality control in maintenance hemodialysis patients.Methods A total of 80 maintenance hemodialysis patients admitted to the Hemodialysis Room of Bozhou People’s Hospital in Anhui Province from January 2019 to June2021 were selected as the research subjects.According to the random number table method,they were divided into study group and control group,with 40 cases in each group.Routine nursing was used in the control group,and individualized education and nursing based on QCC quality control were used in the study group.The compliance score,self-management ability score,quality of life score,and complication rate of the two groups were recorded and compared.Results The scores of medication compliance,diet compliance,dialysis program compliance,and fluid intake compliance in the study group were higher than those in the control group(P<0.05);the scores of quality of life and self-management ability in the study group were higher than those in the control group(P<0.05);the incidence of complications in the study group was lower than the control group(P<0.05).Conclusion Individualized education and nursing based on QCC quality control can significantly improve the compliance,self-management ability,and quality of life of maintenance hemodialysis patients,with fewer complications,which has clinical application value and is worth promoting.