应用品管圈提高腹膜透析患者容量管理依从性的临床实践
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摘要
目的探讨品管圈管理工具在提高腹膜透析患者的容量管理依从性中的应用。方法成立品管圈小组,确立"提高腹膜透析患者的容量管理依从性"为活动主题,进行现况调查、目标设定、原因分析、对策拟定,应用PDCA循环原则实施各项对策。结果我科通过开展品管圈活动,制订规范化容量管理的方法和流程,使腹膜透析患者容量超负荷的发生率由原来的25%降至8%,护士的各项隐性能力也显著提高。结论应用品管圈活动对腹膜透析患者进行容量管理的控制,规范了腹透患者容量管理的流程,降低了腹透患者容量超负荷的发生率,提高了患者的依从性,此种方法和流程值得在临床科室推广。该活动同时增加了护士的主动管理能力,便于更好的促进临床实际问题的解决。
Objective To explore theapplication of quality control circle management tools in improving capacity management compliance of patients with peritoneal dialysis. Methods The quality control circle group was set up.The theme of the activity was to improve capacity management compliance of patients with peritoneal dialysis.The current situation investigation,goal setting,cause analysis and countermeasures were conducted.PDCA cycle principle was applied to implement various countermeasures. Results By carrying out quality control circle activities and formulating standardized methods and procedures of capacity management in our department,the incidence of capacity overload of peritoneal dialysis patients was decreased from 25% to 8%, and nurses' invisible abilities were also significantly improved. ConclusionApplying quality control circle in controlling capacity management compliance of patients with peritoneal dialysis can regulate the procedures of capacity management of peritoneal dialysis patients, reduce the capacity overload rate of the patients and improve the patients' compliance.The method and process is worthy of promoting in clinical departments.The activity also increases the active management ability of nurses to promote better resolution of clinical practical problems.
Objective To explore theapplication of quality control circle management tools in improving capacity management compliance of patients with peritoneal dialysis. Methods The quality control circle group was set up.The theme of the activity was to improve capacity management compliance of patients with peritoneal dialysis.The current situation investigation,goal setting,cause analysis and countermeasures were conducted.PDCA cycle principle was applied to implement various countermeasures. Results By carrying out quality control circle activities and formulating standardized methods and procedures of capacity management in our department,the incidence of capacity overload of peritoneal dialysis patients was decreased from 25% to 8%, and nurses' invisible abilities were also significantly improved. ConclusionApplying quality control circle in controlling capacity management compliance of patients with peritoneal dialysis can regulate the procedures of capacity management of peritoneal dialysis patients, reduce the capacity overload rate of the patients and improve the patients' compliance.The method and process is worthy of promoting in clinical departments.The activity also increases the active management ability of nurses to promote better resolution of clinical practical problems.
引文
[1]江岚,刘泉颖,程李涛,等.新容量负荷指标在腹膜透析患者中的临床价值[J].中华肾脏病杂志,2010,26(2):23-25.
[2]张胜琴,廖巧珍.延续性护理模式对于连续腹膜透析护理效果的影响[J].中外医学研究,2017,15(30):112-113.
[3]Mawar S,Gupta S,Mahajan S.Non-compliance to the continuous ambulatory peritoneal dialysis procegure increases the risk of peritonitis[J].Int Urol Nephrol,2012,44(4):1243-1249.
[4]刘伏友.腹膜透析患者的容量负荷问题[J].中国血液净化,2009,8(5):238-240.
[5]Hsu PF,Sung SH,Cheng HM,et al.Association of clinical symptomatic hypoglycemia with cardiovascular events and total mortality in type 2 diabetes:a nationwide populationbased study[J].Diabetes Care,2013,36(4):894-900.
[6]Quiliam BJ,Simeone JC,Ozbay AB,et al.The incidence and costs of hypoglycemia in type 2 diabetes[J].Am J Manag Care,2011,17(10):673-680.
[7]刘婷婷,张艺,郑旭东,等.运用品管圈提高体检者静脉采血满意度的实践[J].中国护理管理,2013,13(6):9-11.
[8]张幸国.医院品管圈活动实践与技巧[M].杭州:浙江大学出版社,2010:127-129.
[9]许晨耘,柯雅娟,陈茹妹,等.品管圈活动在手术病理标本安全管理中的应用[J].中国护理管理,2012,12(1):20-23.
[10]金静芬,陈水红,邵林玲,等.品质管理圈活动在危重患者转运中的应用[J].中华医院管理杂志,2012,28(1):57-59.
[11]陈长英,田丽,曹小琴,等.护理质量持续改进的国内外实践与研究进展[J].中国护理管理,2012,12(1):14-17.
[12]邹梅霞,赖爱萍,汤娟.外科护理品管圈活动对护理满意度的影响[J].中国医药科学,2018,8(3):113-115.
[13]王惠琴.应用品管圈减少护士来回于护理站与病房的途中耗时[J].中国护理管理,2013,13(6):12-15.
[13]章飞雪,于燕燕,徐枝楼,等.品管圈活动在精神科老年病房基础护理质量管理中的作用[J].中华护理杂志,2013,48(2):127-129.
[15]唐洪钦,赵丽,谭小云,等.品管圈在骨科患者基础护理服务中的实践效果[J].解放军护理杂志,2013,30(10):52-54.
[16]曹敏,蒋莲萍,徐小燕,等.品管圈在推进急诊科护理人员手卫生中的作用[J].中华医院感染学杂志,2012,22(18):4104-4105.
[2]张胜琴,廖巧珍.延续性护理模式对于连续腹膜透析护理效果的影响[J].中外医学研究,2017,15(30):112-113.
[3]Mawar S,Gupta S,Mahajan S.Non-compliance to the continuous ambulatory peritoneal dialysis procegure increases the risk of peritonitis[J].Int Urol Nephrol,2012,44(4):1243-1249.
[4]刘伏友.腹膜透析患者的容量负荷问题[J].中国血液净化,2009,8(5):238-240.
[5]Hsu PF,Sung SH,Cheng HM,et al.Association of clinical symptomatic hypoglycemia with cardiovascular events and total mortality in type 2 diabetes:a nationwide populationbased study[J].Diabetes Care,2013,36(4):894-900.
[6]Quiliam BJ,Simeone JC,Ozbay AB,et al.The incidence and costs of hypoglycemia in type 2 diabetes[J].Am J Manag Care,2011,17(10):673-680.
[7]刘婷婷,张艺,郑旭东,等.运用品管圈提高体检者静脉采血满意度的实践[J].中国护理管理,2013,13(6):9-11.
[8]张幸国.医院品管圈活动实践与技巧[M].杭州:浙江大学出版社,2010:127-129.
[9]许晨耘,柯雅娟,陈茹妹,等.品管圈活动在手术病理标本安全管理中的应用[J].中国护理管理,2012,12(1):20-23.
[10]金静芬,陈水红,邵林玲,等.品质管理圈活动在危重患者转运中的应用[J].中华医院管理杂志,2012,28(1):57-59.
[11]陈长英,田丽,曹小琴,等.护理质量持续改进的国内外实践与研究进展[J].中国护理管理,2012,12(1):14-17.
[12]邹梅霞,赖爱萍,汤娟.外科护理品管圈活动对护理满意度的影响[J].中国医药科学,2018,8(3):113-115.
[13]王惠琴.应用品管圈减少护士来回于护理站与病房的途中耗时[J].中国护理管理,2013,13(6):12-15.
[13]章飞雪,于燕燕,徐枝楼,等.品管圈活动在精神科老年病房基础护理质量管理中的作用[J].中华护理杂志,2013,48(2):127-129.
[15]唐洪钦,赵丽,谭小云,等.品管圈在骨科患者基础护理服务中的实践效果[J].解放军护理杂志,2013,30(10):52-54.
[16]曹敏,蒋莲萍,徐小燕,等.品管圈在推进急诊科护理人员手卫生中的作用[J].中华医院感染学杂志,2012,22(18):4104-4105.