摘要
目的通过持续质量改进措施,纠正腹膜透析患者的贫血状态。方法运用PDCA四步法,即设计(plan)—实施(do)—检验(check)—应用(act),设计并实施改善患者贫血的治疗流程。结果141例腹膜透析患者参与了此项研究。Hb达到目标值的患者由59.5%增加到75.2%。口服铁元素的人均服用剂量没有明显变化,但应用静脉铁剂的人数由1例增加到8例,EPO的人均每周用量由79.33±39.37U/kg增长至95.55±40.28U/kg(P<0.01)。结论持续质量改进措施改善了CAPD患者的贫血状态。
Objective To study the way of correct anemia for patients with peritoneal dialysis by continuous quality improvement. Method Applying PDCA four steps method, such as Plan, Do, Check and Act, to design and carry out the procedure for anemia treatment. Result 141 cases of patients with peritoneal dialysis participant this research, the number of patients whose Hb value reach targeted was increased from 59.9% to 75.2%. the average dosage of iron intake was not changed remarkable. But the number of patients applied venous iron was increased from one case to eight cases. Weekly average dosage of EPO per person was increased from 79.33±39. 33 U/kg to 95.55± 40.28 U/kg（P〈0. 01）. Conclusion The anemia status of CAPD patients was improved by continuous quality improvement.
出处
《护士进修杂志》
北大核心
2007年第18期1639-1642,共4页
Journal of Nurses Training
基金
中华人民共和国教育部长江学者奖励计划
教育振兴行动计划专项基金(985工程-36-1)
关键词
腹膜透析
贫血
持续质量改进
护理
Peritoneal dialysis Anemia Continuous quality improvement Nursing
