摘要
总结了持续质量改进在201例血液透析患者动静脉内瘘管理中的运用。运用PDCA四步法,即设计(plan)-实施(do)-检验(check)-处理(act),设计并实施血液透析患者自体动静脉内瘘管理流程。201例患者中有43例一次内瘘使用寿命达10年以上,其中8例≥15年,1例达18年,43例血流速度均达到200～280ml/min,KT/V>1.4。认为持续质量改进方法能延长血液透析患者自体动静脉内瘘的使用寿命。
Objective:To improve native arteriovenous fistula (AVF)management in maintenance hemodialysis (MHD)PATIENTS THROUGH CQI process. Methods:Using the 4-step problem-solving framework called the PDCA cycle-plan,do,check and act,we conducted a CQI program. Results:There are 43 patients with the 10 years life of once native arteriovenous fistula (AVF)from 201 patients.Eight patients’ AVF life are 15 years and one is 18 years old.Their blood rate is from 200 ml/min to 280ml/min and Kt/V are more than1.4.Conclu- sion:Use CQI method in the management of native arteriovenous fistula(AVF)in maintenance hemodialysis(MHD)patients can increase it s life.
关键词
血液透析
动静脉内瘘
持续质量改进
护理管理
hemodialysis
native arteriovenous fistula
Continuous quality improvement
nursing administration
