摘要
目的探讨应用持续质量改进（CQI）的管理方法对维持性血液透析患者干体重相关知识、态度及行为的影响。方法选择我院维持性血液透析患者106例，采用PDCA四步法，即设计（plan）-实施（do）-检验（check）-应用（act），采用自行设计的干体重问卷调查表进行问卷调查，记录饮食日记，并根据问卷结果及饮食日记进行个体化宣教及饮食指导，分析比较CQI前后患者干体重相关知识、态度及行为的变化。结果经过8个月的CQI综合管理，患者在干体重知、信、行3方面的评分以及干体重达标率均较CQI管理前显著提高。CQI综合管理之后患者干体重达标率明显升高，由CQI之前的50．0％升至78．3％，差异有统计学意义（P〈0．01）。结论CQI应用于维持性血液透析患者干体重管理，可提高患者对干体重相关知识、态度及行为的了解程度，进而提高干体重达标率。
Objective To evaluate the effects of continuous quality improvement（CQI） management on dry weight related knowledge, attitude and practice of hemodialysis patients. Methods Totally 106 hemodialysis patients were selected who were regnlady in maintenance hemodialysis in Aviation General Hospital dialysis center in this study. Plan, do, check and act （PDCA） method was adopted to manage these patients for 8 months. The self-designed questionnaire survey of dry weight was used, and patients kept a food diary. According to the questionnaire results and diet diary individualized education and dietary guidance, the changing in stem related knowledge, attitude and behavior of weight before and after receiving CQI management were compared and analyzed. Results After receiving the CQI management, patients in the dry weight standard rate, dry weight related knowledge, attitude and practice of score significantly increased. After CQI management, patients with dry weight reaching the standard rate increased significantly,from 50.0% to 78.3% , the difference was statistically significant（ P 〈 0.01 ）. Conclusion The application of CQI in patients with MHD dry weight management, can improve the patients attitude related knowledge, attitude and behavior of the weight, the dry weight in patients with attention. It can improve dry weight standard rate.
出处
《临床内科杂志》
CAS
2015年第6期392-394,共3页
Journal of Clinical Internal Medicine
关键词
持续质量改进
维持性血液透析
干体重
Continuous quality improvement
Hemodilaysis patients
Dry weight
