[1]王涛赵淑青刘考.降低终末期肾病患者动静脉内瘘成熟不良率[J].中国卫生质量管理,2022,29(12):089-92.[doi:10.13912/j.cnki.chqm.2022.29.12.19 ]
 WANG Tao,ZHAO Shuqing,LIU Kao.Reducing the Unsatisfactory Rate of Arteriovenous Fistula Maturation in Patients with End-Stage Renal Disease[J].Chinese Health Quality Management,2022,29(12):089-92.[doi:10.13912/j.cnki.chqm.2022.29.12.19 ]
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降低终末期肾病患者动静脉内瘘成熟不良率
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年12期
页码:
089-92
栏目:
QC小组平台
出版日期:
2022-12-28

文章信息/Info

Title:
Reducing the Unsatisfactory Rate of Arteriovenous Fistula Maturation in Patients with End-Stage Renal Disease
作者:
王涛赵淑青刘考
山东大学齐鲁医院
Author(s):
WANG TaoZHAO ShuqingLIU Kao
Qilu Hospital of Shandong University
关键词:
品管圈问题解决型品管圈终末期肾病动静脉内瘘
Keywords:
Quality Control Circle Problem Solving Quality Control Circle End-Stage Renal Disease Arteriovenous Fistula
分类号:
R692;R197.323
DOI:
10.13912/j.cnki.chqm.2022.29.12.19
文献标志码:
B
摘要:
目的降低终末期肾病患者动静脉内瘘成熟不良率。方法成立品管圈圈组,通过现状调查、原因解析明确问题真因,从制定动静脉内瘘院前指导规范,建立多学科协作模式;实施“VAP”评估模式,制定围手术期标准化管理流程;构建“互联网 +”智能宣教模式,优化院外延伸服务三方面进行改进。结果终末期肾病患者动静脉内瘘成熟不良率由10.6%降低至3.3%。结论开展品管圈活动降低了终末期肾病患者动静脉内瘘成熟不良率。
Abstract:
ObjectiveTo reduce the unsatisfactory rate of arteriovenous fistula maturation in patients with end-stage renal disease.MethodsThe quality control circle group was established, and the real causes of the problems were identified through the cross-sectional investigation and cause analysis. Improvements were made from three aspects. The pre-hospital guidance norms of arteriovenous fistula were formulated, and the multidisciplinary cooperation mode was established. The "VAP" evaluation mode was implemented, and the standardized process of perioperative management was formulated. The "Internet +" intelligent education mode was constructed, and the extended services outside the hospital was optimized. ResultsThe unsatisfactory rate of arteriovenous fistula in end-stage renal disease patients decreased from 10.6% to 3.3%. Conclusion Quality control circle activity can reduce the unsatisfactory rate of arteriovenous fistula in patients with end-stage renal disease.

参考文献/References:

[1]中国医院协会血液净化中心分会血管通路工作组.中国血液透析用血管通路专家共识(第2版)[J].中国血液净化,2019,18(6):365-381. [2]ENE-IORDACHE B,PERICO N,BIKBOV B,et al.Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study[J].Lancet Glob Health,2016,4(5):307-319. [3]ZHANG LX,WANG F,WANG L,et al.Prevalence of chronic kidney disease in China:a cross-sectional survey[J].Lancet,2012,379 (9818):815-822. [4]COSTA PESSOA NR,DE SOUZA SOARES LIMA LH,DOS SANTOS GA,et al. Self-care actions for the maintenance of the arteriovenous fistula:an integrative review[J].Int J Nurs Sci,2020,7(3):369-377. [5]王晗,倪其泓,王预立.自体动静脉内瘘成熟影响因素及机制研究进展[J].中华普通外科杂志,2021,36(1):71-73. [6]唐丽丽,刘晓青,陈锦,等.降低肺癌患者术后静脉血栓栓塞症发生率[J].中国卫生质量管理,2021,28(12):66-70.

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更新日期/Last Update: 2022-12-28