[1]高菊林辛霞车文芳梁珊珊刘小敏.应用护理敏感质量指标提升血液透析质量[J].中国卫生质量管理,2018,25(05):67-70.[doi:10.13912/j.cnki.chqm.2018.25.5.21]

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应用护理敏感质量指标提升血液透析质量

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第25卷期数: 2018年05期页码: 67-70 栏目: 护理质量出版日期: 2018-09-28

作者:: 高菊林辛霞车文芳梁珊珊刘小敏; 西安交通大学第一附属医院

关键词:: 血液透析; 护理敏感质量指标; 质量改进

Keywords:: Hemodialysis; Nursing Sensitive Quality Indicators; Quality Improvement

DOI:: 10.13912/j.cnki.chqm.2018.25.5.21

摘要:: 目的探讨护理敏感质量指标在血液透析护理质量持续改进中的应用效果。方法通过德尔菲法确定血液透析敏感指标共计11项，并于2017年4月—9月应用在血液透析质量评估中，运用SPSS 20.0统计软件对收集的指标数据进行分析。结果11项血液透析护理敏感质量指标中，护患比符合国家标准，透析中急性并发症发生率、透析超滤达标率、透析充分性达标率、门诊透析患者急诊透析率和内瘘并发症发生率等5项指标第三季度与第二季度相比，差异有统计学意义( P＜0.05)，体外循环凝血发生率、体外循环失血发生率、假性动脉瘤发生率、透析患者

Abstract:: ObjectiveTo explore the application of nursing sensitive quality indicators in continuous improvement of hemodialysis nursing quality. MethodsThere were eleven hemodialysis sensitivity indicators determined by the Delphi method which was applied in the quality assessment of hemodialysis nursing from April to September 2017. The collected data on the indicators were analyzed by the SPSS 20.0 statistical software. ResultsAmong the eleven indicators, the proportion of nurses to patients met the national requirement. There had statistical significance on the five indicators (the incidence of emergency complications in dialysis, the ultrafiltration rate, the dialysis adequacy rate, the proportion of emergency dialysis among outpatient dialysis patients, and the incidence of internal fistula complication) between the third quarter and the second quarter (P< 0.05). No statistical significance was found on the other five indicators (the incidence of coagulation in extracorporeal circuit, the incidence of bleeding during the cardiopulmonary bypass, the incidence of pseudoaneurysm, the incidence of falls and the incidence of catheter related bloodstream infections in hemodialysis patients) between the third quarter and the second quarter (P> 0.05). However, there were still a reduction in these five indicators, and the incidence of bleeding during cardiopulmonary bypass, pseudoaneurysm and the incidence of dialysis patients the incidence of falls was zero in the third quarter.Conclusion The eleven hemodialysis nursing sensitive indicators were in line with scientific, practical and sensitive principles, and suitable for the current hemodialysis nursing clinical practice.

参考文献/References:

［1］张华芳，黄丽华. 护理质量敏感性指标的研究进展［J］. 中华护理杂志，2014，49（8）：992-993.

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更新日期/Last Update: 2018-09-28