持续质量改进在动脉粥样硬化性肾动脉狭窄患者随访中的作用  

The influence of using continuous quality improvement program in the follow-up survey to atherosclerotic renal artery stenosis patients

作　　者：张军茹[1] 张路霞[1] 王梅[1] 王英[1] 

机构地区：[1]北京大学第一医院肾内科,100034

出　　处：《中国实用护理杂志》2006年第2期8-10,共3页Chinese Journal of Practical Nursing

基　　金：卫生部临床学科重点项目(编号:20010913)

摘　　要：目的通过护士积极参与的持续质量改进措施（CQI），来提高动脉粥样硬化性肾动脉狭窄（ARAS）患者随访的依从性，以改善患者预后。方法应用PDCA四步法：即设计（plan）-实施（do）-检验（check）-应用（act），对患者进行随访。对实施质量改进前后患者横断面的指标进行比较。结果患者的随访率显著提高（46．9％～83．8％），绝大多数患者愿意接受随访检查，如测血压、监测肾功能、定期复查彩超等。血压控制率明显改善，由45．6％提高到93．1％。结论CQI对于改善ARAS患者依从性及预后非常有益，在这一措施计划、实施的过程中护士起了不可替代的作用。Objective To improve the compliance and prognosis of patients with atherosclerotic renal artery stenosis （ARAS） by using continuous quality improvement program （CQI）. Methods Survey patients by the way of using the four- step problem- solving framework referred as the PDCA cycle, i.e. plan, do, check and act. Compare the results of patients which have obtained before and after CQI. Results The follow - up rate of patients was improved from 46.9% to 83.3%, and most of the patients are willing to enter the follow- up program. The patients are more likely to receive examinations of ARAS, such as blood pros,sure, renal function, renal artery color duplex sonography and renal scintigraphy. The control rate of blood pressure was also improved from 45.6% to 93.1% Conclusion CQI is a useful method to improve the compliance and prognosis for ARAS patients, and nurses have played an important role during the whole process,

关 键 词：持续质量改进 动脉剂样硬化 肾动脉狭窄 

分 类 号：R473.2[医药卫生—护理学]