关键监测指标在腹膜透析患者容量管理中的应用效果  

Effects of key performance indicators in volume management of patients undergoing peritoneal dialysis

作　　者：王青尔[1] 周婷婷[1] 吕桂兰[1] 孙慧敏[1] 谌璐[1] 钱凯[1] 李涛彧 俞雨生[1] 

机构地区：[1]南京军区南京总医院全军肾脏病研究所,南京市210002

出　　处：《中华护理杂志》2014年第6期661-666,共6页Chinese Journal of Nursing

摘　　要：目的探讨关键监测指标在腹膜透析患者容量管理中的临床效果。方法回顾性分析本中心腹膜透析患者死亡和退出原因,寻找主要危险因素,建立本中心容量控制关键监测指标管理体系,将监督、管理、反馈、干预机制贯穿于关键监测指标实施的全过程,并用客观数据对本中心各阶段质量进行分时段评价。结果将关键监测指标实施于405例腹膜透析患者12个月后,患者的血压监测达标率从78.5%上升至92.1%,门诊随访率从86.2%上升至92.6%,临床检测指标完成率从72.4%上升至84.6%,差异均具有统计学意义。实施关键监测指标管理体系后,患者的心胸比、BMI及相关临床指标控制稳定。随访期间因心血管并发症死亡1例(0.2%);因容量超负荷终止腹膜透析转血液透析治疗2例(0.4%),接受肾移植10例(2%),失访1例(0.2%)。结论关键监测指标管理体系在腹膜透析患者容量管理中的应用,可以有效地提高腹膜透析患者的生存质量。Objective To evaluate the clinical effect of key performance indicators（KPI） used in volume manage- ment of patients undergoing peritoneal dialysis. Methods The reasons and risk factors of death or quit in the peritoneal dialysis center were retrospectively analyzed. Then,the key performance indicators were identified and applied in volume management of 405 patients undergoing peritoneal dialysis for 12 months. Results The patient＇s blood pressure monitor success rate increased from 78.5% to 92.1%,clinic visit rate increased from 86.1% to 92.6%, clinic test completion rate increased from 72.4% to 84.6%. During the follow-up, one case（0.2%） died of cardiovascular compli-cations,two cases（0.4%） transferred to hemodialysis due to volume overload, 10 cases（2%） received kidney transplantation and one case（0.2%） dropped out. Conclusion Application of key performance indica- tors in volume management of patients undergoing peritoneal dialysis can effectively improve the patients＇ quality of life.

关 键 词：腹膜透析 关键监测指标 生活质量 

分 类 号：R473.5[医药卫生—护理学]