品管圈联合持续质量改进对不卧床腹膜透析患者换液操作的影响  

Influence of quality control circle combined with continuous quality improvement on liquid change operation of patients receiving ambulatory peritoneal dialysis

作　　者：赖晓纯[1] 林慕仪 刘翠玲[1] 陈秀梅[1] 

机构地区：[1]广州医科大学附属第二医院肾内科,广州市510260

出　　处：《护理实践与研究》2017年第9期132-133,共2页Nursing Practice and Research

摘　　要：目的:通过品管圈联合持续质量改进患者换液操作情况以降低腹膜透析相关性腹膜炎的发生率。方法:定期对规律腹膜透析居家换液操作者进行操作考核及培训,并进行针对性宣教。结果:干预后患者的操作考核评分明显高于干预前(P<0.05),腹膜炎发生率从9例次下降到4例次。结论:在腹膜透析护理工作中,应不断强化无菌操作培训,提高居家腹膜透析换液操作者的依从性,才能有效控制腹膜透析相关性腹膜炎的发生。Objective：To improve the patients＇ liquid change operation through quality control circle combined with continuous quality improvement, so as to reduce the incidence rate of peritoneal dialysis related peritonitis. Methods ： The home liquid change operators of regular peritoneal dialysis were assessed and trained in operation regularly and received targeted publicity and education. Resuhs：The patients＇ operation assessment scores after intervention were significantly higher than those before intervention （ P 〈 0.05 ） , and the incidence rate of peritonitis reduced from 9 cases to 4 cases. Conclusion ： In the nurs- ing of peritoneal dialysis, we should strengthen aseptic operation training continuously, improve the compliance of home peritoneal dialysis liquid change op- erators, so as to effectively control the occurring of peritoneal dialysis related peritonitis.

关 键 词：腹膜透析 换液操作 培训 腹膜炎 

分 类 号：R473.5[医药卫生—护理学]