透析设备质量管理在肺癌伴慢性肾衰患者治疗中的效果评价  

Evaluation on the value of the quality management of dialysis equipment in treating patients with lung cancer with chronic renal failure

作　　者：赵世财 石平[1] 陈旭萍 田丰丹 王波 ZHAO Shi-cai;SHI Ping;CHEN Xu-ping(Department of Respiratory and Critical Care Medicine,Guangyuan Central Hospital,Guangyuan 628000,China)

机构地区：[1]广元市中心医院呼吸与危重症医学科,四川广元628000 [2]广元市中心医院肾病内科,四川广元628000

出　　处：《中国医学装备》2022年第10期122-126,共5页China Medical Equipment

摘　　要：目的:探讨透析设备规范化管理模式在肺癌伴慢性肾衰患者血液透析中的应用价值。方法:选取医院收治的116例肺癌伴慢性肾衰透析患者,根据入院时间的不同分为对照组(52例)和观察组(64例),对照组患者治疗中的透析设备采用以日常检测和阶段检测为主的检测式管理模式;观察组采用规范化管理模式,从电气安全、供水质量、设备监测、制度建设和人员培训5方面构建规范化管理路径,组织实施循环式质量改进和提高活动。对比两组透析设备感染控制质量、透析治疗质量和并发症控制质量。结果:观察组患者透析设备的消毒合格率和供水污染控制率优于对照组,肝炎发病率低于对照组,差异有统计学意义(x^(2)=9.388,x^(2)=14.717,x^(2)=5.049;P<0.05);观察组患者透析治疗的尿素清除率(UCL)控制率、尿素下降率(URR)控制率、体重增长控制率和动静脉内瘘控制率高于对照组,差异有统计学意义(x^(2)=7.330,x^(2)=6.723,x^(2)=7.098,x^(2)=12.193;P<0.05);观察组患者高血压、贫血、低蛋白血症和慢性肾脏病-矿物质与骨异常(CKD-MBD)并发症比例低于对照组,差异有统计学意义(x^(2)=4.680,x^(2)=11.897,x^(2)=11.555,x^(2)=11.359;P<0.05)。结论:透析设备规范化管理可降低设备相关的感染比例,提高血液透析临床效果,有效控制透析相关并发症发病率。Objective: To explore the standardized management mode of dialysis equipment, and evaluate the application value of that in hemodialysis of patients with lung cancer with chronic renal failure. Methods: A total of 116 patients with lung cancer with chronic renal failure who admitted to hospital were selected, and they were divided into control group(52 cases) and observation group(64 cases) according to different time of admission to hospital.The control group adopted detection management mode for dialysis equipment, which mainly used daily detection and stage detection. The observation group adopted standardized management mode, which constructed standard management pathway and performed organization and implementation of quality improvement(QI) and improved action with circulation mode from 5 aspects included electric safety, the quality of water supply, equipment monitoring,system construction and personnel training. And then, the quality of infection control, the quality of dialysis treatment and the quality of controlling complication between two groups were compared. Results: The qualified rate of disinfection and the control rate of water supply pollution of dialysis equipment of observation group were significantly better than those of control group, and the incidence rate of hepatitis of observation group was less than that of control group(x^(2)=9.388, x^(2)=14.717, x^(2)=5.049, P<0.05);The controlled rates of urea clearance(UCL), urea reduction rata(URR), weight growth and arteriovenous fistula of observation group were significantly higher than those of control group(x^(2)=7.330, x^(2)=6.723, x^(2)=7.098, x^(2)=12.193, P<0.05);The incidence ratios of the complications of hypertension,anemia, hypoproteinemia, chronic kidney disease-mineral and bone disorder(CKD-MBD) of observation group were significantly lower than those of control group(x^(2)=4.680, x^(2)=11.897, x^(2)=11.555, x^(2)=11.359, P<0.05). Conclusion:Standardized management of dialysis equipment can reduce the ratio of equipment-related inf

关 键 词：肺癌 慢性肾衰 血液透析设备 并发症 规范化管理 

分 类 号：R197.39[医药卫生—卫生事业管理]