品管圈活动对血液透析患者低血压发生率的影响  

Effect of quality control circle activities on the incidence of hypotension in hemodialysis patients

作　　者：张启丽 王联丽 范莎 温晓琴 李雪 陈琴 毛嘉艳 Zhang Qili;Wang Lianli;Fan Sha;Wen Xiaoqin;Li Xue(People's Hospital of Jinniu District,Chengdu 610036,China)

机构地区：[1]四川省成都市金牛区人民医院,610036 [2]四川省人民医院

出　　处：《现代养生》2023年第18期1394-1397,共4页Health Protection and Promotion

基　　金：成都市金牛区医学会肾病专委会课题(编号:JNQN20-21,JNZD20-14)。

摘　　要：目的 探讨血液透析患者的护理过程中,采用品管圈活动联合超滤曲线模式对降低血液透析患者低血压发生率的作用。方法 选取2022年1-4月医院血透中心接受透析治疗的90例患者为研究对象,将2022年1-2月实施常规护理的为对照组,2022年3-4月实施品管圈活动的为观察组。对照组采用常规的护理模式,观察组开展品管圈活动,采用预见性护理联合超滤曲线干预模式。观察比较两组患者透析中低血压的发生率。结果两组90例透析患者各进行了385例次的血液透析,其中观察组共计出现了血液透析相关性低血压(IDH) 18例次,发生率为4.68%,达到了预期目标值5.22%。对照组IDH发生率为11.05%,观察组患者的低血压发生率低于对照组,差异有统计学意义(P<0.05)。透析开始1h后的收缩压和舒张压比较,差异无统计学意义(P>0.05);而透析2和3h之后的收缩压和舒张压均大于对照组,差异有统计学意义(P<0.05)。全体圈员就品管圈手法运用解决问题能力、积极性、自信心、团队精神、和谐度、沟通协调和责任感方面进行评价,结果显示都得到了不同程度的提升。结论 通过开展品管圈活动的预见性护理联合超滤曲线可以有效降低透析相关性低血压的发生率,极大的提升护理工作质量,提高圈员的综合能力。Objective To explore the effect of quality control circle activity combined with ultrafiltration curve mode on reducing the incidence of hypotension in hemodialysis patients during the nursing process.Methods Totally 90patients who received dialysis treatment at the hospital's hemodialysis center from January to April 2022 were selected as the study subjects.The control group received routine care from January to February 2022,and the observation group received quality control circle activities from March to April 2022.The control group adopted a routine nursing mode,while the observation group carried out quality control circle activities,using predictive nursing combined with ultrafiltration curve intervention mode.The incidence of hypotension during dialysis was observed and compared between the two groups.Results Two groups of 90 dialysis patients each underwent 385 hemodialysis sessions,with a total of 18 intra dialysis hypotension(IDH) episodes in the observation group,with an incidence rate of 4.68%,achieving the expected target value of 5.22%.The incidence of IDH in the control group was 11.05,and the incidence of hypotension in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).There was no statistically significant difference in systolic and diastolic blood pressure after 1 hour of dialysis(P>0.05).After 2 and 3 hours of dialysis,the systolic and diastolic blood pressure were higher than those of the control group,with statistically significant differences(P<0.05).All circle members evaluated the use of problem-solving skills,enthusiasm,self-confidence,teamwork,harmony,communication and coordination,and sense of responsibility in the quality control circle,and the results showed varying degrees of improvement.Conclusion The predictive nursing combined with ultrafiltration curve through quality control circle activities can effectively reduce the incidence of dialysis related hypotension,greatly improve the quality of nursing work,and improv

关 键 词：品管圈活动 预见性护理 超滤曲线 血液透析 低血压 

分 类 号：R473.5[医药卫生—护理学]