基于FOCUS-PDCA的预防护理在血液透析患者中的应用效果  

Application effects of prevention nursing based on FOCUS-PDCA in hemodialysis patients

作　　者：陈晨晨 CHEN Chenchen(Department of Blood Purification of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000 Henan,China)

机构地区：[1]河南科技大学第一附属医院血液净化科,河南洛阳471000

出　　处：《中国民康医学》2024年第14期170-172,182,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于质量持续改进管理程序(FOCUS-PDCA)的预防护理在血液透析患者中的应用效果。方法:选取2019年1月至2022年1月于该院行血液透析的82例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各41例。对照组实施常规护理,观察组实施基于FOCUS-PDCA的预防护理。比较两组尿素清除指数(Kt/V)达标率、营养状况[改良主观综合评估法(MQSGA)]评分、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[简明健康状况量表(SF-36)]评分和并发症发生率。结果:观察组Kt/V达标率高于对照组,MQSGA评分低于对照组,差异均有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组生理功能、生理职能、躯体疼痛、社会功能、情感职能、精力、心理健康、总体健康等各项SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为9.75%(4/41),低于对照组的26.83%(11/41),差异有统计学意义(P<0.05)。结论:基于FOCUS-PDCA的预防护理应用于血液透析患者可提高Kt/V达标率和生命质量评分,降低营养状况评分、负性情绪评分和并发症发生率,效果优于单纯常规护理。Objective:To observe application effects of prevention nursing based on Find Organize Clarify Understand Select Plan Do Check Act(FOCUS-PDCA)in hemodialysis patients.Methods:A prospective study was conducted on 82 patients who underwent hemodialysis in the hospital from January 2019 to January 2022.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine nursing,while the observation group was given the prevention nursing based on FOCUS-PDCA.The urea clearance index(Kt/V)compliance rate,the nutritional status[modified quantitative subjective global assessment(MQSGA)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores before and after the nursing,the quality of life[short form health survey(SF-36)]score,and the incidence of complications were compared between the two groups.Results:The Kt/V compliance rate of the observation group was higher than that of the control group,the MQSGA score was lower than that of the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SF-36 scores of physiological function,physiological role,physical pain,social function,emotional function,vitality,mental health and overall health in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Furter,the incidence of complications in the observation group was 9.75%(4/41),which was lower than that in the control group 26.83%(11/41),and the difference was statistically significant(P<0.05).Conclusions:The prevention nursing based on FOCUS-PDCA in the hemodialysis patients can improve the Kt/V compliance

关 键 词：质量持续改进管理程序 预防护理 血液透析 负性情绪 生命质量 营养状况 

分 类 号：R473.5[医药卫生—护理学]