【摘要】 目的通过持续质量改进(CQI)的PDCA方法,改善腹膜透析患者的容量超负荷状态,减少心血管并发症,提高患者生存质量。方法对135例透析龄超过3个月的腹膜透析患者,要求每月随访时提供透析日志,在CQI实施前后监测心脏超声指标LVEF及LVEDD,运用PDCA循环法,设计并实施纠正患者容量超负荷的流程。结果高血压发生率由69.63%降至27.40%,高血压伴水肿的发生率由23.70%降至10.37%,充血性心衰的发生率由4.50%降至0.74%,1年内新增患者76例无1例发生心衰。结论通过持续质量改进措施对尿毒症腹膜透析患者的容量负荷状态进行管理,减少了心血管并发症的发生率,提高了患者的生存质量。更多还原

【Abstract】 Objective Hypervolemia is one of important risk factors of cardiovascular complications in peritoneal patients, to improve the life quality in peritoneal patients,a continuous quality improvement(CQI) approach that mainly focused on volume management is implemented.Methods 135 peritoneal dialysis patients who dialyzed for more than 3 months were included in this study.Patients were asked to provide their dialysis records at monthly visit. Left ventricular ejection fraction(LVEF) and Left ventricular end-diastolic diameter( LVEDD) were checked before and after the implementation of CQI.Using PDCA process to improve the volume management. Results Incidence of hypertention is reduced from 69.63% to 27.40%,edema companied by hypertention from 23.70% to 10.37%, Congestive heart failure from 4.50% to 0.74%, 76 new patients within one year no heart failure. Conclusion Through continuous quality improvement measures in peritoneal dialysis patients with load state management, the incidence of cardiovascular complications has been reduced, the quality of life of patients is improved.更多还原