【摘要】 目的应用规范化血液透析管路安装预冲质量表提升管路安装预冲环节的护理质量。方法设计规范化安装预冲质量控质表,根据该质量控质内容对11家血液透析联合体机构进行调查、培训,并采用该质量控质表作为护理质量改进的评估工具,在培训前后对各家透析单位的安装预冲进行评估并反馈、讨论。结果预冲时间在质量改进前后无明显变化(t=-0.296,P=0.774),培训前后分别为(27.05±4.59)min;培训后平均(27.50±4.03)min。质量改进前后各项达标率均有所提高,总得分高于改进前,差异有统计学意义(t=-3.993,P=0.003)。研究单位对该质量控质表的均认为简单、实用。结论采用安装预冲质量控质清单进行培训与评估,具有简便性、实用性,可作为临床护士长针对血液透析安装预冲质量控制的定期评估方法,临床上仍需重视透析管路安装预冲的持续性护理质量改进。更多还原

【Abstract】 Objective To improve the quality of care in installation and pre-flush for hemodialysis therapy by applying a quality control checklist. Methods A quality control checklist to standardize the installation and pre-flush was designed and used as an evaluation tool to investigate 11 hemodialysis institutions/centers during the priming process. The medical workers in the 11 dialysis centers were then trained according to content in the checklist. The processes of installation and pre-flush of each dialysis unit were evaluated and the efficacy of the training was obtained and discussed after training. Results There was no significant difference in the priming time before and after the quality improvement(27.05 ± 4.59 vs. 27.50 ± 4.03 min;t=-0.296, P=0.774). All of the compliance rates were improved after quality improvement, and the overall score was higher after the training compared to that before the training(t=-3.993, P=0.003). All of the 11 dialysis centers considered that the checklist was quite simple and practical. Conclusion The priming quality control checklist is convenient and practical for training and evaluation. This checklist can be used by the clinical quality managers as a regular evaluation method for the quality control of installation and pre-flush for hemodialysis therapy.更多还原