【摘要】 目的通过持续质量改进的方法改善血液透析患者的贫血状态,并观察纠正贫血与患者住院率的关系。方法对90例维持性血液透析患者进行随访,应用PDCA四步法,即设计(plan)-实施(do)-检验(check)-应用(Act),设计并实施改善患者贫血的治疗流程。结果在持续质量改进后,患者的平均血红蛋白水平由(101.20±18.05)g/L上升至(109.80±16.67)g/L(P<0.01),血红蛋白≥110g/L患者的比例从42.2%上升至52.2%。促红细胞生成素用量没有显著性改变,铁充足患者的比例明显增加。血红蛋白水平低于110g/L的患者住院率显著高于≥110g/L者。结论持续质量改进的方法可以显著改善维持性血透患者的贫血状态。更多还原

【Abstract】 Objective To observe the relationship between the anemia and hospitalization rate through improving anemia management in hemodialysis patients using continuous quality improvement (CQI). Methods 90 hemodialysis patients were dialyzed. The CQI team-oriented approach was driven by a four-step process called PDCA cycle-plan: plan, do, check and act. Results The hemoglobin increased from (101.20±18.05) g/L to (109.80±16.67) g/L(P<0.01). The proportion of patients with Hb≥110 g/L increased from 42.2% to 52.2% .The proportion of patients with iron sufficiency increased. The weekly dose of rhEPO did not change significantly. The hospitalization rate of the patients with Hb<110 g/L was significantly higher than those of the patients with Hb≥110 g/L. Conclusion Continuous quality improvement program can improve the management of anemia in hemodialysis patients.更多还原