中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (05): 338-341.doi: 10.3969/j.issn.1671-4091.2020.05.014

• 护理研究 • 上一篇    下一篇

规范化血液透析安装预冲质量改进的多中心研究

梁俊卿1,王颖1,马思慧2,丁红3,萝莉4,候玉霞5,郭苹6,王秀荣7,平金超8,刘冬梅9,彭颖10, 姜晓蕊11,甘良英1,左力1,王梅1   

  1. 1北京大学人民医院肾内科血液净化中心
    2北京市潞河医院血液净化中心
    3北京市密云区医院血液净化中心
    4北京大学国际医院血液净化中心
    5北京市石景山区医院血液净化中心
    6北京航空总医院血液净化中心
    7中国康复研究中心北京博爱医院血液净化中心
    8北京市昌平区医院血液净化中心
    9北京市垂杨柳医院血液净化中心
    10北京市西城区展览路医院血液净化中心
    11胶东白求恩血液净化中心

  • 收稿日期:2019-11-19 修回日期:2020-03-01 出版日期:2020-05-12 发布日期:2020-05-12
  • 通讯作者: 王颖 wangying19753344@sina.com E-mail:wangying19753344@sina.com
  • 基金资助:
    北京市科技计划项目，课题号：2107000084，基金批准号Z131107002213122

Quality improvement of standardized hemodialysis installation and pre- flush: a multicenter study

  1.  1Center of Blood Purification, Department of Nephrology, Peking University People’s Hospital, Beijing 100044, China;  2Center of Blood Purification, Beijing Luhe Hospital, Beijing 101149, China;  3Center of Blood Purification, Miyun District Hospital, Beijing 101500, China;  4Center of Blood Purification, Peking University International Hospital, Beijing 102200, China;  5Center of Blood Purification, Shijingshan District Hospital, Beijing 100043, China; 6Center of Blood Purification, Beijing Aviation General Hospital, Beijing 100012, China; 7Center of Blood Purification, Beijing Bo'ai Hospital, China Rehabilitation Research Center,Beijing 100068, China; 8Center of Blood Purification, Changping District Hospital, Beijing 102200, China; 9Center of Blood Purification, Chuiyangliu Hospital, Beijing 100022, China; 10Center of Blood Purification, Xicheng District Zhanlan Road Hospital, Beijing 100044, China;  11Jiaodong Bethune Center of Blood Purification, Jiaozhou 266300, China,
  • Received:2019-11-19 Revised:2020-03-01 Online:2020-05-12 Published:2020-05-12

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摘要： 【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制表，根据该质量控制内容对11 家血液透析联合体机构进行调查、培训，并采用该质量控制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制表的均认为简单、实用。结论采用安装预冲质量控制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。

关键词: 血液透析, 安装预冲, 质量改进

Abstract:

【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.

Key words: Hemodialysis, Installation and pre-flush, Quality improvement

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