中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (10): 876-880.doi: 10.3969/j.issn.1671-4091.2025.10.018

• 护理研究 • 上一篇    

腹膜透析护理质量多维度干预的实践探索：基于北京市质控检查的持续改进路径分析#br#

贾婉宁   王雪伶   王 倩  沙 微   夏连红   

  1. 100029 北京，中日友好医院1血液净化中心 2肾内科
    100029 北京，3北京市肾病科与血液净化质量控制与改进中心
  • 收稿日期:2025-03-07 修回日期:2025-05-14 出版日期:2025-10-12 发布日期:2025-10-12
  • 通讯作者: 王雪伶 E-mail:312446818@qq.com

Practical exploration of multi-dimensional interventions on peritoneal dialysis nursing quality: analysis of the continuous improvement path based on the quality control inspection in Beijing

JIA Wan-ning, WANG Xue-ling, WANG Qian, SHA Wei, XIA Lian-hong   

  1. Hemodialysis Center and   2Department of Nephrology, China-Japan Friendship Hospital, Beijing 100029, China; 3Beijing Nephrology and Hemodialysis Quality Control and Improvement Center, Beijing 100029, China
  • Received:2025-03-07 Revised:2025-05-14 Online:2025-10-12 Published:2025-10-12
  • Contact: 100029 北京，中日友好医院2肾内科；100029 北京，3北京市肾病科与血液净化质量控制与改进中心 E-mail:312446818@qq.com

摘要： 目的  探讨北京市腹膜透析中心护理质量管理多维度干预措施的实施效果及现存问题，为优化质控策略提供依据。 方法 采用回顾性分析法，对2023—2024年抽检的26家腹膜透析中心质控数据进行对比，分析总得分、患者培训、患者随访扣分率等指标变化，结合北京市质控中心干预措施(经验共享、信息化建设、分层督导等)评价管理效能。 结果 2023年、2024年质控总得分分别为95.00(91.00，100.00)分、96.00(94.00，99.00)分(U=302.000，P=0.506)，最低分由60.00分提升至90.50分；2024年在患者培训与随访扣分医院数低于2023年(χ2=6.718，13.499；P值分别为0.010，＜0.001)。  结论  北京市肾病与血液净化质控中心通过采取标杆引领、信息化赋能及分层督导等措施，提升腹膜透析患者培训与随访质量。建议构建“动态质控-资源适配”联动机制，推动腹膜透析护理质量均质化发展。

关键词: 腹膜透析, 护理质量管理, 多维度干预, 持续质量改进, 信息化管理

Abstract: Objective  To explore the implementation effect and existing problems of multi-dimensional intervention measures for nursing quality management in peritoneal dialysis centers in Beijing, and to provide a basis for optimizing quality control strategies.  Methods   A retrospective analysis was conducted on the quality control data of 26 randomly selected peritoneal dialysis centers from 2023 to 2024. The changes in total scores, patient training, and patient follow-up deduction rates were analyzed using t-test and chi-square test. The management effectiveness was evaluated in combination with the intervention measures of the Beijing Quality Control Center (such as experience sharing, information technology construction and hierarchical supervision).  Results The total quality control scores in 2023 and 2024 were 95.00 (91.00, 100.00) and 96.00 (94.00, 99.00) respectively (U=302.000, P=0.506), with the lowest score rising from 60.00 to 90.50. In 2024, the number of hospitals that were deducted points in patient training and follow-up was lower than that in 2023 (χ2=6.718 and13.499; P=0.010 and ＜0.001).  Conclusion  The Beijing Nephrology and Blood Purification Quality Control Center has significantly improved the quality of patient training and follow-up in peritoneal dialysis through measures such as benchmarking, information technology empowerment, and hierarchical supervision. It is recommended to establish a "dynamic quality control - resource matching" linkage mechanism to promote the homogenization development of peritoneal dialysis nursing quality.

Key words: Peritoneal dialysis, Nursing quality management, Multi-dimensional intervention, Continuous quality improvement, Information management

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