中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2014年
2期
167-169
,共3页
持续质量改进%慢性肾脏病%营养%肾功能%低蛋白饮食
持續質量改進%慢性腎髒病%營養%腎功能%低蛋白飲食
지속질량개진%만성신장병%영양%신공능%저단백음식
Continuous quality improvement%Chronic kidney disease%Nutrition%Renal function%Low protein diet
目的：探讨持续质量改进（ continous quality improvement ，CQI）对慢性肾脏病（ chronic kidney disease，CKD）患者营养状态、肾功能进展及低蛋白饮食依从性等方面的干预效果。方法回顾性分析浙江省沼兴市人民医院2012年1月30日至2012年12月30日规范治疗的485例确诊CKD患者临床资料，对患者行CQI四步法干预，对比改进前后营养状况、肾功能指标变化、患者对低蛋白饮食的认知性和依从性变化。结果经CQI干预后，患者营养状况显著提高，量表计分≥23分人群提高58.14％。改进前后尿白蛋白/肌酐（mg/g）分别为82.17和64.23，差异有统计学意义（t＝11.321，P＜0.05）。改进后有82.06％患者理解低蛋白饮食概念，实施良好。结论 CQI对CKD患者机体免疫力、营养状况、肾功能恢复有促进作用，提高患者对低蛋白饮食的认知性。
目的：探討持續質量改進（ continous quality improvement ，CQI）對慢性腎髒病（ chronic kidney disease，CKD）患者營養狀態、腎功能進展及低蛋白飲食依從性等方麵的榦預效果。方法迴顧性分析浙江省沼興市人民醫院2012年1月30日至2012年12月30日規範治療的485例確診CKD患者臨床資料，對患者行CQI四步法榦預，對比改進前後營養狀況、腎功能指標變化、患者對低蛋白飲食的認知性和依從性變化。結果經CQI榦預後，患者營養狀況顯著提高，量錶計分≥23分人群提高58.14％。改進前後尿白蛋白/肌酐（mg/g）分彆為82.17和64.23，差異有統計學意義（t＝11.321，P＜0.05）。改進後有82.06％患者理解低蛋白飲食概唸，實施良好。結論 CQI對CKD患者機體免疫力、營養狀況、腎功能恢複有促進作用，提高患者對低蛋白飲食的認知性。
목적：탐토지속질량개진（ continous quality improvement ，CQI）대만성신장병（ chronic kidney disease，CKD）환자영양상태、신공능진전급저단백음식의종성등방면적간예효과。방법회고성분석절강성소흥시인민의원2012년1월30일지2012년12월30일규범치료적485례학진CKD환자림상자료，대환자행CQI사보법간예，대비개진전후영양상황、신공능지표변화、환자대저단백음식적인지성화의종성변화。결과경CQI간예후，환자영양상황현저제고，량표계분≥23분인군제고58.14％。개진전후뇨백단백/기항（mg/g）분별위82.17화64.23，차이유통계학의의（t＝11.321，P＜0.05）。개진후유82.06％환자리해저단백음식개념，실시량호。결론 CQI대CKD환자궤체면역력、영양상황、신공능회복유촉진작용，제고환자대저단백음식적인지성。
Objective To explore the effects of the continuous quality improvement ( CQI) on recovery and health of patients with chronic kidney disease ( CKD) .Methods The clinical data of 485 cases with CKD undergoing standard treatment from Jan .30th, 2012 to Dec.30th, 2012 in Shaoxing People's Hospital were retro-spectively analyzed .A professional team introduced four-step intervention of continuous quality change .The nu-tritional status, renal function changes , and patients'cognition and compliance with low protein diet before and af-ter treatment were compared .Results The nutritional status of patients significantly improved after the treat-ment.The patients with score ≥23 points increased 58.14%.After CQI intervention , urinary albumin/creati-nine (mg/g) was calculated and it was 82.17 before treatment and 64.23 after treatment.The difference had sta-tistical significance (t=11.321,P<0.05).After the treatment, 82.06% patients understood low-protein diet concept .The treatment was implemented well and the overall data improved significantly .Conclusions CQI has beneficial effects on immunity and renal function recovery of patients with CKD .It can significantly improve the patients'nutritional status , and their cognition of low protein diet .
