中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
9期
1313-1316
,共4页
糖尿病肾病%血液透析%质量改进小组%不良情绪%满意度
糖尿病腎病%血液透析%質量改進小組%不良情緒%滿意度
당뇨병신병%혈액투석%질량개진소조%불량정서%만의도
Diabetic nephropathy%Hemodialysi%s Quality control team%Negative emotions%Satisfaction
目的：探讨临床开展持续质量改进（ QC）活动对糖尿病肾病血液透析患者负性情绪与满意度的影响。方法建立QC小组，对浙江省丽水市中心医院血液净化中心80例糖尿病肾病血液透析患者进行分析，主要包括实施前后患者的护理满意度和抑郁自评量表（ SDS ）评分、焦虑自评量表（ SAS ）评分。并找出具体的原因，制定针对性的策略，严格地遵循循证学的原理进行持续治疗改善。结果干预后80例糖尿病肾病血液透析患者的临床护理满意度为95．0％（76例），干预前患者的临床护理满意度为73．8％（59例），干预前后的护理满意度比较差异有统计学意义（P＜0．05）。干预前患者的SDS评分和SAS评分分别为（54．3±3．6）分、（55．2±4．6）分；干预后患者的SDS 评分和SAS评分分别为（32．2±1．4）分、（30．4±1．2）分；干预后患者的SDS评分和SAS评分与干预前比较，差异均有统计学意义（均P＜0．05）。结论糖尿病肾病血液透析治疗中开展QC小组活动能够改善患者不良情绪，提高患者对临床护理的满意度。
目的：探討臨床開展持續質量改進（ QC）活動對糖尿病腎病血液透析患者負性情緒與滿意度的影響。方法建立QC小組，對浙江省麗水市中心醫院血液淨化中心80例糖尿病腎病血液透析患者進行分析，主要包括實施前後患者的護理滿意度和抑鬱自評量錶（ SDS ）評分、焦慮自評量錶（ SAS ）評分。併找齣具體的原因，製定針對性的策略，嚴格地遵循循證學的原理進行持續治療改善。結果榦預後80例糖尿病腎病血液透析患者的臨床護理滿意度為95．0％（76例），榦預前患者的臨床護理滿意度為73．8％（59例），榦預前後的護理滿意度比較差異有統計學意義（P＜0．05）。榦預前患者的SDS評分和SAS評分分彆為（54．3±3．6）分、（55．2±4．6）分；榦預後患者的SDS 評分和SAS評分分彆為（32．2±1．4）分、（30．4±1．2）分；榦預後患者的SDS評分和SAS評分與榦預前比較，差異均有統計學意義（均P＜0．05）。結論糖尿病腎病血液透析治療中開展QC小組活動能夠改善患者不良情緒，提高患者對臨床護理的滿意度。
목적：탐토림상개전지속질량개진（ QC）활동대당뇨병신병혈액투석환자부성정서여만의도적영향。방법건립QC소조，대절강성려수시중심의원혈액정화중심80례당뇨병신병혈액투석환자진행분석，주요포괄실시전후환자적호리만의도화억욱자평량표（ SDS ）평분、초필자평량표（ SAS ）평분。병조출구체적원인，제정침대성적책략，엄격지준순순증학적원리진행지속치료개선。결과간예후80례당뇨병신병혈액투석환자적림상호리만의도위95．0％（76례），간예전환자적림상호리만의도위73．8％（59례），간예전후적호리만의도비교차이유통계학의의（P＜0．05）。간예전환자적SDS평분화SAS평분분별위（54．3±3．6）분、（55．2±4．6）분；간예후환자적SDS 평분화SAS평분분별위（32．2±1．4）분、（30．4±1．2）분；간예후환자적SDS평분화SAS평분여간예전비교，차이균유통계학의의（균P＜0．05）。결론당뇨병신병혈액투석치료중개전QC소조활동능구개선환자불량정서，제고환자대림상호리적만의도。
Objective To investigate the clinical effects of quality control ( QC) group activities on nega-tive emotions and satisfaction for hemodialysis patients with diabetic nephropathy .Methods QC group was estab-lished, status quo of eighty hospital hemodialysis patients with diabetic nephropathy in blood purification , from Lishui Central Hospital , were investigated and analyzed , including patient care before and after implementation of satisfaction and self-rating depression scale (SDS) scores, self-rating anxiety scale (SAS) score.The specific rea-sons were identified and targeted strategies were developed with strictly followed principles of evidence -based treat-ment of school-going improvements.Results Satisfaction of clinical care of patients was 95.0%(76 cases) after the intervention;clinical care and patient satisfaction was 73.8%(59 cases) before the intervention;nursing satis-faction before and after the intervention were statistically significantly different ( P<0 .05 ) .SDS scores and SAS scores of patients before intervention were (54.3 ±3.6), (55.2 ±4.6 ), respectively;SDS score and SAS score after the intervention were (32.2 ±1.4), (30.4 ±1.2), respectively.Compared with those before intervention , the patient′s SDS score and SAS score after the intervention was statistically significant ( P <0.05 ) . Conclusion Hemodialysis treatment of diabetic nephropathy in the QC group activities can improve patients ′bad mood and improve clinical care satisfaction .
