护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2015年
1期
1-4
,共4页
护患合作%质量控制小组%血液透析%液体摄入依从性
護患閤作%質量控製小組%血液透析%液體攝入依從性
호환합작%질량공제소조%혈액투석%액체섭입의종성
Nurse-patient cooperation%Quality control group%Hemodialysis%Adherence to fluid intake
目的::探讨开展护患合作型质量控制小组活动,对提高维持性血液透析( MHD)患者液体摄入依从性的效果。方法:本研究通过对MHD患者不能有效限制液体摄入的原因进行分析,设定目标,制订实施对策,包括完善护士理论知识培训考核,加强液体摄入健康教育,完善宣教资料及控制液体教具,协议个性化液体摄入控制方案,建立家庭支持系统,修订健康教育标准路径。比较实施前后患者对液体摄入的依从性和满意度。结果:实施6个月后患者对液体摄入的依从性明显优于活动前(P<0.05)。患者对液体摄入健康教育的满意度由活动前的80.59%提高到活动后的92.54%,经比较有统计学意义(P<0.05)。结论:采用护患合作型质量控制小组活动对MHD患者控制液体摄入的方法进行持续质量改进,可有效提高患者液体摄入依从性,使透析间期体质量增加值控制在规定范围内,有效提高了患者对液体摄入健康教育的满意度,体现了优质护理服务的内涵。
目的::探討開展護患閤作型質量控製小組活動,對提高維持性血液透析( MHD)患者液體攝入依從性的效果。方法:本研究通過對MHD患者不能有效限製液體攝入的原因進行分析,設定目標,製訂實施對策,包括完善護士理論知識培訓攷覈,加彊液體攝入健康教育,完善宣教資料及控製液體教具,協議箇性化液體攝入控製方案,建立傢庭支持繫統,脩訂健康教育標準路徑。比較實施前後患者對液體攝入的依從性和滿意度。結果:實施6箇月後患者對液體攝入的依從性明顯優于活動前(P<0.05)。患者對液體攝入健康教育的滿意度由活動前的80.59%提高到活動後的92.54%,經比較有統計學意義(P<0.05)。結論:採用護患閤作型質量控製小組活動對MHD患者控製液體攝入的方法進行持續質量改進,可有效提高患者液體攝入依從性,使透析間期體質量增加值控製在規定範圍內,有效提高瞭患者對液體攝入健康教育的滿意度,體現瞭優質護理服務的內涵。
목적::탐토개전호환합작형질량공제소조활동,대제고유지성혈액투석( MHD)환자액체섭입의종성적효과。방법:본연구통과대MHD환자불능유효한제액체섭입적원인진행분석,설정목표,제정실시대책,포괄완선호사이론지식배훈고핵,가강액체섭입건강교육,완선선교자료급공제액체교구,협의개성화액체섭입공제방안,건립가정지지계통,수정건강교육표준로경。비교실시전후환자대액체섭입적의종성화만의도。결과:실시6개월후환자대액체섭입적의종성명현우우활동전(P<0.05)。환자대액체섭입건강교육적만의도유활동전적80.59%제고도활동후적92.54%,경비교유통계학의의(P<0.05)。결론:채용호환합작형질량공제소조활동대MHD환자공제액체섭입적방법진행지속질량개진,가유효제고환자액체섭입의종성,사투석간기체질량증가치공제재규정범위내,유효제고료환자대액체섭입건강교육적만의도,체현료우질호리복무적내함。
Objective:To investigate the collaborative nurse quality control team activities,to improve the patients with maintenance hemodialysis ( MHD) effect of fluid intake compliance. Methods:The study of maintenance hemodialysis patients cannot effectively restrict fluid intake,analysed the reasons and set goals,formulate implementation measures,including perfecting the nurse theory knowledge training,strengthen the liquid intake of health education,im-prove the teaching AIDS,mission profile and water control protocol individualized fluid intake control scheme,a family support system,revised standard health education path. Comparison before and after the implementation of patient compliance and satisfaction of fluid intake. Results:The patients undergoing after six months,compliance of liquid intake activity was obviously better than the former (P<0. 05). Activities before the patients health education to liq-uid intake of satisfaction was 80. 59%,after the desired target by 92. 54%. Conclusion:The nurse collaborative quality control team activity in patients with MHD control fluid intake method for continuous quality improvement, which can effectively improve patient′s fluid intake compliance,make dialysis period between the added value of body quality control within the prescribed scope. Effectively improve the patient satisfaction of liquid intake of health education, embodies the connotation of the quality of nursing service.