摘要
目的探讨持续质量改进（CQI）在持续性非卧床腹膜透析（CAPD）患者水负荷过多方面的应用。方法随机抽取43例CAPD患者，通过各种形式的健康教育，让患者认识到水盐控制的重要性及学会如何控制水盐的摄入，通过监测血钠、体重、饮食、尿量及超滤量，总结数据，制定整改措施，比较CQI前后水肿的发生率与水肿程度变化。结果CQI后CAPD患者的水肿发生率由86．05％下降到34．88％，中重度水肿的发生率显著下降，差异具有统计学意义（Z=-3．593，P〈0．01）。结论通过CQI，帮助患者学会控制水盐摄入，有效减少水负荷过多发生，预防心脑血管并发症，使患者的依从性进一步提高。
Objective To explore the application of CQI in CAPD patients with the problem of fluid overload. Methods 43 CAPD patients were extracted by the convenience sampling method, the patients were made to realize the importance of water-salt control and to learn how to manage the intake of water and salt through various educations, the monitored data of serum sodium, BW, UV and volume of ultra_filtration were analyzed in order to make proposal for improvement, the changes in the incidence and degree of edema were compared after CQI. Results The incidence of edema reduced from 86.05% to 34.88% and the incidence of moderate and severe edema reduced significantly with the application of CQI （ Z = - 3. 593, P 〈 0. 01 ）. Conclusions The application of CQI can help patients to learn how to manage the intake of the water and salt, to reduce the water overload effectively, to prevent the cardio-cerebrovascular complications and to improve the compliance of the patients.
出处
《中华现代护理杂志》
2011年第34期4138-4140,共3页
Chinese Journal of Modern Nursing
关键词
腹膜透析
持续性非卧床
水盐代谢
持续质量改进
Peritoneal dialysis, continuous ambulatory
Water and salt metabolic
Continuous quality improvement
