Impact of Continuous Quality Improvement on the Quality of Life and Complications in End-stage Hemodialysis Patients_West China Medical Journal

Authors：

 LIUSi-nan , CHENLin , MAChun-yan , YANXue-ping

Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Continuous quality improvement; End-stage hemodialysis; Life quality; Complication

DOI：

10.7507/1002-0179.20150490

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the impact of continuous quality improvement on the quality of life and complications in end-stage hemodialysis patients. Method We reviewed the clinical data of 128 end-stage renal disease patients undergoing hemodialysis from January 2013 to January 2014. The patients were divided into observation group and control group randomly with 64 patients in each. Patients in the control group received routine nursing only during hemodialysis, while those in the observation group received extra continuous quality improvement nursing on the basis of routine one. Quality of life of the two groups of patients was evaluated by World Health Organization Quality of Life Scale-brief before and after intervention. Adverse reactions during hemodialysis were also observed in these two groups. Results The incidences of hypotension, malnutrition, thrombosis, infection and arrhythmia in the observation group were significantly lower than those in the control group (P<0.05). Psychological dimension, social dimension, physiological adaptability and total scales of quality of life in the observation group were significantly better than those in the control group (P<0.05). Conclusions Continuous quality improvement of nursing reduces the rates of complications and improves patients' quality of life.

Citation： LIUSi-nan, CHENLin, MAChun-yan, YANXue-ping. Impact of Continuous Quality Improvement on the Quality of Life and Complications in End-stage Hemodialysis Patients. West China Medical Journal, 2015, 30(9): 1713-1715. doi: 10.7507/1002-0179.20150490 Copy

1.	唐叶英, 罗美珍, 刘望英, 等. 持续质量改进在减少血液透析中失血的应用[J]. 全科护理, 2011, 9(1):20-21.
2.	陈献广, 吴华, 孙慧娟, 等. 维持性血液透析患者持续质量改进对预后的影响[J]. 北京医学, 2011, 33(2):111-115.
3.	李锐钊, 梁馨苓, 陈源汉, 等. 持续低效缓慢血液透析与普通血液透析在终末期糖尿病肾病患者中的对照研究[J]. 实用医学杂志, 2011, 27(22):4005-4007.
4.	陈文璇, 何筱娴, 李雪梅, 等. 持续质量改进对血液透析留置导管患者护理质量的影响[J]. 齐鲁护理杂志, 2013, 19(9):71-72.
5.	于淑娟, 徐由伟, 初月美, 等. 护理干预对血液透析患者生存质量影响的研究[J]. 中国实用护理杂志, 2013, 29(11):23-25.
6.	邱模炎. 调理脾胃灸法改善尿素症血透患者生存质量的临床研究[D]. 北京:中国中医科学院, 2012.
7.	刘立春, 张梅, 吴汉利, 等. 血液透析患者生存质量调查及危险因素研究[J]. 中华行为医学与脑科学杂志, 2011, 20(11):1029-1031.
8.	徐清娥, 谢海清. 社会支持对血液透析患者生存质量影响研究[J]. 现代预防医学, 2011, 38(18):3818-3819.
9.	马逊, 王蓉花, 朱亚梅, 等. 持续质量改进在血液透析患者内瘘并发症预防中的应用[J]. 实用临床医药杂志, 2013, 17(4):48-49.
10.	彭薇. 体重指数对血液透析者生存质量的影响[J]. 国际移植与血液净化杂志, 2013, 11(6):11-13.
11.	张英, 韩咏梅, 李小萌, 等. 持续质量改进对维持性血透患者自体动静脉内瘘并发症的影响[J]. 护士进修杂志, 2013, 28(18):1721-1723.
12.	吴艳青. 临床路径在维持性血液透析病人健康教育中的应用研究[D]. 石家庄:河北医科大学, 2011.
13.	蒲蕾, 洪大情, 何强, 等. 维持性血液透析患者住院及死亡事件分析[J]. 中国血液净化, 2013, 12(2):107-109.
14.	凌芳. 持续质量改进在血液透析患者管理中的应用效果分析[J]. 医学信息, 2013(21):150.
15.	陈荣姣, 邓素红, 韦红, 等. 持续质量改进对血液透析患者营养不良的影响[J]. 护理实践与研究, 2010, 7(14):9-11.

1. 唐叶英, 罗美珍, 刘望英, 等. 持续质量改进在减少血液透析中失血的应用[J]. 全科护理, 2011, 9(1):20-21.
2. 陈献广, 吴华, 孙慧娟, 等. 维持性血液透析患者持续质量改进对预后的影响[J]. 北京医学, 2011, 33(2):111-115.
3. 李锐钊, 梁馨苓, 陈源汉, 等. 持续低效缓慢血液透析与普通血液透析在终末期糖尿病肾病患者中的对照研究[J]. 实用医学杂志, 2011, 27(22):4005-4007.
4. 陈文璇, 何筱娴, 李雪梅, 等. 持续质量改进对血液透析留置导管患者护理质量的影响[J]. 齐鲁护理杂志, 2013, 19(9):71-72.
5. 于淑娟, 徐由伟, 初月美, 等. 护理干预对血液透析患者生存质量影响的研究[J]. 中国实用护理杂志, 2013, 29(11):23-25.
6. 邱模炎. 调理脾胃灸法改善尿素症血透患者生存质量的临床研究[D]. 北京:中国中医科学院, 2012.
7. 刘立春, 张梅, 吴汉利, 等. 血液透析患者生存质量调查及危险因素研究[J]. 中华行为医学与脑科学杂志, 2011, 20(11):1029-1031.
8. 徐清娥, 谢海清. 社会支持对血液透析患者生存质量影响研究[J]. 现代预防医学, 2011, 38(18):3818-3819.
9. 马逊, 王蓉花, 朱亚梅, 等. 持续质量改进在血液透析患者内瘘并发症预防中的应用[J]. 实用临床医药杂志, 2013, 17(4):48-49.
10. 彭薇. 体重指数对血液透析者生存质量的影响[J]. 国际移植与血液净化杂志, 2013, 11(6):11-13.
11. 张英, 韩咏梅, 李小萌, 等. 持续质量改进对维持性血透患者自体动静脉内瘘并发症的影响[J]. 护士进修杂志, 2013, 28(18):1721-1723.
12. 吴艳青. 临床路径在维持性血液透析病人健康教育中的应用研究[D]. 石家庄:河北医科大学, 2011.
13. 蒲蕾, 洪大情, 何强, 等. 维持性血液透析患者住院及死亡事件分析[J]. 中国血液净化, 2013, 12(2):107-109.
14. 凌芳. 持续质量改进在血液透析患者管理中的应用效果分析[J]. 医学信息, 2013(21):150.
15. 陈荣姣, 邓素红, 韦红, 等. 持续质量改进对血液透析患者营养不良的影响[J]. 护理实践与研究, 2010, 7(14):9-11.

West China Medical Journal

Impact of Continuous Quality Improvement on the Quality of Life and Complications in End-stage Hemodialysis Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content