Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center_West China Medical Journal

Authors：

 LiuLi , ChenLin , CaoXiaoyi , MaKangying

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

Corresponding author：

Keywords：

PDCA cycle; Hemodialysis; Patients' satisfaction; Holistic responsibility care

DOI：

10.7507/1002-0179.20160036

Video：

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Objective To investigate the effect of PDCA cycle on the overall nursing care of patients in the hemodialysis center. Methods Twenty hemodialysis patients between June and July 2014 were randomly selected as the intervention group, and another 20 hemodialysis patients between March and April 2014 were chosen as the control group. We compared the two groups of patients in terms of patients' satisfaction and the overall care quality of the nurses. Results One month after the intervention, patients in the intervention group had a significantly higher satisfaction rate than the control group (P<0.05); Nurses in the intervention group achieved significantly higher scores in basic requirements, basic items and effect evaluation than those in the control group (P<0.05). Conclusion PDCA cycle can effectively improve the overall quality of nursing care in hemodialysis center and improve patients' satisfaction.

Citation： LiuLi, ChenLin, CaoXiaoyi, MaKangying. Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center. West China Medical Journal, 2016, 31(1): 128-130. doi: 10.7507/1002-0179.20160036 Copy

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9.	张淑敏, 贾宇静, 孙敏. PDCA循环在提高病人满意度中的应用[J]. 现代护理, 2005(2):92-93.
10.	王世英, 李敏, 陈春花, 等. 出院患者延续健康教育的做法及体会[J]. 解放军护理杂志, 2010, 27(18):1422-1424.
11.	杨菊花, 贺伟, 彭守华. 应用PDCA循环对妇科肿瘤术后患者实施镇痛管理[J]. 护士进修杂志, 2012, 27(5):421-422.
12.	王旭. 运用PDCA循环管理提升普外科非计划性拔管风险患者安全[J]. 中国医学创新, 2013(13):144-145.
13.	张欣. 应用PDCA循环管理方法在持续提高医院优质护理服务质量的效果[J]. 齐鲁护理杂志, 2011, 17(30):1-3.
14.	Mchugh MD, Lake ET. Understanding clinical expertise:nurse education, experience, and the hospital context[J]. Res Nurs Health, 2010, 33(4):276-287.
15.	朱丽, 丁晓仙. PDCA循环管理在血液透析患者健康教育中的应用研究[J]. 中国医学创新, 2011, 8(30):137-139.

1. 余雯雯, 陈林, 刁永书, 等. 维持性血液透析患者疲劳程度相关因素分析[J]. 华西医学, 2015, 30(5):851-854.
2. Castner D. Understanding the stages of chronic kidney disease[J]. Nursing, 2010, 40(5):24-31; quiz 31-32.
3. 邵卫红, 朱生娣, 俞江英, 等. PDCA循环管理对血透患者护理质量和并发症的影响[J]. 中医药管理杂志, 2015, 1(2):60-62.
4. 武蓓, 王梅, 赵慧萍, 等. 持续质量改进在减少腹膜透析患者腹膜炎发生中的作用[J]. 中国血液净化, 2010, 9(10):534-537.
5. 王平, 卢岩, 徐朝艳, 等. PDCA循环在我国护理领域应用的进展[J]. 解放军护理杂志, 2003, 20(4):47-49.
6. 赵惠芳, 李沛强. 管理学[M]. 杭州:浙江大学出版社, 2011:34.
7. 宋世麦, 倪佃芳, 仲崇翠, 等. 应用临床护理路径对心肌梗死病人进行健康教育[J]. 现代医药卫生, 2005, 21(1):17-18.
8. 方水芹. PDCA管理在病人满意度评价中的应用研究[J]. 护理研究, 2013, 27(10):928-930.
9. 张淑敏, 贾宇静, 孙敏. PDCA循环在提高病人满意度中的应用[J]. 现代护理, 2005(2):92-93.
10. 王世英, 李敏, 陈春花, 等. 出院患者延续健康教育的做法及体会[J]. 解放军护理杂志, 2010, 27(18):1422-1424.
11. 杨菊花, 贺伟, 彭守华. 应用PDCA循环对妇科肿瘤术后患者实施镇痛管理[J]. 护士进修杂志, 2012, 27(5):421-422.
12. 王旭. 运用PDCA循环管理提升普外科非计划性拔管风险患者安全[J]. 中国医学创新, 2013(13):144-145.
13. 张欣. 应用PDCA循环管理方法在持续提高医院优质护理服务质量的效果[J]. 齐鲁护理杂志, 2011, 17(30):1-3.
14. Mchugh MD, Lake ET. Understanding clinical expertise:nurse education, experience, and the hospital context[J]. Res Nurs Health, 2010, 33(4):276-287.
15. 朱丽, 丁晓仙. PDCA循环管理在血液透析患者健康教育中的应用研究[J]. 中国医学创新, 2011, 8(30):137-139.

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Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center

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