摘要
目的探讨慢性肾衰竭腹膜透析患者行PDCA循环管理意义及患者依从性。方法选取2019年6月-2020年12月我院收治的165例慢性肾衰竭腹膜透析患者,随机将其分为对照组(n=83)和研究组(n=82),对照组进行常规管理,研究组进行PDCA循环管理。比较两组肾功能指标、护理质量、生活质量、满意度及依从性评分。结果研究组患者肾功能指标相较于对照组更趋于正常值,差异有统计学意义(P<0.05)。管理前,两组护理质量评分无明显差异(P>0.05);管理后,研究组与对照组相比,护理质量各项指标得分均显著升高,差异有统计学意义(P<0.05)。管理前,两组生活质量评分无明显差异(P>0.05);管理后,研究组、对照组生活质量得分均显著升高,与对照组比较,研究组生活质量评分升高更明显,差异有统计学意义(P<0.05)。管理前,两组满意度、依从性评分无明显差异(P>0.05);管理后,与对照组比较,研究组满意度及依从性评分更高,差异有统计学意义(P<0.05)。结论慢性肾衰竭腹膜透析患者行PDCA循环管理,患者满意度、依从性高,有利于改善其肾功能和生活质量。因此,PDCA循环管理值得临床推广应用。
Objective:To explore the significance of PDCA cycle management and patient compliance in patients with chronic renal failure undergoing peritoneal dialysis.Methods:A total of 165 peritoneal dialysis patients with chronic renal failure admitted to our hospital from June 2019 to December 2020 were randomly divided into a control group(n=83)and a study group(n=82).The control group received routine nursing,the study group received PDCA cycle management.Renal function indexes,nursing quality scores,quality of life scores,satisfaction and the compliance were compared between the two groups.Results:Compared with the control group,the renal function indexes of the patients in the study group tended to be normal,and the difference was statistically significant(P<0.05);before management,there was no significant difference in the nursing quality scores between the two groups(P>0.05).After management,compared with the control group,the scores of various indicators of nursing quality increased significantly in the study group and the difference was statistically significant(P<0.05);before management,there was no significant difference in the quality of life scores between the two groups(P>0.05).After management,the quality of life scores in the study group and the control group increased significantly.Compared with the control group,the quality of life scores in the study group increased significantly,and the difference was statistically significant(P<0.05);before management,there was no significant difference betuween the satisfaction and compliance scores of the two groups(P>0.05).After management,compared with the control group,the satisfaction and compliance scores in the study group were higher,and the difference was statistically significant(P<0.05).Conclusion:Peritoneal dialysis patients with chronic renal failure underwent PDCA cycle management,with high patient satisfaction and compliance,which is beneficial to the improvement of renal function and quality of life.Therefore,PDCA cycle management should be paid attention to clinically.
作者
李丹
康莉
薛志杰
梁亚楠
LI Dan;KANG Li;XUE Zhi-jie;LIANG Ya-nan(The Second Hospital of Tianjin Medical University,Tianjin 300211,China)
出处
《透析与人工器官》
2023年第1期73-76,99,共5页
Chinese Journal of Dialysis and Artificial Organs
关键词
慢性肾衰竭
腹膜透析
PDCA循环管理
依从性
chronic renal failure
peritoneal dialysis
PDCA cycle management
compliance
作者简介
通讯作者:康莉,E-mail:kangli2185@sina.com
