Effect of PDCA circulation management on complicationsand self-care ability of hemodialysis patients with arteriovenous internal fistula

QIAN Lei; JI Xiaojing; DAI Huanhuan; YANG Qun; XUE Jiajia; XU Jun; YU Xintao

doi:10.7619/jcmp.201913032

Journal of Clinical Medicine in Practice > 2019 > 23(13): 112-115. > DOI: 10.7619/jcmp.201913032

QIAN Lei, JI Xiaojing, DAI Huanhuan, YANG Qun, XUE Jiajia, XU Jun, YU Xintao. Effect of PDCA circulation management on complicationsand self-care ability of hemodialysis patients with arteriovenous internal fistula[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 112-115. DOI: 10.7619/jcmp.201913032

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Effect of PDCA circulation management on complicationsand self-care ability of hemodialysis patients with arteriovenous internal fistula

Blood Purification Center, Subei People′s Hospital, Yangzhou, Jiangsu, 225001

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Received Date: May 04, 2019
Accepted Date: May 31, 2019
Available Online: February 23, 2021
Published Date: July 14, 2019

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Abstract

Objective To explore the effect of PDCA circulation management on complications and self-care ability of hemodialysis patients with arteriovenous internal fistula.
Methods A total of 70 hemodialysis patients who were treated by arteriovenous fistula puncture were selected as the research objects. According to the nursing management mode, they were divided into two groups. Control group (n=35) was given routine nursing, and PDCA circulation management was given the research group (n=35). The scores of nursing work and occurrence of internal fistula occlusion, fistula infection, subcutaneous hematoma, hyperkalemia and self-care management scores after management were compared between the two groups.
Results The scores of basic nursing, nursing technology, nursing responsibility and nursing emergency ability in the study group were higher than those in the control group(P < 0.05), the incidence of complications, including internal fistula occlusion, fistula infection, subcutaneous hematoma and hyperkalemia after nursing management was lower than that in the control group(P < 0.05). The patients′ scores of self-concept, self-responsibility, self-nursing technology, mastery of health knowledge and total scores of self-nursing ability after nursing management were lower than those in the control group(P < 0.05).
Conclusion PDCA circulation management in patients with arteriovenous fistula can effectively improve nursing work and play an important role in the establishment of good nurse-patient relationship.
- PDCA circulation management,
- hemodialysis,
- arteriovenous fistula,
- complications,
- self-care ability

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[1]	叶桦, 陈咏秋, 张士玲. PDCA循环法对长期透析患者水钠控制的依从性及生活质量的影响[J]. 广东医学, 2018, 39(20): 3140-3145. doi: 10.3969/j.issn.1001-9448.2018.20.035
[2]	吴娟鸽. PDCA循环管理对血液透析动静脉内瘘患者并发症及自护能力的影响[J]. 国际护理学杂志, 2018, 37(6): 858-861. doi: 10.3760/cma.j.issn.1673-4351.2018.06.045
[3]	胡群, 陈映辉. PDCA循环法对提高血液透析护士处理内瘘疑难问题的影响[J]. 中国乡村医药, 2017, 24(10): 71-72. doi: 10.3969/j.issn.1006-5180.2017.10.041
[4]	刘欣艳, 陈莎莎, 赵婷, 等. PDCA循环结合全程健康教育对老年高血压患者自护能力及疾病认知水平的影响[J]. 中国医药导报, 2018, 15(8): 154-157, 170. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201808038.htm
[5]	邵小东. PDCA循环管理在血液透析患者内瘘维护中应用效果分析[J]. 中国卫生产业, 2017, 14(15): 79-80. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201715037.htm
[6]	康冬梅. 护理干预应用于血液透析动静脉内瘘的疗效及护理体会[J]. 实用临床医药杂志, 2016, 20(8): 135-136. doi: 10.7619/jcmp.201608043
[7]	范敏. PDCA循环管理模式对乳腺癌术后化疗患者经外周静脉穿刺中心静脉置管护理效果的影响[J]. 中国药物与临床, 2018, 18(5): 845-847. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201805101.htm
[8]	龚宝玉. PDCA循环结合阶梯式健康教育护理对2型糖尿病患者自护能力及疾病知识水平的影响[J]. 山西医药杂志, 2017, 46(12): 1499-1501. doi: 10.3969/j.issn.0253-9926.2017.12.043
[9]	林春梅, 吴志英, 缪红莉, 等. 对腹部外科手术患者实施FOCUS-PDCA循环管理模式的效果评价[J]. 新疆医科大学学报, 2018, 41(3): 315-317. doi: 10.3969/j.issn.1009-5551.2018.03.014
[10]	宋晓玉, 张旭林, 吴天英, 等. PDCA循环法在小儿肺炎患者治疗护理中的临床效果分析[J]. 实用临床医药杂志, 2017, 21(16): 211-213. doi: 10.7619/jcmp.201716075
[11]	李利, 周洪博. 自我管理与PDCA相结合在PICC置管中的应用[J]. 检验医学与临床, 2018, 15(1): 100-103. doi: 10.3969/j.issn.1672-9455.2018.01.030
[12]	叶春. FOCUS-PDCA程序配合支持性心理治疗对血液透析患者心理状态、生活质量及并发症的影响[J]. 实用医院临床杂志, 2019, 16(1): 55-58. doi: 10.3969/j.issn.1672-6170.2019.01.018
[13]	赵正清, 张渭芳, 钱进军, 等. PDCA循环结合手测量法在2型糖尿病患者饮食指导中的应用[J]. 护士进修杂志, 2017, 32(1): 45-48. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201701018.htm
[14]	尹丽霞, 陈宝敏, 袁启峰, 等. 基于PDCA循环改进肿瘤专科医院术后统计方法[J]. 解放军医院管理杂志, 2017, 24(1): 8-10. https://www.cnki.com.cn/Article/CJFDTOTAL-JFYG201701003.htm
[15]	刘丹. PDCA循环在腰椎微创手术患者术后康复健康教育的应用效果评价[J]. 中国健康教育, 2017, 33(10): 933-935, 942. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201710018.htm
[16]	聂正玉. PDCA循环管理对血液透析患者血压控制及低血压发生的影响[J]. 医疗装备, 2019, 32(8): 178-179. doi: 10.3969/j.issn.1002-2376.2019.08.118
[17]	李玲. PDCA循环管理模式在血液透析患者置管感染中的应用[J]. 实用临床护理学电子杂志, 2019(17): 174-175. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL201917146.htm
[18]	何俊, 吴丽民. PDCA循环护理对维持性血液透析患者高钾血症的影响[J]. 实用临床医药杂志, 2019, 23(5): 114-117. doi: 10.7619/jcmp.201905032
[19]	吕超群, 李瑾, 罗小花. PDCA循环管理改善血液透析患者生活质量和低血压的效果研究[J]. 中国实用医药, 2018, 13(30): 178-180. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201830102.htm
[20]	钟建芳. PDCA循环管理对血透室护理质量的影响[J]. 中医药管理杂志, 2018, 26(10): 63-64. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG201810035.htm

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