PDCA模式对维持性血液透析患者实施透析间期干体重管理的影响及护理对策

摘要

Objective To investigate the factors inlfuencing the dry weight of hemodialysis patients in maintenance hemodialysis patients and to propose nursing strategies based on PCDA model. Methods From July 2014 to December 2015 in our hospital 64 cases of maintenance hemodialysis interval dry weight of more than 5% of the patients as the research object, analysis of the reasons for the high weight of patients and based on the PDCA model of nursing measures, observation of nursing after the case of dry weight control management.Results The average nursing intervention in patients with PDCA was 8 months. during the period, the weight gain of 62 patients was 3% to 5%, the average was(3.82±0.50)%, and the effective rate was 96.88% (62/64).Conclusion In maintenance hemodialysis patientswith dialysis interval based on PDCA mode to be targeted care can be effective in patients with dry weight control in a reasonable range.%目的：探讨维持性血液透析患者透析间期干体重影响因素并基于PCDA模式提出护理对策。方法以2014年7月~2015年12月我院收治的64例维持性血液透析间期干体重超过5%的患者为研究对象，分析患者体重过高的原因并基于PDCA模式提出护理措施，观察护理后入选病例干体重控制管理情况。结果患者PDCA模式下平均护理干预8个月。期间62例患者体重增长均在3%~5%，平均（3.82±0.50）%，有效率96.88%（62/64）。结论在维持性血液透析患者透析间期基于PDCA模式予以其针对性护理可有效将患者干体重控制在合理范围内。