Clinical nursing application of continuous quality improvement program to prevent hypotension in hemodialysis patients
持续质量改进方案预防血液透析患者低血压的临床护理应用研究

摘要

目的 探究血液透析中执行持续质量改进方案对于预防低血压的效用。方法 2023年7月至2024年4月期间的58例血液透析患者，借助双盲法分为对照组、研究组，对照组27例执行常规干预，研究组31例执行持续质量改进方案。比较两组干预前后的血压及负性情绪，对比低血压发生。比较血透完成及提前下机情况，以及患者对护理干预的满意度。结果 研究组干预后的血压水平、负性情绪评分均优于对照组，且发生低血压的患者数少于对照组（P<0.05）；研究组透析完成率高于对照组，提前下机率低于对照组，且对护理干预的满意度高于对照组，差异P<0.05。结论 对血液透析患者执行持续质量改进方案能在预防低血压方面取得积极效果，值得推行。

Abstract

Objective To explore the effect of continuous quality improvement program in hemodialysis on the prevention of hypotension.
Methods From July 2023 to April 2024, 58 hemodialysis patients were divided into control group and study group by double-blind method. 27 patients in the control group received routine intervention, and 31 patients in the study group received continuous quality improvement program. The blood pressure and negative emotion before and after intervention were compared between the two groups, and the occurrence of hypotension was compared.
Results After intervention, the blood pressure level and negative emotion score of the study group were better than those of the control group, and the number of patients with hypotension was less than that of the control group (P<0.05); The completion rate of dialysis in the study group was higher than that in the control group, the probability of early withdrawal was lower than that in the control group, and the satisfaction of nursing intervention was higher than that in the control group, the difference was P<0.05.
Conclusion   The implementation of continuous quality improvement program for hemodialysis patients can achieve positive results in the prevention of hypotension, which is worth promoting.