Application effects of prevention nursing based on FOCUS-PDCA in hemodialysis patients
Objective:To observe application effects of prevention nursing based on Find Organize Clarify Understand Select Plan Do Check Act(FOCUS-PDCA)in hemodialysis patients.Methods:A prospective study was conducted on 82 patients who underwent hemodialysis in the hospital from January 2019 to January 2022.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine nursing,while the observation group was given the prevention nursing based on FOCUS-PDCA.The urea clearance index(Kt/V)compliance rate,the nutritional status[modified quantitative subjective global assessment(MQSGA)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores before and after the nursing,the quality of life[short form health survey(SF-36)]score,and the incidence of complications were compared between the two groups.Results:The Kt/V compliance rate of the observation group was higher than that of the control group,the MQSGA score was lower than that of the control group,and the differences were statistically significant(P＜0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The SF-36 scores of physiological function,physiological role,physical pain,social function,emotional function,vitality,mental health and overall health in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Furter,the incidence of complications in the observation group was 9.75%(4/41),which was lower than that in the control group 26.83%(11/41),and the difference was statistically significant(P＜0.05).Conclusions:The prevention nursing based on FOCUS-PDCA in the hemodialysis patients can improve the Kt/V compliance rate and the quality of life scores,and reduce the nutritional status score,negative emotion scores and incidence of complications.Moreover,it is superior to single routine nursing.
Find Organize Clarify Understand Select Plan Do Check ActPrevention nursingHemodialysisNegative emotionQuality of lifeNutritional status
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