首页|基于精益管理的优质护理对维持性血液透析患者肾性贫血控制率的影响

基于精益管理的优质护理对维持性血液透析患者肾性贫血控制率的影响

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目的 基于精益管理的优质护理对维持性血液透析患者肾性贫血控制率的影响分析。方法 回顾性选取厦门市海沧医院2021年10月至2022年9月收治的维持性血液透析肾性贫血患者73例为研究组,给予基于精益管理的优质护理;另选取既往收治(2020年10月至2021年9月)的维持性血液透析肾性贫血患者73例为对照组,给予常规护理干预。比较护理干预前后两组患者的血清指标水平、用药知晓率、患者依从性优良率及肾性贫血控制率。结果 干预后,两组血红蛋白与铁生物标志物中转铁蛋白、总铁结合力较干预前上升,研究组高于对照组,差异有统计学意义(P<0。05);铁生物标志物中血清铁蛋白较干预前下降,研究组低于对照组,差异有统计学意义(P<0。05)。研究组用药知晓率,在用药、饮食、透析治疗中的依从性优良率及肾性贫血控制率均高于对照组,差异有统计学意义(P<0。05)。结论 对维持性血液透析肾性贫血患者护理中,基于精益管理的优质护理干预可改善血红蛋白与铁生物标志物中转铁蛋白、总铁结合力指标,降低血清铁蛋白指标,改善患者的用药知晓率,提升患者在用药、饮食、透析治疗中的依从性以及肾性贫血控制率。
The impact of high-quality nursing based on lean management on the control rate of renal anemia in maintenance hemodialysis patients
Objective To analyze the impact of high-quality nursing based on lean management on the control rate of renal anemia in maintenance hemodialysis patients.Methods A total of 73 patients with renal anemia on maintenance hemodialysis admitted to Xiamen Haicang Hospital from October 2021 to September 2022 were retrospectively selected as the study group and were given high-quality nursing based on lean management.73 patients with renal anemia on maintenance hemodialysis previously admitted(from October 2020 to September 2021)were also selected as the control group and were given routine nursing interventions.The levels of serum indicators and awareness rate of medication before and after nursing intervention were compared,and the excellent and good compliance rate of patients and the control rate of renal anemia were counted.Results After the intervention,hemoglobin and iron biomarkers of transferrin and total iron binding capacity increased in both groups compared to those before the intervention.The above indicators in the study group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Serum ferritin in iron biomarkers decreased significantly compared to that before the intervention,with that in the study group significantly lower than in the control group,with statistically significant differences(P<0.05).The awareness rate of medication,excellent and good compliance rate in medication,diet,and dialysis treatment,and control rate of renal anemia in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion In the nursing of maintenance hemodialysis patients with renal anemia,high-quality nursing interventions based on lean management can significantly improve the indicators of transferrin and total iron binding capacity in hemoglobin and iron biomarkers,reduce serum ferritin indicators,improve awareness rate of medication,enhance compliance with medication,diet,and dialysis treatment of patients,and have an ideal effect on improving the control rate of renal anemia.

Lean managementHigh-quality nursingMaintenance hemodialysisRenal anemiaControl rate of diseases

洪东花、陈艺延、丁新国、郑志高、阙华琴

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厦门市海沧医院肾内科,福建厦门 361026

精益管理 优质护理 维持性血液透析 肾性贫血 疾病控制率

福建省厦门市医疗卫生指导性项目

3502Z20214ZD1293

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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