Effect of continuous quality improvement on dialysis adequacy and cardiovascular events in peritoneal dialysis patients
10.7619/jcmp.201810006
- VernacularTitle:质量持续改进对腹膜透析患者透析充分性和心血管事件的影响
- Author:
Yan ZHANG
1
;
Changhua LIU
;
Ling BU
;
Ting LI
Author Information
1. 江苏省苏北人民医院
- Keywords:
peritoneal dialysis;
quality control;
dialysis adequacy;
cardiovascular disease
- From:
Journal of Clinical Medicine in Practice
2018;22(10):21-24,31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of continous quality improvement (CQI) on dialysis adequacy and cardiovascular events in peritoneal dialysis patients.Methods This study was a prospective controlled study,and 98 patients with stable peritoneal dialysis in our hospital were recruited in the study.Plan,do,check,action (PDCA) was applied for improvement of peritoneal dialysis and working steps.Changes in the dialysis adequacy,nutrition,inflammation and cardiovascular events after CQI were compared.Results After CQI,standardization-reaching rate of weekly total urea clearance index(Kt/V) was increased (P ＜ 0.05),Kt/V level was increased (P ＜ 0.05),serum albumin (ALB) and prealbumin (PAB) were significantly elevated (P ＜ 0.05).The standardized rate of total nitrogen was significantly improved (P ＜ 0.05);The incidence of peritonitis was reduced (P ＜ 0.05),and hospitalization rate due to cardiovascular events decreased (P ＜ 0.05).Conclusion CQI can improve nutrition,inflammation and dialysis adequacy for peritoneal dialysis elderly patients,thereby reducing the incidence of cardiovascular events.
