Effect of continuous quality improvement on reducing edem of patients who receiving peritoneal dialysis

VernacularTitle:持续质量改进对降低腹膜透析患者水肿发生率的效果
Author: Lin-Lin CAO ¹ ; Xuan YI ; Ling WANG
Author Information

1. 江苏省徐州市第一人民医院
Keywords: Peritoneal dialysis,continuous ambulatory; Water and salt metabolic; Continuous quality improvement
From: Chinese Journal of Modern Nursing 2011;17(34):4138-4140
CountryChina
Language:Chinese
Abstract: Objective To explore the application of CQI in CAPD patients with the problem of fluid overload.Methods 43 CAPD patients were extracted by the convenience sampling method.the patients were made to realize the importance of water-salt control and to learn how to manage the intake of water and salt through various educations.the monitored data of serum sodium,BW,UV and volume of ultrafiltration were analyzed in order to make proposal for improvement.the changes in the incidence and degree of edema were compared after CQI.Results The incidence of edema reduced from 86.05％ to 34.88％ and the incidence of moderate and severe edema reduced significantly with the application of CQI(Z =-3.593,P ＜ 0.01).Conclusions The application of CQI can help patients to learn how to manage the intake of the water and salt,to reduce the water overload effectively,to prevent the cardio-cerebrovascular complications and to improve the compliance of the patients.