Application of 6Sigma-DMAIC concept management in maintaining the function of arteriovenous fistula in maintenance hemodialysis patients
10.3969/j.issn.1009-0754.2025.05.019
- VernacularTitle:六西格玛理念管理法在维护维持性血液透析患者动静脉内瘘功能中的应用
- Author:
Xianghong YE
1
Author Information
1. 214000 江苏 无锡,联勤保障部队第九〇四医院血液净化中心
- Keywords:
6Sigma-DMAIC concept management;
Maintenance hemodialysis;
Arteriovenous fistula;
Satisfaction
- From:
Journal of Navy Medicine
2025;46(5):509-513
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of 6Sigma-DMAIC concept management in maintaining the function of arteriovenous fistula in maintenance hemodialysis patients.Methods A total of 88 patients who underwent maintenance hemodialysis in No.904 Hospital of Joint Logistic Support Force were assigned to two groups(44 cases each)by random number table.The control group was treated with conventional internal fistula management,and the observation group was treated with conventional internal fistula management and 6Sigma-DMAIC concept management.The incidence of complications(such as thrombosis,infection,and vascular stenosis),hemodialysis adequacy,psychological status score,and nursing satisfaction were compared between the two groups.Results The rate of fistula complications in the observation group was lower than that in the control group(4.55%vs 18.18%,P<0.05).The hemodialysis adequacy(Kt/V)in the observation group was higher than that in the control group(2.69±0.63 vs 1.41±0.23,P<0.05).After intervention,the scores of anxiety and depression were decreased in both groups,and the scores of anxiety and depression in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(97.73%vs 68.18%,P<0.05).Conclusion The 6Sigma-DMAIC concept management can effectively reduce the occurrence of complications of arteriovenous fistula,increase the hemodialysis adequacy,and improve the negative emotions of Maintenance hemodialysis patients.
