Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center_West China Medical Journal

Authors：

 LiuLi , ChenLin , CaoXiaoyi , MaKangying

Dialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

PDCA cycle; Hemodialysis; Patients' satisfaction; Holistic responsibility care

DOI：

10.7507/1002-0179.20160036

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Objective To investigate the effect of PDCA cycle on the overall nursing care of patients in the hemodialysis center. Methods Twenty hemodialysis patients between June and July 2014 were randomly selected as the intervention group, and another 20 hemodialysis patients between March and April 2014 were chosen as the control group. We compared the two groups of patients in terms of patients' satisfaction and the overall care quality of the nurses. Results One month after the intervention, patients in the intervention group had a significantly higher satisfaction rate than the control group (P<0.05); Nurses in the intervention group achieved significantly higher scores in basic requirements, basic items and effect evaluation than those in the control group (P<0.05). Conclusion PDCA cycle can effectively improve the overall quality of nursing care in hemodialysis center and improve patients' satisfaction.

Citation： LiuLi, ChenLin, CaoXiaoyi, MaKangying. Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center. West China Medical Journal, 2016, 31(1): 128-130. doi: 10.7507/1002-0179.20160036 Copy

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12.	王旭. 運用PDCA循環管理提升普外科非計劃性拔管風險患者安全[J]. 中國醫學創新, 2013(13):144-145.
13.	張欣. 應用PDCA循環管理方法在持續提高醫院優質護理服務質量的效果[J]. 齊魯護理雜志, 2011, 17(30):1-3.
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1. 余雯雯, 陳林, 刁永書, 等. 維持性血液透析患者疲勞程度相關因素分析[J]. 華西醫學, 2015, 30(5):851-854.
2. Castner D. Understanding the stages of chronic kidney disease[J]. Nursing, 2010, 40(5):24-31; quiz 31-32.
3. 邵衛紅, 朱生娣, 俞江英, 等. PDCA循環管理對血透患者護理質量和并發癥的影響[J]. 中醫藥管理雜志, 2015, 1(2):60-62.
4. 武蓓, 王梅, 趙慧萍, 等. 持續質量改進在減少腹膜透析患者腹膜炎發生中的作用[J]. 中國血液凈化, 2010, 9(10):534-537.
5. 王平, 盧巖, 徐朝艷, 等. PDCA循環在我國護理領域應用的進展[J]. 解放軍護理雜志, 2003, 20(4):47-49.
6. 趙惠芳, 李沛強. 管理學[M]. 杭州:浙江大學出版社, 2011:34.
7. 宋世麥, 倪佃芳, 仲崇翠, 等. 應用臨床護理路徑對心肌梗死病人進行健康教育[J]. 現代醫藥衛生, 2005, 21(1):17-18.
8. 方水芹. PDCA管理在病人滿意度評價中的應用研究[J]. 護理研究, 2013, 27(10):928-930.
9. 張淑敏, 賈宇靜, 孫敏. PDCA循環在提高病人滿意度中的應用[J]. 現代護理, 2005(2):92-93.
10. 王世英, 李敏, 陳春花, 等. 出院患者延續健康教育的做法及體會[J]. 解放軍護理雜志, 2010, 27(18):1422-1424.
11. 楊菊花, 賀偉, 彭守華. 應用PDCA循環對婦科腫瘤術后患者實施鎮痛管理[J]. 護士進修雜志, 2012, 27(5):421-422.
12. 王旭. 運用PDCA循環管理提升普外科非計劃性拔管風險患者安全[J]. 中國醫學創新, 2013(13):144-145.
13. 張欣. 應用PDCA循環管理方法在持續提高醫院優質護理服務質量的效果[J]. 齊魯護理雜志, 2011, 17(30):1-3.
14. Mchugh MD, Lake ET. Understanding clinical expertise:nurse education, experience, and the hospital context[J]. Res Nurs Health, 2010, 33(4):276-287.
15. 朱麗, 丁曉仙. PDCA循環管理在血液透析患者健康教育中的應用研究[J]. 中國醫學創新, 2011, 8(30):137-139.

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West China Medical Journal

Application of PDCA Cycle in the Holistic Responsibility Care in Hemodialysis Center

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