ObjectiveTo explore the effect of quality control circle (QCC) on the management of hospital medication. MethodsAccording to the existing problems between December 2013 and January 2014, we put forward a series of continuous improvement plans, strengthened the nurses training, and intensified the supervision methods from February to May 2014. ResultsAfter the implementation of QCC, the incidence of leakage from drugs significantly decreased from 15.8% to 0.0%; the nurse-related drug management knowledge rate increased from 64.1% to 92.3%. Withdrawal process execution rate increased from 71.8% to 100.0%, and the difference was statistically significant (P<0.05) from February to May 2014. ConclusionQCC activity improves the hospital medication management, increases the nurses' sense of responsibility, and ensures the medical security of hospitalized patients.
目的 總結老年糖尿病腎病(DN)連續性腎臟替代治療(CRRT)臨床護理措施。 方法 2010年2月-2012年3月對15例老年DN患者CRRT治療中,采取相應的通路與抗凝、飲食、并發癥及心理護理。 結果 患者經CRRT 治療82 h后水腫明顯消退,治療中發生5例低血糖,3例低血壓,3例高血壓,各種并發癥在相應的對癥處置和護理后很快緩解,且無感染病例。 結論 老年DN患者行CRRT治療中容易出現各種并發癥,護理人員需要采取相應的護理措施,確保治療順利進行及安全。