The impact of full-spectrum nursing follow-up and continuous quality improvement on maintaining vascular access in hemodialysis patients
全程跟踪护理并持续质量改进对维持血液透析患者血管通路的影响

摘要

目的 探究对维持血液透析患者，采用全程跟踪护理并持续质量改进，对血管通路的影响。方法 选取本院维持血液透析患者86例，患者收治时间为2023年1月—2024年1月，对患者进行随机分组，对照组43例，采用常规护理，观察组43例，采用全程跟踪护理并持续质量改进，对比两组患者护理效果。结果 观察组血管通路并发症发生率、通路使用寿命、血管通路相关知识掌握程度，均优于对照组，差异有统计学意义（P＜0.05）。结论 对维持血液透析患者，采用全程跟踪护理并持续质量改进，有助于降低血管通路并发症发生率，延长通路使用寿命，还有助于提高患者血管通路相关知识掌握程度，效果显著，值得推广。

Abstract

Objective To explore the impact of continuous quality improvement and full process tracking nursing on vascular access in maintenance hemodialysis patients.
Methods 86 patients who maintained hemodialysis in our hospital were selected and admitted from January 2023 to January 2024. The patients were randomly divided into a control group of 43 patients who received routine nursing care and an observation group of 43 patients who received continuous follow-up nursing care and quality improvement. The nursing effects of the two groups were compared.
Results The incidence of vascular access complications, service life, and mastery of vascular access related knowledge in the observation group were all better than those in the control group, and the differences were statistically significant (P<0.05).
Conclusion   For maintenance hemodialysis patients, adopting full process tracking nursing and continuous quality improvement can help reduce the incidence of vascular pathway complications, prolong the service life of the pathway, and improve the patient's mastery of vascular pathway related knowledge. The effect is significant and worthy of promotion.