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目的:探讨持续质量改进方法(CQI)在维持性血液透析患者急救护理中应用及效果。方法:回顾性分析本科室2014年1~5月维持性血液透析患者急救护理资料,成立持续质量改进小组,制定改进方案,在加强理论、操作培训的基础上,开展小组式急救情景模拟演练,并以急救护理质量、护士各项考核成绩等指标评价效果。结果:实施持续质量改进后急救护理质量和护士各项考核成绩显著提高(P<0.01)。结论:持续质量改进提高了护士急救理论和操作技能,提升了血液透析急救护理质量,增强护理团队凝聚力。
Objective: To investigate the application and effect of continuous quality improvement (CQI) in emergency nursing of maintenance hemodialysis patients. Methods: A retrospective analysis of the department from 2014 to May maintenance hemodialysis patients with emergency nursing information, the establishment of continuous quality improvement team to develop improved programs, to strengthen the theoretical and operational training, based on group emergency exercise simulation exercises, And the quality of emergency care, nurses and other indicators of assessment results evaluation. Results: After continuous quality improvement, the quality of emergency nursing and nurses’ examination scores increased significantly (P <0.01). CONCLUSION: Continuous quality improvement improves nurses’ first aid theory and operation skills, improves the quality of emergency hemodialysis care and enhances the cohesion of nursing team.