降低终末期肾病患者动静脉内瘘成熟不良率

目的降低终末期肾病患者动静脉内瘘成熟不良率。方法成立品管圈圈组，通过现状调查、原因解析明确问题真因，从制定动静脉内瘘院前指导规范，建立多学科协作模式；实施“VAP”评估模式，制定围手术期标准化管理流程；构建“互联网 +”智能宣教模式，优化院外延伸服务三方面进行改进。结果终末期肾病患者动静脉内瘘成熟不良率由10.6%降低至3.3%。结论开展品管圈活动降低了终末期肾病患者动静脉内瘘成熟不良率。

Reducing the Unsatisfactory Rate of Arteriovenous Fistula Maturation in Patients with End-Stage Renal Disease

ObjectiveTo reduce the unsatisfactory rate of arteriovenous fistula maturation in patients with end-stage renal disease.MethodsThe quality control circle group was established, and the real causes of the problems were identified through the cross-sectional investigation and cause analysis. Improvements were made from three aspects. The pre-hospital guidance norms of arteriovenous fistula were formulated, and the multidisciplinary cooperation mode was established. The "VAP" evaluation mode was implemented, and the standardized process of perioperative management was formulated. The "Internet +" intelligent education mode was constructed, and the extended services outside the hospital was optimized. ResultsThe unsatisfactory rate of arteriovenous fistula in end-stage renal disease patients decreased from 10.6% to 3.3%. Conclusion Quality control circle activity can reduce the unsatisfactory rate of arteriovenous fistula in patients with end-stage renal disease.