球囊肺动脉成形术治疗患者精细化管理模式构建

运用课题研究型品管工具，结合工作实际，对慢性血栓栓塞性肺动脉高压行球囊肺动脉成形术治疗患者管理流程进行改进。以术前、术中、术后、院外康复为主线进行现况调查，发掘攻坚点，经讨论并循证，拟定三大方策群组并予以实施。通过方策实施，增加了患者6 min步行距离，提高了患者容量管理实施率、服药依从率、复诊率、疾病知识知晓率，降低了NT-proBNP、WHO心功能分级、术中咯血发生率、术后肺水肿发生率及心理困扰评分，使患者获益。

Construction of Fine Management Mode for Patients Undergoing Balloon Pulmonary Angioplasty

The management process of patients with chronic thromboembolic pulmonary hypertension undergoing balloon pulmonary angioplasty was improved by the use of research-oriented quality control tool combined with practical work. The current situation was investigated at the level of preoperative, intraoperative, postoperative and out-of-hospital rehabilitation, and the key points were explored. After discussion and evidence-based, three major policy groups were drawn up and implemented. Through the implementation of the policy, the 6 min walking distance of patients was prolonged, the implementation rate of volume management, medication compliance rate, return visit rate, disease knowledge awareness rate of patients were improved, and the NT-proBNP, WHO heart function classification, the incidence of intraoperative hemoptysis, postoperative pulmonary edema and psychological distress score were reduced, which benefited patients.