透析病患水份控制改善專案

A Project to Control Water for Dialysis Patients

葉秀棉(Hsiu-Mien Yeh) ； 黃麗玲(Lee-Ling Huang) ； 於普華(Pu-Hua Yu)

《臺灣腎臟護理學會雜誌》 3卷2期 (2004/11) Pp. 102-112

摘要

本專案是以品管圈手法，針對長期血液透析病患，體重控制超過乾體重5%之患者進行改善，主要目的是降低體內水份滯積，實施方法於89年11月統計血液透析患者114人，發現體重超過乾體重5%的病患有68人，經由圈員利用腦力激盪及魚骨圖分析，找出主要之要因並擬定查檢問卷，針對血液透析三個月以上、意識清醒、願意配合之患者由護理人員採一對一方式訪談查檢，共收集有效問卷88份，進行統計分析將結果繪制製成柏拉圖，並依80/20理論進行改善對策之擬定與執行，於90年2月評價成效，發現水份控制不良的患者由68人(60%)降低至40人(35%)。本專案實施結果明顯達到協助腎友改善水份控制不良之目的。

關鍵字

血液透析 ； 乾體重 ； 超過濾

並列摘要

The project focuses on a group of long-term hemodialysis patients who failed to control their weight differences within the +5% of their dry weight. The main purpose for this project is to reduce internal water stock in order to improve patients’ weight control. In Nov 2000, we found that there were 68 out of 114 hemodialysis patients whose weight differences were more than 5% of their dry weight. The members of our quality control circle (QCC) analyzed the situation and developed the questionnaire based on possible standard reasons. We queried patients who have been receiving hemodialysis treatment for more than three months and were willing to cooperate with our investigation. We spoke with the patients one by one and received 88 examples of useful feedback. Next, we marked out the details of the project and put the project into practice according to the 80/20 theory. On Feb 2001, when we evaluated the results of the project we were very encouraged by the data we obtained. The number of patients who have bad weight control decreased from 68 (60%) to 40(35%). We believe that this project undoubtedly will help hemodialysis patients to improve their weight control.

並列關鍵字

hemodialysis ； dry weight ； dialysis quality ； ultrafiltration