Title

運用HFMEA手法提升血液透析新病人飲食認知正確率

Translated Titles

Improvement of dietary concept accuracy rate in new hemodialysis patients by HFMEA

DOI

10.29759/THQA.201912_8(1).0003

Authors

蘇淑芬(Shu-Fen Su);王念悅(Nian-Yueh Wang);陳芊霓(Chian-Ni Chen);邱鼎育(Ting-Yu Chiou);吳建興(Chien-Hsing Wu);李建德(Chien-Te Lee)

Key Words

血液透析 ; 飲食衛教 ; HFMEA ; hemodialysis ; dietary education ; HFMEA

PublicationName

醫療品質

Volume or Term/Year and Month of Publication

8卷1期(2019 / 12 / 01)

Page #

31 - 41

Content Language

繁體中文

Chinese Abstract

收案分析130位末期腎衰竭接受常規血液透析治療的新病人,其營養飲食衛教正確認知率只有55%,新病人常因飲食控制不當造成高血鉀與水份控制欠佳等而危及生命,因此我們運用HFMEA(Healthcare Failure Mode and Effect Analysis)行動改善方案將營養飲食衛教的流程改善及標準化,成立跨部門推動小組將資訊系統整合實施衛教e化作業,營養狀況認知(如血色素與白蛋白)及飲食認知正確率由原來55%增加到97%;高血鉀的危害指數(RPN)由16分降為8分,水份控制不佳危害指數由16分降為4分,營養不良造成合併症危害指數由9分降為3分;此專案藉由HFMEA的技能應用與導入,以e化之衛教作業系統持續且全面掌握新病人飲食衛教的認知差異,並及時予以導正進而改善血液透析品質,達到讓病人安心、照護者放心的全人照護與絕佳的透析品質。

English Abstract

The rate of accurate dietary concept in hemodialysis patients was 55% in our previous surveillance. Healthcare Failure Mode and Effect Analysis (HFMEA) was thus introduced to improve the efficacy of diet intervention in HD patients. A total of 130 new HD patients were recruited. The content included standardized dietary educational program and implementation of e-learning system. The results revealed accuracy rate increased from 55% to 97%. The risk priority number (RPN) of hyperkalemia decreased from 16 to 8; RPN of fluid overload decreased from 16 to 4 and it was from 9 to 3 in malnutrition. We concluded that with the introduction of HFMEA in association with informatization of dietary education system, diet education was provided precisely and clinical outcome of hemodialysis patients were improved.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 醫院管理與醫事行政
醫藥衛生 > 社會醫學