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- 提升血液透析病患水份控制之專案
- 提升長期血液透析病人水份控制合格率之專案
- 提升長期血液透析病人水份控制合格率之專案
- Adjustment of Dry Weight by Extracellular Volume to Improve Blood Pressure Control and Reduce Dialysis Complications in Hemodialysis Patients
- 血液透析病患水份控制之改善專案
- 乾體重之臨床評估
- 透析病患水份控制改善專案
- 血液透析患者的乾體重評估與護理
- 降低血液透析病人透析間體重增加超過乾體重5%之改善專案
- 運用行為修正策略協助一位血液透析病患飲食控制與生活壓力適應的護理經驗
頁籤選單縮合
題名 | 提升血液透析病患水份控制之專案=Improving Hemodialysis Patients Fluid Control Project |
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作者姓名(中文) | 王正惠; 林佳玲; 王美娥; 吳桂芳; 周獻章; 江明哲; 蔡幸; | 書刊名 | 臺灣腎臟護理學會雜誌 |
卷期 | 13:3 2014.09[民103.09] |
頁次 | 頁12-25 |
分類號 | 415.816 |
關鍵詞 | 血液透析; 水份控制; 乾體重; Hemodialysis; Fluid control; Dry weight; |
語文 | 中文(Chinese) |
中文摘要 | 血液透析病患水份控制不佳易引發透析中血壓下降、抽筋等合併症,故本專案旨在提升血液透析病患之水份控制。本單位統計2010年1月1日至2010年3月31日透析1年(含)以上之病患,兩次透析間水份控制超過乾體重5%的比例為58.9%,藉由問卷分析原因為:護理人員缺乏護理指導技巧、病患對水份控制認知不足、未建立護理指導標準流程、護理指導單張不符合病人需求及口渴之生理等。本小組依對策矩陣分析表研擬對策為:舉辦在職教育訓練及團體護理指導;製作水份控制工具;制訂水份控制護理指導標準流程及護理指導單張。實施改善方案後,血液透析病患水份控制超過乾體重5%比例由58.9%降至25%,顯示本專案執行有顯著效益,不僅解決病患問題,也提升了照護品質。 |
英文摘要 | This project aimed to improve the interdialytic weight control of our patients on chronic hemodialysis. Large interdialytic weight gain, defined as greater than 5% of the dry weight, was recorded in 58.9% of our patients who had been dialyzed for more than one year. Factors included poor educational skills in nursing personnel, inadequate knowledge of patients, no standard procedure on education, impractical health education pamphlet, and physiological factors relating to patient thirst. Based on these factors, we planned laid out a strategy that included teaching program for nurses, group education for patients, development of a fluid control tool, and rephrasing of the fluid control pamphlet. Upon implementation the percentage of patients with large interdialytic weight gain dropped to 25%. The results show significant benefits from this project as it not only solved the patient problem but also improved the quality of nursing. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。