Key factors of quality control in long-term follow-up of patients undergoing peritoneal dialysis

doi:10.3877/cma.j.issn.2095-3216.2014.03.003

Abstract

Abstract:

How to improve the survival quality of peritoneal dialysis patients is an important topic faced by the peritoneal dialysis doctors at present. And persistent long-term follow-up with attention to the quality control of follow-up is vital for improving the survival quality of peritoneal dialysis patients. In this paper, some of the key factors have been discussed concerning the quality control of long-term follow-up in peritoneal dialysis patients.

Key words: Peritoneal dialysis, Survival quality, Follow-up

Menghua Chen. Key factors of quality control in long-term follow-up of patients undergoing peritoneal dialysis[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2014, 03(03): 129-132.

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References 11

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检测指标	频率(月)
血常规、肝肾功能,血电解质	1～3
血糖、血脂、糖化血红蛋白	1～3
血清铁、总铁结合力,铁蛋白等	1～3
血钙、磷、甲状旁腺激素	1～3
超敏C反应蛋白	3
主观综合性营养评估	6
血清传染病指标	12
心电图、胸部X线、心脏及血管超声	12
腹膜平衡试验、尿素清除指数	首次在开始透析后2～4周,之后每3～6个月复查1次

检测指标	频率(月)
血常规、肝肾功能,血电解质	1～3
血糖、血脂、糖化血红蛋白	1～3
血清铁、总铁结合力,铁蛋白等	1～3
血钙、磷、甲状旁腺激素	1～3
超敏C反应蛋白	3
主观综合性营养评估	6
血清传染病指标	12
心电图、胸部X线、心脏及血管超声	12
腹膜平衡试验、尿素清除指数	首次在开始透析后2～4周,之后每3～6个月复查1次

过程管理关键靶目标	目标值
接受透前教育患者百分率	≥65%
居家透析患者比例(包括腹膜透析和血液透析)	≥50%
置管前预防性抗生素治疗患者比例	≥95%
置管后≥2周开始透析患者比例	≥80%
患者治疗满意度	≥75%
鼻粘膜葡萄球菌携带者使用莫匹沙星比例	≥80%
过去6个月测量透析充分性患者比例	≥80%
过去6个月家访患者比例	≥80%
贫血管理达标(Hb110～130g/L)	≥70%
血磷管理达标(0.81～1.45mmol/L)	≥70%
每周尿素清除指数≥1.7	≥90%
收缩压(105～140mmHg)	≥80%
腹膜炎感染率(病人月)	≥1∶30
出口处感染率(病人月)	≥1∶50
技术生存率(1年)	≥85%

过程管理关键靶目标	目标值
接受透前教育患者百分率	≥65%
居家透析患者比例(包括腹膜透析和血液透析)	≥50%
置管前预防性抗生素治疗患者比例	≥95%
置管后≥2周开始透析患者比例	≥80%
患者治疗满意度	≥75%
鼻粘膜葡萄球菌携带者使用莫匹沙星比例	≥80%
过去6个月测量透析充分性患者比例	≥80%
过去6个月家访患者比例	≥80%
贫血管理达标(Hb110～130g/L)	≥70%
血磷管理达标(0.81～1.45mmol/L)	≥70%
每周尿素清除指数≥1.7	≥90%
收缩压(105～140mmHg)	≥80%
腹膜炎感染率(病人月)	≥1∶30
出口处感染率(病人月)	≥1∶50
技术生存率(1年)	≥85%

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