Original Article

Plan, Do, Check, Act (PDCA) Cycle Nursing Model Reduces the Risk of Hemangioma in Hemodialysis Patients

Abstract

Background: We aimed to explore the effect of Plan, Do, Check, Act (PDCA) circulation nursing on the prevention of aneurysm after hemodialysis.

Methods: A total of 139 hemodialysis patients from Oct 2018 to Jan 2020 in Nephrology Department of the First People’s Hospital of Lianyungang, China were enrolled. They were randomly divided into control group and PCDA group, including 58 patients in control group and 81 patients in PCDA group. Patients' satisfaction, blood flow in arteriovenous internal fistula and the incidence of post-dialysis vascular-related complications were statistically investigated in the two groups.

Results: The satisfaction of patients in PDCA group was significantly higher than that in control group (P<0.001). In addition, when there was no statistical difference in blood flow between the two groups, the probability of complications such as internal fistula obstruction, thrombosis, infection, secondary puncture and aneurysm was lower in patients in the PDCA group, none of which occurred aneurysm.

Conclusion: PDCA circulation nursing can effectively improve the quality of care and medical effect of hemodialysis patients with internal arteriovenous fistula, improve patient satisfaction and reduce the incidence of complications.

1. O'Connor NR, Corcoran AM (2012). End-stage renal disease: symptom management and advance care planning. Am Fam Physician, 85(7): 705-10.
2. Zoccali C, Moissl U, Chazot C, Mallamaci F, Tripepi G, Arkossy O, Wabel P, Stuard S (2017). Chronic Fluid Overload and Mortality in ESRD. J Am Soc Nephrol, 28(8): 2491-2497.
3. Sumida K, Kovesdy CP (2017). Disease Trajectories Before ESRD: Implications for Clinical Management. Semin Nephrol, 37(2): 132-143.
4. Qian Q (2018). Acid-base alterations in ESRD and effects of hemodialysis. Semin Dial, 31(3): 226-235.
5. Murea M, Geary RL, Davis RP, Moossavi S (2019). Vascular access for hemodialysis: A perpetual challenge. Semin Dial, 32(6): 527-534.
6. Tsuzuki T, Iwata H, Murase Y, Takahara T, Ohashi A (2018). Renal tumors in end-stage renal disease: A comprehensive review. Int J Urol, 25(9): 780-786.
7. Chen Y, Zheng J, Wu D, Zhang Y, Lin Y (2020). Application of the PDCA cycle for standardized nursing management in a COVID-19 intensive care unit. Ann Palliat Med, 9(3): 1198-1205.
8. Yang Z, Ma X, Chen Y, Cao Y, Li Q, Pan X, Wang L (2021). Effects of a Quality Improvement Program to Reduce Central Venous Catheter-Related Infections in Hemodialysis Patients. Am J Med Sci, 361(4): 461-468.
9. Liew A (2018). Perspectives in renal replacement therapy: Haemodialysis. Nephrology (Carlton), 23 Suppl 4: 95-99.
10. Masud A, Costanzo EJ, Zuckerman R, Asif A (2018). The Complications of Vascular Access in Hemodialysis. Semin Thromb Hemost, 44(1): 57-59.
11. Florescu MC, Qiu F, Plumb TJ, Fillaus JA (2014). Endovascular treatment of arteriovenous graft pseudoaneurysms, indications, complications, and outcomes: a systematic review. Hemodial Int, 18(4): 785-92.
12. Fukui T (2012) [Patient safety and quality of medical care. Editorial: From evidence-based medicine to PDCA cycle]. Nihon Naika Gakkai Zasshi, 101(12): 3365-7.
Files
IssueVol 50 No 12 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i12.7939
Keywords
Nursing model Aneurysm Hemodialysis
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Sun J, Cao W, Song Y, Yuan C. Plan, Do, Check, Act (PDCA) Cycle Nursing Model Reduces the Risk of Hemangioma in Hemodialysis Patients. Iran J Public Health. 2021;50(12):2560-2566.