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学科主题临床医学
Implementing Continuous Quality Improvement Process in Potassium Management in Peritoneal Dialysis Patients
Lu, Xin-Hong; Su, Chun-Yan; Sun, Ling-Hua; Chen, Wei; Wang, Tao
刊名JOURNAL OF RENAL NUTRITION
2009-11-01
DOI10.1053/j.jrn.2009.04.003
19期:6页:469-474
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Nutrition & Dietetics ; Urology & Nephrology
研究领域[WOS]Nutrition & Dietetics ; Urology & Nephrology
关键词[WOS]SERUM POTASSIUM ; HYPOKALEMIA
英文摘要

Background: Abnormal plasma potassium levels are not uncommon in peritoneal dialysis (PD) patients. Here, we implemented a continuous quality improvement (CQI) approach that mainly focused on dietary management to improve potassium control in PD patients.

Methods: All clinically stable patients who visited the PD clinic monthly were included in this study. A CQI team that included nephrologists, primary nurses, dietician, patients, and their family members was organized, and it monitored patients for 6 months. Patients were asked to provide their dialysis records and 3-day dietary records at each visit. Dialysis adequacy, including potassium and phosphorus removals, was checked before and after the implementation of CQI. Changes in dietary prescription, without altering dialysis prescriptions and potassium supplementation, were made monthly, according to patients′ dietary information and blood potassium levels.

Results: In total, 84 patients (28 male and 56 female) were included in this study. At baseline, the prevalence of hyperkalemia and hypokalemia was 14.3% each. After the intervention, the prevalence of hyperkalemia dropped to 10.7% and 6% at 3 months and 6 months, respectively. The prevalence of hypokalemia dropped to 8.3% and 7.1% at 3 months and 6 months, respectively.

Conclusions: Our data suggest that implementing CQI, with a focus on dietary intervention, could significantly reduce the prevalence of potassium abnormality in PD patients. (C) 2009 by the National Kidney Foundation, Inc. All rights reserved.

语种英语
WOS记录号WOS:000271200500005
项目编号36-1 ; 20050001105
资助机构Cheung Kong Scholar Program ; Ministry of Education of the People&prime ; s Republic of China ; Doctor&prime ; s Foundation of the Ministry of Education, People&prime ; s Republic of China
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67935
专题北京大学第三临床医学院_肾内科
北京大学第一临床医学院_皮肤性病科
作者单位Peking Univ, Hosp 3, Div Nephrol, Beijing 100083, Peoples R China
推荐引用方式
GB/T 7714
Lu, Xin-Hong,Su, Chun-Yan,Sun, Ling-Hua,et al. Implementing Continuous Quality Improvement Process in Potassium Management in Peritoneal Dialysis Patients[J]. JOURNAL OF RENAL NUTRITION,2009,19(6):469-474.
APA Lu, Xin-Hong,Su, Chun-Yan,Sun, Ling-Hua,Chen, Wei,&Wang, Tao.(2009).Implementing Continuous Quality Improvement Process in Potassium Management in Peritoneal Dialysis Patients.JOURNAL OF RENAL NUTRITION,19(6),469-474.
MLA Lu, Xin-Hong,et al."Implementing Continuous Quality Improvement Process in Potassium Management in Peritoneal Dialysis Patients".JOURNAL OF RENAL NUTRITION 19.6(2009):469-474.
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