北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 肾内科  > 期刊论文
学科主题: 临床医学
题名:
Implementing Continuous Quality Improvement Process in Potassium Management in Peritoneal Dialysis Patients
作者: Lu, Xin-Hong; Su, Chun-Yan; Sun, Ling-Hua; Chen, Wei; Wang, Tao
刊名: JOURNAL OF RENAL NUTRITION
发表日期: 2009-11-01
DOI: 10.1053/j.jrn.2009.04.003
卷: 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
所属项目编号: 36-1 ; 20050001105
项目资助者: 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
WOS记录号: WOS:000271200500005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67935
Appears in Collections:北京大学第三临床医学院_肾内科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: Peking Univ, Hosp 3, Div Nephrol, Beijing 100083, Peoples R China

Recommended Citation:
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.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Lu, Xin-Hong]'s Articles
[Su, Chun-Yan]'s Articles
[Sun, Ling-Hua]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Lu, Xin-Hong]‘s Articles
[Su, Chun-Yan]‘s Articles
[Sun, Ling-Hua]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace