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

Juan Sun1, Wei Cao1, Yang Song1

  • 1Nephrology Department, The First People's Hospital of Lianyungang, Lianyungang 222000, China.

Iranian Journal of Public Health
|November 1, 2022
PubMed

Insights

Plan, Do, Check, Act (PDCA) circulation nursing significantly improved hemodialysis patient satisfaction and reduced vascular complications. This nursing approach prevented aneurysms and enhanced overall care quality for patients with arteriovenous fistulas.

Area of Science:

  • Nephrology
  • Nursing Science
  • Vascular Surgery

Background:

  • Hemodialysis patients often experience vascular complications, including aneurysms, impacting care quality.
  • Arteriovenous fistulas are crucial for hemodialysis access but prone to issues.
  • Preventing post-dialysis complications is essential for patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of Plan, Do, Check, Act (PDCA) circulation nursing in preventing aneurysms.
  • To assess the impact of PDCA nursing on patient satisfaction and vascular complications after hemodialysis.

Main Methods:

  • A randomized controlled study involving 139 hemodialysis patients.
  • Patients were divided into a control group and a PDCA nursing group.
  • Data collected included patient satisfaction, arteriovenous fistula blood flow, and complication rates.

Main Results:

  • The PDCA group reported significantly higher patient satisfaction (P<0.001).
  • The PDCA group showed a lower incidence of complications like fistula obstruction, thrombosis, infection, and secondary puncture.
  • No aneurysms occurred in the PDCA group, while blood flow remained comparable between groups.

Conclusions:

  • PDCA circulation nursing is effective in improving hemodialysis patient care quality and outcomes.
  • This nursing strategy enhances patient satisfaction and reduces the occurrence of vascular complications.
  • PDCA nursing demonstrates significant benefits for hemodialysis patients with arteriovenous fistulas, particularly in complication prevention.
Abstract

Keywords:
AneurysmHemodialysisNursing model

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