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

2021 ◽  
Author(s):  
Juan Sun ◽  
Wei Cao ◽  
Yang Song ◽  
Chunmei Yuan
Keyword(s):  
Blood Flow ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Improve Patient Satisfaction ◽  
Internal Fistula ◽  
Patients Satisfaction ◽  
Pdca Cycle ◽  
Improve Patient ◽  
Medical Effect

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.

scholarly journals Analysis of the application and practice of PDCA cycle in management of the naked medicine dispensing—the quality and safety of the drug

2019 ◽  
Vol 6 (3) ◽  
pp. 227-232
Author(s):  
Yun-Xiang Qiu ◽  
Chun-Yan Zhao ◽  
Jia-Mei Zhu ◽  
Lin-Jun Li
Keyword(s):  
Adverse Drug Events ◽  
Statistical Significance ◽  
Control Group ◽  
Patients Satisfaction ◽  
Satisfaction Degree ◽  
Pdca Cycle ◽  
Before And After ◽  
Implementation Method ◽  
The Difference

Abstract Objective To explore the application of plan–do–check–action (PDCA) cycle in the management of the naked medicine dispensing about the automatic package and to analyze the practice improved in the quality of naked medicine dispensing medicine management. Methods The PDCA theory was used to analyze the data, to find out the causes of the problem, and to formulate the corresponding countermeasures to intervene. The data of the naked medicine/adverse drug events satisfaction degree of the inpatients in 18 inpatient departments given for the adoption of PDCA cycle in January 2017 were set as the observation group. The number of the naked medicine/adverse drug events satisfaction degree of patients in 18 inpatient departments before adoption of PDCA cycle in December 2016 was set as the control group. The number of the naked medicine/adverse drug events satisfaction degree of patients in 18 inpatient departments before and after adoption of PDCA cycle was observed and analyzed. Results The number of the naked medicine/adverse drug events after implementing the method of PDCA cycle management rate was significantly lower than before the implementation method of PDCA cycle management, and the difference had statistical significance (P < 0.05). The satisfaction degree of the inpatients after implementing the method of PDCA cycle management rate was significantly higher than that before the implementation method of PDCA cycle management, and the difference had statistical significance (P < 0.05). Conclusion Application of PDCA cycle in the management of the naked medicine dispensing about the automatic package can help to reduce the adverse drug events, to improve the safety of drug treatment, and to increase the patients’ satisfaction degree.

scholarly journals Single Tablet Regimen Usage and Efficacy in the Treatment of HIV Infection in Australia

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
B. Armstrong ◽  
D. J. Chan ◽  
M. J. Stewart ◽  
D. Fagan ◽  
D. Smith
Keyword(s):  
Hiv Infection ◽  
Virological Suppression ◽  
Control Group ◽  
Improve Patient Satisfaction ◽  
Hiv Rna ◽  
Patient Demographics ◽  
Retrospective Audit ◽  
Single Tablet Regimen ◽  
Improve Patient

Single tablet regimens (STRs) for HIV infection improve patient satisfaction, quality of life, medication adherence, and virological suppression compared to multitablet regimens (MTRs). This is the first study assessing STR uptake and durability in Australia. This retrospective audit of all patients receiving an STR (n=299) at a large Sydney HIV clinic (January 2012–December 2013) assessed patient demographics, treatment prior to STR, HIV RNA load and CD4 during MTR and STR dosing, and reasons for STR switch. 206 patients switched from previous antiretroviral treatment to an STR, of which 88% switched from an MTR. Reasons for switching included desire to simplify treatment (57%), reduced side effects or toxicity (18%), and cost-saving for the patient. There was no switching for virological failure. Compared to when on an MTR, patients switching to an STR had significantly lower HIV RNA counts (p<0.001) and significantly higher CD4 counts (p<0.001). The discontinuation rate from STR was very low and all patients who switched to an STR maintained virological suppression throughout the study duration, although the study is limited by the absence of a control group.

scholarly journals Efficacy and prognosis following combined cinepazaide maleate/nimodipine therapy in cerebral vasospasm patients after hemorrhage

2021 ◽  
Vol 20 (9) ◽  
pp. 1999-2004
Author(s):  
Tao Wu ◽  
Fangshu Chen ◽  
Hanyan Xiao ◽  
Tianying Xu
Keyword(s):  
Blood Flow ◽  
Cerebral Vasospasm ◽  
Intravenous Infusion ◽  
Treatment Effectiveness ◽  
Inflammatory Factors ◽  
Control Group ◽  
Study Group ◽  
Protein Levels ◽  
Total Treatment

Purpose: To investigate the efficacy and prognosis following treatment of cerebral vasospasm (CVS) patients with a combination of cinnarizide maleate and nimodipine after subarachnoid hemorrhage (SAH).Methods: Eighty-eight patients with CVS after SAH were selected and divided into control group (CG) and study group (EG), each with 44 patients (n = 44). Patients in CG were treated with intravenous infusion of cinnarizide maleate, while those in EG received intravenous infusion of cinnarizide maleate together, and their clinical efficacy and prognosis were compared.Results: Compared with CG, total treatment effectiveness (response) in EG was significantly higher, while levels of inflammatory factors were lower (p < 0.05). Serum protein levels of S100 β and ET-1, and MCA blood flow velocity in EG were notably lower (p < 0.05), but GCS scores were highercompared with CG (p < 0.05). The NIHSS scores were lower and BI indices were higher in EG than in CG (p < 0.05).Conclusion: Treatment of CVS patients after SAH using a combination of cinnarizide maleate and nimodipine effectively reduces the levels of inflammatory factors, improves quality of prognosis, and relieves symptoms of CVS, when compared with administration of cinnarizide maleate only. Therefore, the combination treatment is recommended for the management of CVS after SAH.

P1075CONTROL AND MONITORING OF DIAGNOSTIC AND TREATMENT PROCESS IN HEMODIALYSIS CLINIC USING TELEMEDICINE TOOLS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Dmitriy Zinovev ◽  
Vladimir Novitskiy ◽  
Andrey Malkoch
Keyword(s):  
Quality Of Life ◽  
Reaction Time ◽  
Medical Staff ◽  
Positive Impact ◽  
Hemodialysis Patients ◽  
Patient’S Satisfaction ◽  
Average Value ◽  
Patients Satisfaction ◽  
Number Of Patients

Abstract Background and Aims Quality of life of hemodialysis patients and adequacy of hemodialysis therapy in general, is defined by the number and duration of incidents during hemodialysis procedures. In this study we examined the effect of telemedical system for control and monitoring of hemodialysis procedures on patients’ condition and their quality of life. Method The system described in this work included: doctor/patient video call functionality initiated from both ends; functionality of hemodialysis procedure parameters and patient’s condition parameters monitoring and registration; functionality of alerting medical staff about registered incidents, functionality of visual control of hemodialysis procedure. The effect of control and monitoring system usage was studied on population of 2300 hemodialysis patients (at the start of the study) with median follow-up of 2 years. The primary end-point was doctor’s reaction time on patient’s complaint, medical staff reaction time on intradialysis hypertension incidents. Secondary end-points were: number of patients who left the clinic due to reasons besides lethality, patients’ satisfaction by hemodialysis therapy (according to survey), number of incidents of intradialysis and interdialysis hypertension. Results During the study we observed that as a result of system deployment average doctor’s reaction time on patient’s complaint (defined as the time from emergence of the complaint to start of patient/doctor communication) reduced from 8 to 1.5 minutes, average staff reaction time on intradialysis hypertension incidents (defined as time from registration of hypertension incident to start of blood pressure normalization actions) reduced from 5 to 2 minutes. Number of patients who left the clinic due to reasons besides lethality reduced from 2.5 per 100 patients before system deployment to 1.7 per 100 patients at the end of the study. Average value of patient’s satisfaction by dialysis therapy increased from 7.2 to 9.1 points on 10-point scale (according to survey conducted at the beginning and at the end of the study). By the end of the study, average number (across population) of hypertension incidents per month reduced from 8.3 to 6.2 and from 20.7 to 16.5 episodes for intradialysis and interdialysis hypertension correspondingly. Conclusion The use of telemedical tools of hemodialysis procedures control and monitoring has positive impact on patients’ satisfaction level by the dialysis procedure and on duration/frequency of incidents registered by these tools, which, in return may improve the quality of patient’s life.

Pharmacist Transition-of-Care Services Improve Patient Satisfaction and Decrease Hospital Readmissions

2020 ◽  
pp. 089719002095826
Author(s):  
Katherine L. March ◽  
Michael J. Peters ◽  
Christopher K. Finch ◽  
Lauchland A. Roberts ◽  
Katie M. McLean ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Medical Center ◽  
Academic Medical Center ◽  
Hospital Readmissions ◽  
Transitions Of Care ◽  
Control Group ◽  
Readmission Rates ◽  
Improve Patient Satisfaction ◽  
Phone Calls ◽  
Improve Patient

Background: Pharmacists ability to directly impact patient satisfaction through increases in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys utilizing transitions-of-care (TOC) services is unclear. Methods: Retrospective analysis of TOC patients from 07/01/2018 to 03/31/2019 was conducted. Intervention (INV) patients received pharmacist medication reconciliation and education prior to discharge and post-discharge telephone follow-up. All other patients served as control group (CON). Primary outcome: Evaluate impact of TOC services on HCAHPS scores for “Communication about Medicines” and “Care Transitions.” Secondary outcomes: 30-day readmissions, quantification of prevented potential safety events, assessment of discharge prescriptions sent to the academic medical center outpatient pharmacy (MOP) for TOC patients. Results: Of 1,728 patients screened, 414 patients met inclusion criteria (INV = 414, CON = 1314). A significant improvement (14.7%; p = <0.0001) in overall medication-related HCAHPS results was seen when comparing pre- vs post-implementation of the TOC service. Statistically significant increases for individual questions “staff told you what the medicine was for” (14.2%; p = 0.018), “staff describe possible effects” (21.2%; p = 0.004), and “understood the purpose of taking medications” (11.4%; p = 0.035) were observed. A non-significant decrease in 30-day readmission rates for the groups was observed (CON 16.4%, INV 13.3%; p = 0.133); however, an unplanned subgroup analysis evaluating impact of discharge phone calls on 30-day readmission rates revealed a significant reduction of 17.3% to 12.4% (p = 0.007). One hundred forty-three medication safety event(s) were potentially prevented by the TOC pharmacist. Lastly, 562 prescriptions were captured at the MOP as a result of the TOC initiative. Conclusions: Pharmacy-based TOC models can improve patient satisfaction, prevent hospital readmissions, and generate revenue.

scholarly journals The Application and Practice of Humanistic Care in the Emergency Department

2015 ◽  
Vol 4 (3) ◽  
pp. 25
Author(s):  
Yuehuan Fu
Keyword(s):  
Emergency Department ◽  
Control Group ◽  
Emergency Nursing ◽  
Care Model ◽  
Hospital Emergency ◽  
Patients Satisfaction ◽  
Satisfaction Degree ◽  
Emergency Department Patients ◽  
Experimental Group

<p><strong>Objective:</strong> To study the application of humanized nursing in the emergency room, hence seek more suitable care model for emergency nursing. <strong>Methods:</strong> By reviewing the 521 patients visited to the hospital emergency department in April 2013 to May 2014, the patients were divided into control group and experimental group in accordance with the principle of voluntary and the principle of random. The control group has a total of 260 patients with normal nursing model. The experimental group has a total of 261 patients with the humanized nursing mode. Patients satisfaction degree was investigated after the nursing care. <strong>Results:</strong> The satisfaction questionnaire Results show that the satisfaction degree of experimental group patients was significantly higher than the control group patients (<em>p</em> &lt; 0.05). <strong>Conclusion:</strong> Humanistic nursing can effectively improve the emergency department patients satisfaction degree, help to improve the quality of service, and has value for clinical promotion.</p>

scholarly journals Breathing-coordinated exercise improves the quality of life in hemodialysis patients.

1995 ◽  
Vol 6 (5) ◽  
pp. 1392-1400
Author(s):  
T J Tsai ◽  
J S Lai ◽  
S H Lee ◽  
Y M Chen ◽  
C Lan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oxygen Consumption ◽  
Maximal Oxygen Consumption ◽  
Vena Cava ◽  
Hemodialysis Patients ◽  
Exercise Group ◽  
Control Group ◽  
Abdominal Sonography ◽  
Doppler Flowmetry

Breathing-coordinated exercise is a traditional Chinese exercise. These exercise maneuvers consist of slow diaphragmatic breathing, end-inspiratory pause, and Kegel's exercise. A total of 30 patients were enrolled in this study, with 12 patients as controls, to evaluate its effect on hemodialysis patients. Exercise was performed for 25 to 30 min twice a day for at least 3 months. Results from the exercise group showed a subjective improvement in appetite and physical strength, and an increase in the frequency of bowel movements, in addition to enhanced sexual activity and a significant increase in Karnofsky scores. Six patients in the exercise group underwent bicycle ergometry and demonstrated a stable maximal oxygen consumption, whereas the control group revealed a decline in maximal oxygen consumption. Photoelectric plethysmography and laser-Doppler flowmetry demonstrated a pulsatile enhancement of the peripheral microcirculation. Abdominal sonography revealed an oscillatory change in the diameter of the inferior vena cava. It was concluded that these gentle exercise maneuvers may improve the quality of life in hemodialysis patients, especially weak dialysis patients. The mechanism may be partly related to an improvement in microcirculation.

scholarly journals The ımportance of art therapy ın the qualıty of lıfe ın hemodıalysıs patıents

2020 ◽  
pp. 27-33
Author(s):  
Ergün Parmaksız ◽  
Hüseyin Demirbilek
Keyword(s):  
Quality Of Life ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Study Group ◽  
State Trait Anxiety Inventory ◽  
Important Place ◽  
Before And After ◽  
Avoidance Measures ◽  
The Mean

Dialysis causes many psycho-social problems in patients with chronic renal failure and decreases their quality of life by increasing their anxiety. We aimed to determine the influence of artistic activities on quality of life and reducing or eliminating dialysis anxiety.Methods. Among 180 hemodialysis patients, 8 patients were randomly selected as a study group and 8 patients as a control group. We performed our theater rehearsals in 16 sessions, two hours per week. State-Trait Anxiety Inventory (STAI), STAII and  Social Anxiety Scales (SAS) were employed in both groups before and after the play. Results. The means of the eighth-month SAS fear and avoidance measures of the study group were found to be significantly lower than the control group and significantly lower than the baseline. The mean difference of the initial eighth-month SAS fear and avoidance in the study group was statistically significantly higher than the control group.Initial and eighth month SAS fear and avoidance difference averages of the study group were found statistically significantly higher than the control group.Conclusions. We determined that the therapies to be done with art have an important place in relieving or reducing anxiety in hemodialysis patients. In addition, it was the opinion that our patients would make positive contributions to their quality of life. However, further studies are needed to demonstrate whether theater rehearsals reduce anxiety in hemodialysis patients.

scholarly journals Study on the Influence of PDCA Cycle Nursing Based on Network Service on the Quality of Life and Nutritional Status of Hypertension Patients in Home Care

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Chun Yi ◽  
Xiqiang Feng ◽  
Yueshuang Yuan
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
Nutritional Status ◽  
Home Care ◽  
Pressure Control ◽  
Control Group ◽  
Observation Group ◽  
Network Service ◽  
Pdca Cycle

Objective. To explore the influence of PDCA cycle nursing based on network service on the quality of life and nutritional status of hypertension patients in home care. Methods. From January 2019 to December 2020, 116 hypertension patients in home care were selected as research objects. According to the random number method, the patients were divided into two groups: the control group (n = 58) and the observation group (n = 58). The control group was given routine home care service, while the observation group was given PDCA cycle nursing based on the network service. The effects of blood pressure control, quality of life, nutritional status, and emotional state of the two groups were analyzed. Results. The effective rate of blood pressure control in the observation group (93.10%) was higher than that in the control group (79.31%) ( P < 0.05 ). After intervention, the Generic Quality of Life Inventory-74 scores of the observation group were higher than those of the control group ( P < 0.05 ). After intervention, the malnutrition-inflammation score of the observation group was lower than that of the control group ( P < 0.05 ). After the intervention, the Self-Rating Anxiety Scale score and Self-Rating Depression Scale score of the observation group were lower than those of the control group ( P < 0.05 ). Conclusion. PDCA cycle nursing based on network service has a good blood pressure control effect on hypertension patients in home care, which can improve their quality of life and nutritional status and also relieve their bad emotions.

scholarly journals Educational supportive group therapy and the quality of life of hemodialysis patients

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Sajad Mansouri ◽  
Amir Jalali ◽  
Mahmoud Rahmati ◽  
Nader Salari
Keyword(s):  
Quality Of Life ◽  
Group Therapy ◽  
Short Form ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Chronic Patients ◽  
Significant Difference ◽  
Supportive Group ◽  
Experimental Group

Abstract Background In addition to physical, mental, and social condition, ESRD and hemodialysis affect the quality of life of patients as well. Psychotherapy and non-pharmaceutical interventions are effective measures to add meaning to life, create a goal and motivation in life, and improve the quality of life in chronic patients. The effect of educational and supportive group therapy on the quality of life (QOL) of hemodialysis patients was examined. Methods The study was carried out as an interventional quasi-experimental study with the participation of 64 patients who were selected through convenience sampling and based on the patient’s hemodialysis days (Saturday, Monday, and Wednesday patients as an experimental group and Sunday, Tuesday, and Thursday patients as a control group). There were 32 patients in each group. The experimental group received eight 50 min sessions including two sessions per week. The control group received the normal interventions. The participants were assessed using a demographics form and Kidney Disease Quality of Life Short Form before, immediately after, and 1 month after the intervention. The collected data was analyzed using SPSS (v.24). Results The mean QOL scores of the experimental group before, immediately after, and 4 weeks after the intervention were 36.99, 43.3, and 44.9 respectively. Those of the control group were 36.39, 37.2, and 37.1 respectively. There was no significant difference between the two groups before the intervention (P > 0.05); however, the difference between the two groups was significant immediately after and 4 weeks after the intervention (P = 0.0001). The trend of score change in the experimental group was also significant (p < 0.05), and Tukey ad-hoc test showed significant differences between the scores before intervention and those immediately after and 4 weeks after the intervention (p < 0.05). Conclusion In general, educational and supportive group therapy can expand the interpersonal relationships of hemodialysis patients and positively affect their quality of life.

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