英文摘要 |
This project aims to improve the percentage of peritoneal dialysis (PD) patients with hemoglobin levels that conform to institutional standards. In our PD center, only 49.1% of patients had hemoglobin levels ≧10 g/dL and the average hemoglobin levels was only 8.7 g/dL, which lower than the value of 10 ~ 11 g/dL recommended by the U.S. Food and Drug Administration (FDA). We speculated that the main reasons of low hemoglobin level included iron deficiency, low consumption of high-iron content foods due to a lack of knowledge, chronic bleeding without treatment, and inadequate protein intake. This program therefore sought to improve anemia in PD patients through the following measures: (1) holding regular group education sessions; (2) developing a set of recommendations on iron supplements; (3) development of a treatment protocol for anemia. Four months after the program was implemented, the average hemoglobin levels of our PD patients increased from 8.7 g/dL to 10.2 g/dL, and 65.3% of the PD population reached our original target of 10 g/dL or higher. In conclusion, this anemia-improving project showed positive and encouraging results, and merits further investigation. |