| 英文摘要 |
Hyperphosphatemia increases morbidity and mortality rates among patients undergoing maintenance hemodialysis. From January to June in 2011, only 64.1% of patients in our unit reached the target of the phosphate standard which was less than the care threshold. Analysis found that this was probably due to the following reasons: poor drug compliance, insufficient knowledge of food intake, as well as a lack of assistance and facilitating tools from our nursing team. The main purpose of our project was to raise the serum phosphate standard target achievement rate among hemodialysis patients. Through group discussion, we developed several strategies that were carried out from September 20, 2011 through to June 30, 2012. These included setting standards on hyperphosphatemia care, using pictures as care instruction tools, and passports for individual diet and medication. The achievement rate subsequently increased from 64.1% to 71.9%, and drug compliance improved from 34% to 91%. If nurses use the complete instruction tools and patients use the passports to selfmonitor their food and drugs, we can effectively raise the achievement rate for the serum phosphate target among hemodialysis patients. |
