| 英文摘要 |
Patients on peritoneal dialysis (PD) are at high risk of cardiovascular disorders and chronic fluid overload. Our investigation found that 45 patients presented with up to 39.5% fluid overload secondary to poor fluid control resulting in increased hospital admission. To reduce fluid overload in PD patients to under 19.75%, the team identified the following causes: poor compliance with fluid intake, poor awareness of fluid control’s importance, improper skills and tools for nursing process, insufficient nursing instruction time, and inadequate patient training brochures. We conducted a project to improve the fluid control for our PD patients by utilizing multimodal training materials, providing updated information via social media such as Facebook, organizing patient training and experience sharing groups, establishing standard protocols for fluid control, as well as conducting regular telephone interviews and home visits. After the completion of the project, the rate of poor fluid control decreased significantly from 39.5% to 16.7% and patients’ recognition of adequate fluid control increased from 52.2% to 100%. Our improvement project demonstrated a positive effect with obvious benefits on fluid control. |
