| 英文摘要 |
Hyperkalemia is common complication in hemodialysis patients. According to statistics from this department, an average serum potassium concentration of ≧5.5 mEq/L had an incidence of 27.5% between April and August, 2013. This result was significantly higher than that reported between September, 2012 and February, 2013 (15.7%). The purpose of this project is to reduce the incidence of hyperkalemia in hemodialysis patients. The project was established to determine the cause of this result and to implement Behavior Modification for reducing hyperkalemia. The following initiatives were used to reduce hyperkalemia: low potassium diet education pamphlets, low sodium food chart, diet and medication record card, reminder cards, patient record indication card, regular group health education sessions as well as posters and low potassium diet videos. After the project was implemented, the department’s incidence of serum potassium ion ≧5.5 mEq/L declined from 27.5% (March-August, 2013) to 10.5% (January-June, 2014) and met the project target of 12%. The hyperkalemia rate of hemodialysis patients was therefore effectively reduced by implementing a series of behavior modification initiatives and a better quality of care. |
