The influence of using continuous quality improvement program in the follow-up survey to atherosclerotic renal artery stenosis patients / 中国实用护理杂志

ABSTRACT

Objective To improve the compliance and prognosis of patients with atherosclerotic renal artery stenosis(ARAS) by using continuous quality improvement program(CQI).Methods Survey patients by the way of using the four-step problem-solving framework referred as the PDCA cycle,i.e.plan,do,check and act.Compare the results of patients which have obtained before and after CQI.Results The follow-up rate of patients was improved from 46.9% to 83.3%, and most of the patients are willing to enter the follow-up program.The patients are more likely to receive examinations of ARAS,such as blood pressure,renal function,renal artery color duplex sonography and renal scintigraphy.The control rate of blood pressure was also improved from 45.6% to 93.1% Conclusion CQI is a useful method to improve the compliance and prognosis for ARAS patients,and nurses have played an important role during the whole process.