Hossli S
Amgen Inc., Thousand Oaks, CA, USA.
ANNA J. 1997 Dec;24(6):678-84; quiz 685.
Anemia is best managed with an effective protocol that provides standardized guidance for clinical interventions while maintaining the flexibility to respond to the needs of individual patients. An anemia management protocol can help nurses and other clinicians: (a) monitor and manage erythropoietic parameters, (b) successfully achieve the higher hematocrit (33% to 36%) and hemoglobin (11 g/dL to 12 g/dL) target levels recommended by the Dialysis Outcomes Quality Initiative (DOQI) guidelines, and (c) maintain a stable Hct to help manage the new Medicare Hematocrit Measurement Audit policy. Maintaining a stable hematocrit higher in the target range has been associated with improved patient outcomes. This article describes how to use a continuous quality improvement (CQI) approach to develop an anemia management protocol. The potential benefits of coordinating protocol implementation through an anemia management nurse are also discussed.
贫血的最佳管理方式是采用有效的方案，该方案可为临床干预提供标准化指导，同时保持灵活性以满足个体患者的需求。贫血管理方案可帮助护士和其他临床医生：(a) 监测和管理造血参数，(b) 成功达到透析预后质量倡议 (DOQI) 指南推荐的较高血细胞比容（33% 至 36%）和血红蛋白（11 g/dL 至 12 g/dL）目标水平，以及 (c) 维持稳定的血细胞比容，以帮助应对新的医疗保险血细胞比容测量审核政策。维持目标范围内较高且稳定的血细胞比容与改善患者预后相关。本文描述了如何使用持续质量改进 (CQI) 方法来制定贫血管理方案。还讨论了通过贫血管理护士协调方案实施的潜在益处。
