风险管理在急诊监护病房患者连续性肾脏替代治疗中的应用  

Application of risk management in the continuous renal replacement therapy of patients in EICU

作　　者：王庆玲[1] 何婧瑜[1] 刘兰兰[1] 梁潇[1] 封彬[1] Wang Qingling He Jingyu Liu Lanlan Liang Xiao Feng Bin(Emergency Intensive Care Unit, Xuanwu Hospital of Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院急诊监护室,北京100053

出　　处：《中华现代护理杂志》2016年第35期5123-5125,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨风险管理在急诊监护病房患者连续性肾脏替代治疗（CRRT）中的应用效果。方法选取2010年2月—2015年12月首都医科大学宣武医院急诊监护病房收治的行CRRT的重症患者74例，采用随机数字表法将其随机分为观察组和对照组各37例。对照组采用常规护理，观察组在常规护理基础上实施风险管理，比较两组患者治疗时间、焦虑、抑郁状况、患者家属护理满意度。结果观察组患者CRRT治疗时间（12.73±3.13）d，焦虑自评量表（SAS）（33.12±6.94）分，抑郁自评量表（SDS）（38.21±5.56）分；对照组患者分别为（12.73±3.13）d，（51.56±1.81），（52.37±1.36）分，差异有统计学意义（t值分别为10.235,8.274，9.024；P〈0.05）。观察组患者家属的护理满意率为97.30%，对照组为81.08％，两组比较差异有统计学（χ^2=5.045，P〈0.05）。结论风险管理能缩短CRRT治疗时间，减轻患者不良情绪，提高患者家属满意度。Objective To explore the application effect of risk management in the continuous renal replacement therapy （CRRT） of patients in emergency intensive care unit （ EICU ）. Methods Totally 74 critical patients with CRRT that admitted in the EICU of Xuanwu Hospital of Capital Medical University from February 2010 to December 2015 were selected by random number table method and were divided into the observation group and the control group, with 37 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received risk management based on the routine nursing method. The treatment time, the situation of anxiety and depression, and family members＇ satisfaction to nursing between two groups were compared. Results In the observation, the CRRT treatment time of patients was （12. 73±3.13） d, the score of self-rating anxiety scale （SAS） was （33.12±6.94） , and the score of self-rating depression scale （SDS） was （38.21±5.56） ; while in the control group, the treatment time was （12.73±3.13） d, the SAS score was （51.56±1.81）, and the SDS score was （52.37±1.36） （t= 10.235,8.274,9.024;P〈 0. 05）. Family members＇ satisfaction to nursing in the observation group was 97.30%, and it was 81.08% in the control group （χ^2= 5.045,P〈0.05）. Conclusions Risk management can shorten the CRRT treatment time, relieve patients＇ negative emotions, and improve family members＇ satisfaction.

关 键 词：护理 连续性肾脏替代治疗 急诊监护病房 风险管理 

分 类 号：R473[医药卫生—护理学]