ICU机械通气行CRRT治疗患者的循证护理效果  

Effect of evidence-based nursing intervention for patients with mechanical ventilation treated with continuous renal replacement therapy in ICU

作　　者：陈燕春[1] 张丽涓[1] 杨玲[1] 马静[1] 

机构地区：[1]四川省成都市第五人民医院重症医学科,四川成都611130

出　　处：《实用临床医药杂志》2017年第22期35-37,共3页Journal of Clinical Medicine in Practice

基　　金：四川省医药卫生科研项目(100043)

摘　　要：目的研究循证护理干预对ICU机械通气行连续性肾替代疗法(CRRT)患者的临床疗效、并发症和护理满意度的影响。方法选取本院收治的60例ICU机械械通气治疗患者,均予以CRRT治疗。按照入院时间顺序分成观察组与对照组各30例,对照组予以常规护理,观察组在常规护理基础上加用循征护理干预。比较不同护理方式对患者临床效果、并发症影响及满意度。结果 2组患者治疗前Scr、BUN与APACHEⅡ评分比较无差异(P>0.05);治疗后2组患者各项评分均有好转,且观察组好转程度高于对照组(P<0.05);护理干预后,观察组患者机械通气时间、穿刺点感染发生率、堵管发生率、28 d病死率、导管相关性感染发生率、ICU住院时间均少于对照组(P<0.05),基础护理合格率与护理满意度方面高于对照组(P<0.05);观察组患者并发症发生情况少于对照组(P<0.05)。结论对机械通气行连续性肾替代疗法的患者,给予循证护理干预后,能缓解患者病情,减少机械通气时间与ICU住院时间,降低并发症的发病率,提高临床治疗疗效。ObjectiveTo investigate the effect of evidence based nursing intervention on the clinical effect, complications and nursing satisfaction of patients with mechanical ventilation treated with continuous renal replacement therapy （CRRT） in ICU. MethodsA total of 60 patients with severe craniocerebral injury treated with mechanical ventilation in our hospital were divided into observation group（n=30） and control group （n=30） according to the time of admission. All patients were treated with CRRT. The patients in the control group were given routine nursing care and the patients in the observation group given evidence based nursing intervention. The effect of different nursing methods on the clinical effect and complications were observed and compared between two groups. The satisfaction of patients with different nursing methods was evaluated. ResultsBefore treatment, the levels of Scr, BUN and APACHE score showed no significant difference between two groups （P〉0.05）. After treatment, the levels of Scr, BUN and APACHE score in the two groups improved, but the improvement in observation group were significantly higher than that in the control group （P〈0.05）. The mechanical ventilation time, infection rate, puncture point the plugging rate, 28 d mortality, incidence rate, hospitalization time and ICU catheter related infection in the observation group was less than that in the control group（P〈0.05）. The qualified rate of basic nursing and patients′satisfaction in the observation group were higher than that in the control group （P〈0.05）. The incidence of complications in observation group were significantly less than that in the control roup（P〈0.05）. Conclusion Evidence based nursing intervention can reduce the time of mechanical ventilation and hospitalization time in ICU for patients with mechanical ventilation by continuous renal replacement therapy for relieving the patient＇s condition, reduce the incidence of complications, and improve the clinical efficacy, so is worth

关 键 词：循证护理干预 连续性肾替代疗法 机械通气治疗 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]