护理干预在ICU危重患者床旁连续性肾脏替代治疗中的效果  

Effect of the nursing interventions in critical ICU patients during the continuous renal replacement therapy

作　　者：王爱红[1] WANG Ai-hong(Center ICU,Guangzhou First People's Hospital,Guangdong Province,Guangzhou 510080,China)

机构地区：[1]广州市第一人民医院中心ICU,广东广州510080

出　　处：《中国当代医药》2019年第13期216-218,221,共4页China Modern Medicine

摘　　要：目的探讨护理干预在重症监护病房(ICU)危重患者床旁连续肾脏替代疗法(CRRT)中的效果。方法回顾性分析2015年1月～2017年12月我院ICU收治的230例危重患者的临床资料,所有患者均行床旁CRRT治疗,按照入院先后顺序将其分为对照组(128例)和观察组(102例)。对照组采用常规护理,观察组则实施护理干预模式,比较两组护理前后血尿素氮(BUN)、血肌酐(SCr)、C反应蛋白(CRP)及降钙素原(PCT)等指标变化情况,统计两组并发症总发生率及上机时间、住院总时间。结果两组护理前的SCr、BUN、CRP及PCT水平比较,差异无统计学意义(P>0.05);两组护理后的SCr、BUN、CRP及PCT水平均低于护理前,差异有统计学意义(P<0.05);观察组护理后的SCr、BUN、CRP及PCT水平均低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率明显低于对照组,差异有统计学意义(P<0.05);观察组上机时间长于对照组,住院总时间短于对照组,差异有统计学意义(P<0.05);观察组家属护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论为ICU危重患者行床旁CRRT治疗期采取护理干预,能有效提高患者治疗效果,减少并发症的发生,提高患者满意度,缩短病情康复时间。Objective To study the effect of nursing interventions in critical intensive care unit(ICU)patients during the continuous renal replacement therapy(CRRT).Methods The clinical data about 230 critical patients treated from January 2015 to December 2017 in our ICU were retrospectively analyzed.They were divided into control group(n=128)and observation group(n=102)according to the order of admission.The control group was treated with conventional nursing;the observation group was treated with nursing interventions.The indexes of blood urea nitrogen(BUN),serum creatinine(SCr),C-reactive protein(CRP)and procalcitonin(PCT)as well as complication rate,mechanical ventilation time and total hospitalization time were compared between two groups.Results Comparison of SCr,BUN,CRP and PCT levels before nursing between the two groups,the difference had no statistical significance(P>0.05).After intervention,the values of SCr,BUN,CRP and PCT for two groups were lower than those before nursing,with statistically significant difference(P<0.05);after nursing,the values of SCr,BUN,CRP and PCT in the observation group were lower than those in the control group,with statistically significant difference(P<0.05).The total incidence rate of complications in the observation group was lower than that in control group,with statistically significant difference(P<0.05);the ventilation time in the observation group was longer than that in control group while the total hospitalization time was shorter,with statistically significant differences(P<0.05);the patients'satisfaction in the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion During the CRRT,the nursing interventions can efficiently increase the therapeutic effect,reduce the incidence rate of complications,improve the patients'satisfaction and shorten the recovery time.

关 键 词：重症监护病房 危重 床旁连续性肾脏替代治疗 护理 

分 类 号：R473.5[医药卫生—护理学]