护理风险管理在重症急性胰腺炎患者连续性血液净化中的应用  

Application of nursing risk management in continuous blood purification for patients with severe acute pancreatitis

作　　者：甘金华 门华琳 雷昊[1] 胡超娅[1] 张钟满 夏赟 GAN Jinhua;MEN Hualin;LEI Hao;HU Chaoya;ZHANG Zhongman;XIA Yun(Department of Critical Care Medicine,Chengdu Second People’s Hospital,Sichuan,Chengdu 610000,China;School of Medicine,Shangqiu Institute of Technology,Henan,Shangqiu 476000,China)

机构地区：[1]成都市第二人民医院重症医学科,四川成都610000 [2]商丘工学院医学院,河南商丘476000

出　　处：《中国医药科学》2023年第12期92-95,共4页China Medicine And Pharmacy

摘　　要：目的探讨护理风险管理在重症急性胰腺炎患者连续性血液净化中的应用效果。方法选取2020年1月至2021年12月收治在成都市第二人民医院ICU的82例重症急性胰腺炎患者为研究对象,按照随机数表法分为对照组和观察组,每组各41例,两组均行连续性肾脏代替治疗(CRRT),对照组给予CRRT常规护理管理,观察组在此基础上行护理风险管理干预,比较两组患者治疗时间、效果、C反应蛋白、血淀粉酶、满意度和风险发生率的情况。结果观察组治疗时间明显短于对照组,观察组C反应蛋白明显低于对照组,差异有统计学意义(P<0.05),血淀粉酶低于对照组,但差异无统计学意义(P>0.05)。观察组患者治疗有效率、护理满意度显著高于对照组,风险发生率明显低于对照组,差异有统计学意义(P<0.05)。结论护理风险管理在重症急性胰腺炎患者CRRT中可以增强CRRT治疗稳定性及治疗效果,降低护理风险发生率,提高患者满意度。Objective To investigate the application effect of nursing risk management in continuous blood purification in patients with severe acute pancreatitis.Methods A total of 82 patients with severe acute pancreatitis admitted to the ICU of Chengdu Second People’s Hospital from January 2020 to December 2021 were selected as research subjects,and they were divided into control group and observation group according to the random number table method,41 cases in each group,both groups underwent continuous renal replacement therapy(CRRT),the control group was given CRRT routine nursing management,the observation group underwent nursing risk management intervention on this basis,and the treatment time,effect,C-reactive protein,blood amylase,satisfaction and risk incidence of the two groups were compared.Results The treatment time in the observation group was significantly shorter than that in the control group,and the C-reactive protein in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05),and the difference in blood amylase was lower than that in the control group,but the difference was not statistically significant(P>0.05).The response rate and satisfaction rate of patients in the observation group was significantly higher than that in the control group,and the risk incidence rate was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing risk management can enhance the stability and treatment effect of CRRT treatment,reduce the incidence of nursing risk and improve patient satisfaction in continuous blood purification in patients with severe acute pancreatitis.

关 键 词：连续性血液净化 重症急性胰腺炎 风险管理 满意度 

分 类 号：R473.5[医药卫生—护理学]