规范化护理操作流程在坐位生理盐水试验患者中的应用  

Effect of standardized nursing operation process in patients underwent seated saline infusion test

作　　者：梁洁静 高忠兰[1] 黄洁瑜 Liang Jiejing;Gao Zhonglan;Huang Jieyu(Department of Cardiovascular Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院心血管内科,南宁530021

出　　处：《中华现代护理杂志》2023年第22期3048-3052,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨规范化护理操作流程在坐位生理盐水试验患者中的应用效果。方法采用便利抽样法,选取2020年1月—2021年12月在广西医科大学第一附属医院行坐位生理盐水试验的163例患者为研究对象,其中2020年1—12月收治的50例患者为对照组(采用常规护理流程),2021年1—12月收治的113例患者为观察组(采用规范化护理操作流程)。比较两组患者试验期间收缩压、心率和血钾的波动情况及试验后血钾浓度、不良反应的发生情况及满意度。结果试验期间,观察组血钾降低、收缩压升高、心率升高的发生率低于对照组,差异有统计学意义(P<0.05)。试验后,观察组血钾浓度高于试验前及对照组,差异有统计学意义(P<0.05)。试验后,观察组发生不良反应的患者例数少于对照组,差异有统计学意义(P<0.05)。试验后,观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论规范化护理操作流程可减少行坐位生理盐水试验患者血压升高、心率升高、血钾降低的发生率,减少患者的不良反应,保障试验期间患者的安全。ObjectiveTo explore the effect of standardized nursing operation process in patients underwent seated saline infusion test.MethodsFrom January 2020 to December 2021,a total of 163 patients underwent seated saline infusion test in the First Affiliated Hospital of Guangxi Medical University were selected as research objects by convenience sampling method,50 patients admitted from January 2020 to December 2020 were set as the control group(using routine nursing process),113 patients admitted from January to December 2021 were set as the observation group(using improved standardized nursing operation process).The fluctuation of systolic blood pressure,heart rate and blood potassium during the experiment,the blood potassium concentration,the occurrence of adverse reactions and satisfaction after experiment were compared between the two groups.ResultsDuring the experiment,the incidence rate of decreased blood potassium,increased systolic blood pressure and increased heart rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After experiment,the serum potassium concentration of the observation group was higher than that before experiment and that of the control group,and the difference was statistically significant(P<0.05).After experiment,the number of adverse reactions of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).After experiment,the satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).ConclusionsStandardized nursing operation process can reduce the incidence of can reduce the incidence of elevated blood pressure,elevated heart rate and decreased blood potassium in patients underwent seated saline infusion test,reduce the adverse reactions of patients,and ensure the safety of patients during the test.

关 键 词：醛固酮增多症 坐位生理盐水试验 规范化护理流程 

分 类 号：R472[医药卫生—护理学]