护理干预在ICU危重患者床旁连续性肾脏替代治疗(CRRT)中的应用  

Application of Nursing Intervention in Bedside Continuous Renal Replacement Therapy(CRRT)for Critically Ill Patients in ICU

作　　者：郑清清 ZHENG Qingqing(Putian University Affiliated Hospital,Putian 351100,China)

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《中国医药指南》2023年第27期135-137,141,共4页Guide of China Medicine

摘　　要：目的探讨对ICU危重患者床旁连续性肾脏替代治疗(CRRT)实行护理干预的效果。方法以我院2022年10月至2023年5月收治60例ICU危重患者实施床旁CRRT治疗者为研究对象,以随机数字表法分为观察组与对照组,每组各30例。对照组提供一般常规护理,观察组在对照组的基础上实行护理干预,对比两组干预前、干预后心理状况、血尿素氮(BUN)、血肌酐(Scr)、C反应蛋白(CRP)及降钙素原(PCT)以及并发症情况。结果两组护理前SAS、SDS水平比较无意义(P>0.05)。护理后,观察组SAS、SDS水平低于对照组,差异有统计学意义(P<0.05)。观察组与对照组的BUN、Scr、CRP、PCT水平干预前无统计学意义(P>0.05),干预后,观察组BUN、Scr、CRP、PCT水平低于对照组,差异有意义(P<0.05)。观察组并发症发生率为6.67%,对照组发生率为36.67%,差异有意义(P<0.05)。结论护理干预能够有效缓解在ICU危重患者经CRRT治疗后的焦虑、抑郁情况,改善治疗效果,减少并发症的发生。Objective To explore the effect of nursing intervention on bedside continuous renal replacement therapy(CRRT)for critically ill patients in ICU.Methods Sixty ICU critically ill patients admitted to our hospital from October 2022 to May 2023 who were treated with bedside CRRT were used for the study,they were divided into observation group and control group by randomized numerical table method,30 cases in each group..The control group provided general routine nursing care.The observation group implemented nursing intervention on the basis of the control group,and compared the psychological status,blood urea nitrogen(BUN),blood creatinine(Scr),C-reactive protein(CRP),Pro Calcitonin(PCT)and complications of the two groups before and after intervention.Result There was no significant difference in SAS and SDS levels between the two groups before nursing(P>0.05).After nursing,the levels of SAS and SDS in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).The levels of BUN,SCR,CRP and PCT in the observation group and the control group before the intervention were not statistically significant(P>0.05),and after the intervention,the levels of BUN,SCR,CRP and PCT in the observation group were lower than those in the control group,and the difference was significant(P<0.05).The incidence of complications was 6.67%in the observation group and 36.67%in the control group,with a significant difference(P<0.05).Conclusion Nursing intervention can effectively alleviate the anxiety and depression of critically ill patients in the ICU after(CRRT)treatment,improve treatment effectiveness,and reduce the occurrence of complications.

关 键 词：护理干预 ICU 床旁连续性肾脏替代治疗 危重 

分 类 号：R473[医药卫生—护理学]