多学科团队协作模式下1例尿毒症合并重度淤积性皮炎患者的护理体会  

Multidisciplinary team-based nursing of a patient with uremia and severe stasis dermatitis

作　　者：王露[1] 杨婷[2] 尹小宁[2] 赵霞 WANG Lu;YANG Ting;YIN Xiaoning;ZHAO Xia(Department of Nursing,The Second Hospital of Dalian Medical University,Dalian,Liaoning,116023;Department of Nephrology,Zuanshiwan Branch The Second Hospital of Dalian Medical University,Dalian,Liaoning,116027;Blood Purification Center,Zuanshiwan Branch The Second Hospital of Dalian Medical University,Dalian,Liaoning,116027)

机构地区：[1]大连医科大学附属第二医院护理部,辽宁大连116023 [2]大连医科大学附属第二医院钻石湾院区肾内科,辽宁大连116027 [3]大连医科大学附属第二医院钻石湾院区血液净化中心,辽宁大连116027

出　　处：《中西医结合护理》2025年第1期144-150,共7页Chinese Journal of Integrative Nursing

摘　　要：本文总结多学科团队(MDT)协作模式下1例尿毒症合并重度淤积性皮炎患者的护理体会。患者病情复杂,基于MDT模式,采取综合护理策略,包括纠正心衰、控制高钾血症、透析排毒、营养支持及预防导管相关血流感染、数字减影血管造影引导下血管通路置管、多学科诊疗协作、局部及系统药物治疗,以及中医护理方法,降低了并发症风险,有效改善了患者的症状和生活质量。This paper reported the multidisciplinary team approach in nursing of a patient with uremia and severe stasis dermatitis.A comprehensive nursing plan based on the multidisciplinary team was established after assessment of illness condition of the patient.Key issues of nursing in⁃cluded correcting heart failure,controlling hyperkalemia,dialysis and detoxification,nutritional support,and preventing catheter-related bloodstream infections,catheterization guided by digital subtraction angiography,multidisciplinary team collaboration,local and systemic drug therapy,and Traditional Chinese Medicine nursing technology.The comprehensive nursing strategy effec⁃tively relieved the clinical symptom,reduced the risk of complication and improved the patient’s quality of life during treatment.

关 键 词：慢性肾脏病 淤积性皮炎 血液透析 皮肤瘙痒 多学科团队协作 中医护理 

分 类 号：R473.5[医药卫生—护理学]