摘要
目的:探讨集束化护理干预在连续性肾脏替代治疗(CRRT)患者中的护理效果及对依从性的影响。方法:选取2014年5月-2018年3月本院收治的行CRRT治疗的患者90例。按照随机数字表法分为对照组和观察组,各45例。对照组给予常规护理,观察组采用集束化护理干预。比较两组护理前后的肾功能水平(BUN、Scr)、并发症及护理依从性。结果:护理前,两组BUN、Scr比较差异均无统计学意义(P>0.05),护理1周后,两组BUN、Scr均低于护理前,且观察组均低于对照组,比较差异均有统计学意义(P<0.05);观察组穿刺点感染、堵管、CRBSI及非计划性拔管发生率均低于对照组,比较差异均有统计学意义(P<0.05);护理1周后,观察组按时治疗、饮食、药物、定期检查的依从性均高于对照组,比较差异均有统计学意义(P<0.05)。结论:将集束化护理干预用于CRRT治疗患者中有助于改善患者肾功能水平,降低并发症发生率,能提高患者护理依从性,值得推广应用。
Objective：To investigate the effect of clustering nursing intervention on patients with continuous renal replacement therapy（CRRT） and its influence on compliance.Method：A total of 90 patients with CRRT from May 2014 to March 2018 in our hospital were selected.According to the random number table method,they were divided into control group and observation group,45 cases in each group.The control group was given routine nursing,while observation group received cluster nursing intervention.The renal function（BUN,Scr） before and after nursing,complications and nursing compliance of two groups were compared.Result：Before nursing,the levels of BUN and Scr in two groups were compared,the difference was not statistically significant（P〉0.05）,after 1 week of nursing,the levels of BUN and Scr in two groups were lower than those of before nursing,and observation group were lower than those of control group,the differences were statistically significant（P〈0.05）.The incidence of puncture infection,blockage,CRBSI and unplanned extubation in observation group were lower than those of control group,the differences were statistically significant（P〈0.05）.After 1 week of nursing,the compliance of treatment,diet,medicine and regular examination in observation group were higher than those of control group,the differences were statistically significant（P〈0.05）.Conclusion：The application of cluster nursing intervention in CRRT can improve the renal function of patients,reduce the incidence of complications,improve the nursing compliance of patients,and is worth popularizing.
作者
幸莉萍
王芬
刘兰凤
XING Liping;WANG Fen;LIU Lanfeng(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)
出处
《中国医学创新》
CAS
2018年第31期83-86,共4页
Medical Innovation of China
关键词
集束化护理干预
连续性肾脏替代
护理效果
依从性
Cluster nursing intervention
Continuous renal replacement
Nursing effect
Compliance
