摘要
目的针对连续性肾脏替代治疗(CRRT)患者探讨如何预防其非计划下机的干预措施以及应用效果。方法选取重症医学科病房在2022年1月-2023年1月收治的接受CRRT治疗患者80例为研究对象,按照随机数字表法将其分成实验组(n=40)、对照组(n=40)。对照组患者应用常规护理方法,实验组患者应用集束化护理方法。对比两组患者非计划下机发生率,对比两组的滤器使用时间、血透费用指标情况,对比两组在上机期间的血液指标水平变化。结果实验组患者非计划下机率为2.50%,对照组为17.50%,实验组发生率低于对照组(P<0.05);实验组患者的滤器使用时间长于对照组,实验组患者血透费用少于对照组,组间的指标对比,差异有统计学意义(P<0.05);两组患者上机2h的血小板、红细胞、血肌酐均较上机前降低,而实验组上机2h各项指标比对照组更高,组间比较,差异具有统计学意义(P<0.05)。结论对于接受CRRT治疗的患者,应用集束化的护理干预措施能够明显降低非计划下机的发生率,延长滤器的使用时间及减少透析费用,对患者血液指标的影响小。
Objective To study on patients with continuous renal replacement therapy(CRRT)are being taken to prevent unplanned way off the plane in the implementation and application effect.Methods Selected intensive medicine ward in January 2022 to January 2023 patients receiving CRRT treatment 80 cases as the research object.In accordance with the principle of random indicator method,divided into experimental group(n=40)and the control group(n=40).Control group patients with routine nursing method,the experimental group patients applied cluster nursing methods.Compared two groups of patients the incidence plane plan,compared two groups of filter using time,hemodialysis cost index,compared two groups of blood index level changes during the computer.Results The patients with probability of 2.50%not under the plan,the control group was 17.50%,the incidence of experimental group is lower than the control group(P<0.05);filter use longer than the control group,experimental group patients costs less than the control group,experimental group patients hemodialysis index comparison between groups was statistically significant difference(P<0.05);two groups of patients in the computer 2h of platelets,red blood cells and serum creatinine were lower before the computer,and the experimental group 2h each index is higher than control group,comparison between groups,statistically significant difference(P<0.05).Conclusion For patients with CRRT treatment,application of cluster nursing intervention measures,can significantly reduce the incidence of unscheduled off the plane,prolonged use of filter and reduce the cost of dialysis,influences on the targets of a patient's blood.
作者
邝咏诗
赵梓佳
Kuang Yongshi;Zhao Zijia(Guangzhou Integrated Traditional Chinese and Western Medicine Hospital,Guangzhou,Guangdong 510800,China)
出处
《首都食品与医药》
2023年第22期114-117,共4页
Capital Food Medicine
基金
2023年度广州市花都区医疗卫生一般科研专项立项项目(编号:23-HDWS-031)。
关键词
连续性肾脏替代治疗
集束化护理
非计划下机
血液指标
Continuous renal replacement therapy
Cluster care
Unplanned disembarking
Blood indicators
