临床常见假性高血钾的原因分析及护理对策

Clinnical common causes of pseudohyperkalemia: An analysis and nurse strategy

目的对临床常见假性高血钾的原因从护士因素、患者因素、标本运送三方面进行分析,并提出护理对策。方法将我院神经内科两个病区的30名护士(每个病区15名)分为研究组和对照组,对研究组进行采血知识的培训、强化护患沟通,加强标本运送的效果,比较一年内两组操作后假性高血钾的发生率。结果研究组假性高血钾的发生率低于对照组(P<0.01)。结论提高护士的专业知识及操作水平,做好患者评估和护理,可明显降低假性高血钾发生。

Objective To analyze the clinical common causes of pseudohyperkalemia from aspects including nurses, pa- tients, and sample transportation, and to come up with nurse strategy. Methods Thirty nurses in the two neurology wards were divided into study group and control group, each ward had 15. Those in the study group were received training of blood sample collection, strengthened nurse-patient communication, and the efficiency of blood sample transportation in this group was imporved. Compare the incidence of pseudohyperkalemia between two groups within one year. Results The incidence of pseudohyperkalemia in the study group was lower than that of control group （P 〈 0.01）. Conclusion Improve the nurses＇ professional knowledge and technique, optimize the evaluation of patients and their nursing can prevent pseu- dohyperkalemia significantly.