急诊ICU连续性肾替代疗法专业护理小组的成立与实施效果评价

Evaluation of the establishment and implementation effectiveness of CRRT professional nursing team in EICU

目的 探讨在急诊ICU成立连续性肾替代疗法（CRRT）专业护理小组的效果.方法 在急诊ICU成立CRRT专业护理小组,明确其职责和工作内容.定期对护士进行培训和指导,制定流程及指引,积累个案,加强CRRT护理质量控制.对成立CRRT专业护理小组前后护士的CRRT理论知识及操作技能成绩、CRRT护理相关并发症的发生率进行比较.结果 CRRT专业护理小组成立后护士的CRRT理论知识考核（95.53±1.78）分,操作技能考核（97.00±1.20）分,均高于成立前的（85.95±3.82）,（89.68 ±2.85）分,差异有统计学意义（t分别为14.55,14.57;P ＜0.01）；CRRT护理相关并发症的发生率由5.26％下降到1.44％,差异有统计学意义（x2=4.59,P＜0.05）.结论 在急诊ICU成立CRRT专业护理小组提高了护士的理论水平及操作技能,规范了护理专业行为,调动了护士工作的积极性及学习的主动性,提高了护理质量.

Objective To explore the effect of building continuous renal replacement therapy （CRRT） professional nursing team in emergency intensive care unit （EICU）. Methods To establish CRRT professional nursing team in EICU, define the duties, responsibilities and job contents, and provide theory and manipulative skill training about CRRT care, make processes and guides, accumulate cases, strengthen CRRT nursing quality control. The scores of theory knowledge and manipulative skill in CRRT and the incidence rate of CRRT nursing associated complication were respectively compared before and after the establishment of the CRRT professional nursing team. Results The scores of theory knowledge and manipulative skill in CRRT were respectively （95.53 -＋ 1.78） , （97.00 _＋ 1.20） after the establishment of CRRT professional nursing team, and higher than （ 85.95 ~ 3.82） , （ 89.68 -＋ 2.85 ） before the establishment, and the differences were statistically significant （t = 14.55,14.57 ,respectively; P 〈 0.01 ）. The incidence rate of CRRT nursing associated complication was decreased from 5.26% to 1.44% , and the difference was statistically significant （ X2 = 4.59, P 〈 0.05 ）. Conclusions The establishment of CRRT professional nursing team in EICU can improve nurses＇ theory and clinical skill, standardize nurses＇ professional nursing behaviors, mobilize nurses＇ enthusiasm for the job and initiative in learning, and improve nursing quality.