危重患者高血钠发生的危险因素及相关护理对策

Risk Factor for Developing Hypernatremia in Critically Ill Patients and the Related Countermeasure of Nursing

目的 :了解监护病室高血钠发生的危险因素并探讨相关护理对策。方法 :对 2 84例危重患者进行了调查和记录 ,并利用单因素 χ2检验和多因素 logistic回归分析对可能发生高血钠的危险因素进行了筛选和判定。结果 :高血钠发生的主要危险因素有 :患者有不同程度的意识障碍或昏迷、多尿、高热、经口饮水受限及使用脱水剂不当等。结论 :监护病室多种危险因素都可导致高血钠的发生 ,且均与护理密切相关。应加强对患者的观察和护理 。

Objective:To determine the risk factors which strongly associated with hypernatremia in intensive care unit and discuss the related countermeasure of nursing. Methods:284 critically ill patients were investigated and observed. All potential risk factors for developing hypernatremia were selected by univariate analysis and logistic regression analysis. Results:In univariate analysis and logistic regression analysis, main risk factors for hypernatremia are strongly associated with impaired mental status or coma, polyuria. hyperfever, restricted free water intake by mouth and administration of osmotic diuretic improperly. Conclusion: a lot of risk factors in intensive care unit may cause hypernatremia and it is tightly related to nursing.More nursing measurements must be carried out in order to reduce the incidence of hypernatremia.