综合护理干预在急诊重症监护病房重症急性肾功能衰竭中的应用效果分析

Analysis on the application effect of comprehensive nursing intervention for patients with severe acute renal failure those who hospitalized in EICU

目的探讨综合护理干预在ICU重症急性肾功能衰竭中的应用效果。方法选择2014年8月至2016年9月本院收治的78例急诊重症监护病房(EICU)重症急性肾功能衰竭患者,随机分为干预组与对照组各39例,对照组患者接受常规护理,干预组患者在此基础上接受综合护理干预,比较两组患者疾病转归情况和护理满意度情况。结果干预组患者抢救成功率为92.31%,明显高于对照组患者的抢救成功率74.36%,差异有统计学意义(Z=-2.158,P=0.031)。干预组患者护理满意率92.31%,明显高于对照组患者护理满意率74.36%,差异有统计学意义(Z=-2.281,P=0.023)。此外,两组患者均未发生严重并发症。结论对EICU重症急性肾功能衰竭患者实施综合护理干预,能够显著提升抢救成功率,改善症状,减轻患者的痛苦,同时有助于改善护患关系,提高护理满意度。

Objective To investigate the effect of comprehensive nursing intervention on severe acute renal failure（ ICU）.Methods A total of 78 cases of acute rental function failure patients hospitalized in EICU of our hospital during August 2014 and September 2016 were enrolled in this study. They＇re randomly divided into intervention group（ n = 39） and control group（ n = 39）,patients in control group underwent routine nursing,while the patients in intervention group were given comprehensive nursing The prognosis and nursing satisfaction of the two groups were compared. Results The rescue success rate of intervention group was 92. 31%,which was significantly higher than 74. 36% of the control group（ Z =-2. 158,P = 0. 031）. The nursing satisfaction of the intervention group was 92.31%,which was significantly higher than 74.36 of the control group（ Z =-2.281,P =0.023）. There were no serious complications in the 2 groups. Conclusions Nursing intervention measures for patients with severe acute renal failure in EICU, can significantly improve the success rate, improve the symptoms,reduce the pain of patients,but also help to improve the relationship between nurses and patients,improve nursing satisfaction,has higher application value.