ICU患者连续性肾脏替代治疗参数核查表的设计与应用

Design and application of Continuous Renal Replacement Therapy checklist for ICU patients

目的:设计ICU患者连续性肾脏替代(CRRT)治疗参数核查表并应用于临床。方法:通过查阅指南和文献,结合科室情况,设计ICU患者CRRT治疗参数核查表,将核查表应用于CRRT治疗参数的设定、调整和交接中,对比核查表使用前后护理操作和医务人员沟通情况。结果:ICU患者CRRT治疗参数核查表使护士上机时间缩短、参数执行准确率提高,医务人员间对CRRT治疗参数执行过程中沟通的满意度提高,此外不同时间段医务人员使用核查表的意愿提高。结论:将ICU患者CRRT治疗参数核查表应用于CRRT治疗参数的设定、调整和交接中,有利于规范CRRT治疗流程,提高护士工作效率和护理工作质量,有利于医务人员对CRRT治疗参数进行交接和核对,促进医务人员团结,保障患者安全。

Objective: To design a checklist of Continuous Renal Replacement Therapy (CRRT) treatment parameters for ICU patients and apply it in clinical practice. Methods: Through reviewing the guidelines and literature, combined with the department's situation, the CRRT treatment parameters checklist for ICU patients was designed, and then was applied in the process of setting, adjustment and handover of CRRT treatment parameters. And the condition of operation and communication among medical staff were compared before and after the use of the checklist. Results: The checklist of CRRT treatment parameters for ICU patients reduced the operation time of nurses and improved the accuracy of parameter execution, improved the satisfaction of communication among medical staff during the implementation of CRRT treatment parameters, and increased the willingness of medical staff to use the checklist in different time periods. Conclusion: The checklist of CRRT treatment parameters for ICU patients in the process of setting, adjustment and handover of CRRT treatment parameters is helpful to the standardization of CRRT treatment process, so as to improve the working efficiency and quality of nursing work, facilitate the handover process and verification of CRRT treatment parameters , promote the cooperation among medical staff and thus ensure the safety of patients.