基于JBI的老年下肢动脉闭塞介入术后饮水规范性护理策略对造影剂肾病防控价值

Value of JBI-based standardized care strategies for drinking water after lower extremity arterial occlusion interventions in the elderly for the prevention and control of contrast nephropathy

目的探讨基于乔安娜·布里格斯研究所(JBI)临床证据实践应用系统的老年下肢动脉闭塞介入术后饮水规范性护理策略(以下简称“JBI策略”)对于造影剂肾病(CIN)的防控效果。方法采用便利抽样法,选取2018年1月至2021年1月就诊江苏省海安市人民医院的老年下肢动脉闭塞介入术患者98例,依据是否应用JBI策略进行分组,未应用者纳入常规组、应用者纳入试验组,各组49例。比较两组CIN发生率、肾功能指标、术后排尿困难、尿潴留及胃部不适情况。结果试验组CIN发生率低于常规组,差异有统计学意义(P<0.05)。术后,两组血肌酐、尿素氮、β2微球蛋白水平低于术前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组并发症发生率低于常规组,差异有统计学意义(P<0.05)。结论基于JBI的老年下肢动脉闭塞介入术后饮水规范性护理策略能够有效降低介入术后CIN风险,降低术后胃部不适及并发症发生风险,具有护理借鉴价值。

Objective To explore the effect of drinking water standard nursing strategy(“JBI strategy”for short)on prevention and control of contrast induced nephropathy(CIN)based on the clinical evidence application system of Joanna Briggs Institute(JBI).Methods Convenience sampling method was used to select 98 elderly patients with lower extremity artery occlusion interventional surgery admitted to the Haian People’s Hospital,Jiangsu Province from January 2018 to January 2021.The patients were grouped according to whether JBI strategy was applied or not,and those who did not apply were included in the conventional group and those who applied were included in the experimental group,49 cases in both groups.The incidence of CIN,renal function,postoperative dysuria,urinary retention,and stomach discomfort were compared between the two groups.Results The incidence of CIN in experimental group was lower than that in conventional group,and the difference was statistically significant(P<0.05).After surgery,serum creatinine,urea nitrogen andβ2 microglobulin levels in two groups were lower than those before surgery,while those of experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).The complication rate of experimental group was lower than that of conventional group,and the difference was statistically significant(P<0.05).Conclusion The drinking water standard nursing strategy based on JBI can effectively reduce the risk of CIN after intervention,and reduce the risk of postoperative stomach discomfort and complications,which has nursing reference value.