风险评估护理干预在连续性肾脏替代治疗重症监护病房危重患者中的应用

Application of Risk Assessment Nursing Intervention in Critically Ill Patients with Continuous Renal Replacement Therapy in Intensive Care Unit

目的:探讨风险评估护理干预在连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)重症监护病房(Intensive Care Unit,ICU)危重患者中的应用。方法:选取2021年1月—2023年12月宁夏医科大学总医院ICU收治的行CRRT的105例危重患者作为研究对象,采用随机数表法将其分为对照组(n=51)和观察组(n=54)。其中对照组采用常规护理干预,观察组采用风险评估护理干预。比较两组护理效果,干预前后改良早期预警评分(modified early warning score,MEWS)、汉化ICU活动量表(ICU mobility scale,IMS)评分及并发症发生率。结果:观察组管路使用时间长于对照组,报警频次少于对照组,非计划性下机率低于对照组,差异有统计学意义(P<0.05);干预后,两组MEWS评分较干预前降低,且观察组较对照组更低,两组IMS评分较干预前升高,且观察组较对照组更高,差异有统计学意义(P<0.05);观察组并发症发生率为7.41%,低于对照组的21.57%,差异有统计学意义(P<0.05)。结论:CRRT ICU危重患者采用风险评估护理干预能延长管路使用时间,减少报警频次与非计划性下机,并增强肢体活动功能,降低并发症发生率。

Objective:To investigate the application of risk assessment nursing intervention in critically ill patients with continuous renal replacement therapy(CRRT)in Intensive Care Unit.Method:A total of 105 critically ill patients who treated with CRRT in the Intensive Care Unit(ICU)of General Hospital of Ningxia Medical University from January 2021 to December 2023 were selected as the research objects,they were divided into the control group(n=51)and the observation group(n=54)by random number table method.The control group was treated with routine nursing intervention,and the observation group was treated with risk assessment nursing intervention.The nursing effect,modified early warning score(MEWS),Chinese ICU mobility scale(IMS)score before and after intervention and complication rate were compared between two groups.Result:The time of pipeline use in the observation group was longer than that in the control group,the frequency of alarm was less than that in the control group,and the probability of unplanned discharge was lower than that in the control group,the differences were statistically significant(P<0.05);after intervention,the MEWS scores of two groups were lower than those before intervention,and that in the observation group was lower than that in the control group,the IMS scores of two groups were higher than those before intervention,and that in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05);the incidence of complications in the observation group was 7.41%,which was lower than 21.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of risk assessment nursing intervention in critically ill patients in CRRT ICU can prolong the use time of pipeline,reduce the frequency of alarm and unplanned discharge,enhance limb movement function,and reduce the incidence of complications.