Lu Zhen, Hong Yanyan, Tian Yali, Zhang Li, Li Yan
Department of Critical Care Medicine, Jiangsu Province Hospital, Jiangsu 210029, China.
Department of Nursing, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210001, China.
Iran J Public Health. 2022 Mar;51(3):544-551. doi: 10.18502/ijph.v51i3.8930.
To explore the application of specialist nursing teams in patients undergoing unplanned interruptions in continuous renal replacement therapy.
Sixty-six patients admitted to the intensive care unit of Jiangsu Province Hospital, China for continuous renal replacement therapy (CRRT) and experienced unplanned interruptions from Aug 2020 to Mar 2021 were enrolled as study subjects. Twenty four patients with conventional care were taken as the control group, and 42 patients in the specialized nursing team were taken as the experimental group. The age, type of disease, and degree of illness of the two groups were statistically processed and the differences were not significant (>0.05) and were comparable. The control group received routine CRRT care after CRRT rescue, and the experimental group received CRRT care model from a specialized nursing team.
Patients in the group with specialized nursing care had 49 instances of CRRT unplanned interruptions, and the routine care group had 79 instances of CRRT unplanned interruptions. The number of unplanned interruptions in the experimental group was less than that of the control group, and the difference was statistically significant (<0.001). The incidence of complications in the experimental group were lower than that of the control group (<0.05). The satisfaction and quality of life of nurses in the specialist nursing group were clearly lower than those of the control group, and the difference was statistically significant (<0.05).
Specialist nursing teams could reduce the occurrence of unplanned interruptions in CRRT patients in intensive care and allow patients to receive continuity of care.
探讨专科护理团队在接受连续性肾脏替代治疗（CRRT）时出现非计划性中断的患者中的应用。
选取2020年8月至2021年3月在中国江苏省人民医院重症监护病房接受CRRT治疗且出现非计划性中断的66例患者作为研究对象。将24例接受常规护理的患者作为对照组，42例在专科护理团队的患者作为实验组。对两组患者的年龄、疾病类型和病情程度进行统计学处理，差异无统计学意义（>0.05），具有可比性。对照组在CRRT抢救后接受常规CRRT护理，实验组接受专科护理团队的CRRT护理模式。
专科护理组患者发生CRRT非计划性中断49例次，常规护理组发生CRRT非计划性中断79例次。实验组非计划性中断次数少于对照组，差异有统计学意义（<0.001）。实验组并发症发生率低于对照组（<0.05）。专科护理组护士的满意度和生活质量明显低于对照组，差异有统计学意义（<0.05）。
专科护理团队可减少重症监护病房CRRT患者非计划性中断的发生，使患者获得连续性护理。
