Influence of targeted nursing on poor vascular access of CRRT in critically ill patients
针对性护理对危重病患者CRRT血管通路不畅的影响

摘要

目的 探讨针对性护理对危重病患者CRRT血管通路不畅的影响。方法 将我院2021年3月-2022年1月80例危重病CRRT血管通路治疗患者，双盲随机法分二组。对照组给予常规护理，针对性护理组实施针对性护理。比较两组护理前后肾功能生化指标、不良情绪评分值、护理满意度、住院时间以及医疗费用、CRRT血管通路不畅发生率。结果 针对性护理组肾功能生化指标、不良情绪评分值低于对照组，护理满意度高于对照组，住院时间以及医疗费用低于对照组，CRRT血管通路不畅发生率低于对照组，P＜0.05。结论 危重病CRRT血管通路治疗患者实施针对性护理效果确切，可有效改善患者的不良情绪和肾功能，减少住院时间和医疗费，减少CRRT血管通路不畅，提高满意度。

Abstract

Objective: To investigate the effect of targeted nursing on poor vascular access for CRRT in critically ill patients.
Methods A total of 80 critically ill CRRT vascular access patients in our hospital from March 2021 to January 2022 were divided into two groups by double-blind randomization. The control group was given routine nursing, and the targeted nursing group was given targeted nursing. The biochemical indicators of renal function, adverse emotion score, nursing satisfaction, hospitalization time, medical expenses, and the incidence of CRRT vascular obstruction were compared between the two groups before and after nursing.
Results The targeted nursing group had lower renal function biochemical indexes and negative emotion scores than the control group, higher nursing satisfaction, lower hospitalization time and lower medical expenses, and lower CRRT vascular access rate than the control group, P <0.05.
Conclusion  s Targeted nursing for critically ill patients treated with CRRT vascular access is effective, which can effectively improve the patient's negative mood and renal function, reduce hospitalization time and medical expenses, reduce CRRT vascular access obstruction, and improve satisfaction.