摘要
目的探讨实施医护一体化管理对预防床边血液净化并发症的效果。方法实施改进措施前共行床边血液净化操作15例23次,成立医护一体化专项管理小组改进后共14例21次;血液净化的主要模式有持续静脉-静脉血液滤过(CVVH)、血浆置换(TPE)、血液灌流(HP)三项,观察并记录血液净化并发症情况。结果实施医护一体化管理前后,低血压、心律失常、电解质紊乱、出血等并发症发生率差异有统计学意义(P<0.05);高血压无明显差异,P>0.05。结论医护一体化管理模式可降低血液净化并发症的发生率,提高操作安全,改善患者结局。
Objective To compare the effect of preventing the complications of bedside blood purification before and after the implementation of the integrated management ofhealth care.Methods 23 cases of bedside blood purification operation were performed before the implementation of the improvement measures,established medical integration special management team developed after a total of 14 cases,21 times,the main modes include continuous venoushemofiltration（CVVH）,plasma exchange（TPE）,hemoperfusion（HP）,observed the complications in the process.Results Before and after the implementation of concurrenthypotension,arrhythmia,electrolyte disorder,bleeding and other statistical significance,P 0.05; no significant difference inhypertension,P 0.05.Conclusions Health care integrated management mode can reduce the incidence of complications of blood purification operation,and improve the operation safety and the patients＇ outcomes.
出处
《齐齐哈尔医学院学报》
2016年第32期4061-4062,共2页
Journal of Qiqihar Medical University
关键词
医护一体化管理
血液净化
Health care integrated management
Blood purification
