摘要
目的探究多维度全局式照护策略在ICU重症患者行连续肾脏替代治疗(continuous renal replacement therapy,CRRT)中的应用效果。方法选取2021年5月至2023年4月于福建省南平市第一医院行CRRT治疗的92例ICU重症患者作为研究对象,根据治疗时间分为对照组(2021年5月至2022年4月)与观察组(2022年5月至2023年4月),每组46例。对照组实施常规性护理,观察组在对照组的基础上实施多维度全局式照护策略。比较两组急性生理与慢性健康状况评价系统(acute physiology and chronic health evaluation,APACHE-Ⅱ)评分、治疗过程中非计划性事件发生率及遵医行为。结果入院3 d时,两组APACHE-Ⅱ评分均低于入院3 h时,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组非计划下机、非计划性拔管发生率均低于对照组,差异有统计学意义(P<0.05)。观察组治疗总依从率为97.83%,高于对照组的82.61%,差异有统计学意义(P<0.05)。结论对于行CRRT治疗的ICU重症患者实施多维度全局式照护策略,能降低非计划性拔管、非计划性下机发生率,改善患者的遵医行为和急性生理与慢性健康状况,确保患者治疗期间的护理安全。
Objective To explore the effect of multi-dimensional global care strategy in ICU patients undergoing continuous renal replacement therapy(CRRT).Methods A total of 92 critically ill ICU patients who underwent CRRT in the First Hospital of Nanping City,Fujian Province from May 2021 to April 2023 were selected as the research subjects,they were divided into the control group(from May 2021 to April 2022)and the observation group(from May 2022 to April 2023)according to the treatment time,with 46 cases in each group.The control group received routine care,while the observation group implemented a multi-dimensional global care strategy on the basis of the control group.The acute physiology and chronic health evaluation(APACHE-Ⅱ)scores,the incidence of unplanned events during the treatment process,and the compliance behavior were compared between the two groups.Results At 3 d after admission,the APACHE-Ⅱscores of the two groups were lower than those at 3 h after admission,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The incidence of unplanned probability and the unplanned extubation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The treatment compliance rate in the observation group was 97.83%,which was higher than 82.61%in the control group,and the difference was statistically significant(P<0.05).Conclusion For ICU patients receiving CRRT treatment,the introduction of multi-dimensional global care strategy can reduce the rate of unplanned extubation,the incidence of unplanned disengagement and compliance behavior,improve the acute physiological and chronic health status of patients,and ensure the nursing safety of patients during treatment.
作者
张晓芹
郑旺敏
叶忠英
ZHANG Xiaoqin;ZHENG Wangmin;YE Zhongying(Department of Critical Care Medicine,The First Hospital of Nanping,Fujian Province,Nanping,Fujian,353000,China)
出处
《当代医学》
2025年第9期183-186,共4页
Contemporary Medicine
关键词
多维度全局式照护策略
ICU
重症患者
连续肾脏替代治疗
应用效果
Multi-dimensional global care strategy
ICU
Seriously ill patients
Continuous renal replacement therapy
Application effect
