急诊ICU连续性肾替代疗法专业护理小组成立与实施效果评价.docVIP

急诊ICU连续性肾替代疗法专业护理小组成立与实施效果评价 　　【摘要】 探析急诊ICU设立连续肾替代疗法（CRRT）专业护理小组护理实施办法及效果。方法：我院急诊ICU于2013年1月实行专业护理小组护理模式，选择2012年1月～12月期间收治的45例行CRRT治疗患者为对照组，采用ICU常规护理，2013年1月～12月期间45例行CRRT治疗患者为观察组，采用专业护理小组护理，对比两种护理模式的效果。结果：观察组护理人员CRRT理论知识、操作技能得分明显高于对照组（P0.05）；观察组患者在治疗期间并发症发生率明显低于对照组（P0.05），观察组对护理服务的满意度明显高于对照组（P0.05）。结论：急诊ICU设立连续肾替代疗法专业护理小组能有效调动护理人员工作的积极性和学习主动性，提高小组护理人员理论知识和操作技能掌握水平，使护理行为更加规范，改善护患关系，提高患者对护理服务的满意度，促进护理质量的提高，值得在实践中大力推广和应用。 　　【关键词】 急诊ICU； 连续肾替代疗法； 专业护理小组； 效果 　　【Abstract】 Objective： To explore the method and the effect of professional nursing team about continuous renal replacement therapy （CRRT） in emergency intensive care unit （EICU）.Methods： 45 cases were given by routine nursing， which was from EICU in our hospital during January 2012 to December 2012，and it was as the control group；45 cases was taken by CRRT nursing， which was also from EICU in our hospital during January 2013 to December 2013，and it was as the observation group.And then the effect in two groups was analyzed and compared.Results： the score of theory of knowledge and operating skills of nurses in the observation group were higher than that of the control group； and the incidence rate of CRRT nursing team associated complication was significantly lower than the control group ；And the degree of satisfaction of patients of observation group was significantly better than the control group.Conclusion： The establishment of CRRT professional nursing team in EICU could mobilize nurses’ enthusiasm for the job and initiative in learning， improve the degree of satisfaction of patients and quality of nursing.Meanwhile， it could was useful of the good relationship between patients and nurses.SO it should be popularized in clinical nursing practice. 　　【Key words】 EICU； CRRT； professional nursing team； effects 　　【中图分类号】R47 【文献标识码】A 【文章编号】1005-0019（2014）03-0015-01 　　连续性肾替代疗法（CRRT）又称为缓慢连续性血液净化，因其在不影响患者血流动力学平衡基础上不影响体内液体平衡，溶质清除率较高，还能清除炎症介质，被广泛应用于ICU危重症患者抢救，被称为“三大生命支持技术”之一[1]。目前，我国ICU极为重视危重症患者连续性血液净化治疗，危重症患者多采用CR