【摘要】 目的:观察连续性血液净化(CBP)危重患者采取集束化护理的应用效果。方法:选择2016年1月～2018年12月淮南市第一人民医院血液净化中心收治并采取CBP危重症患者40例,分为常规组与集束化护理干预组,比较治疗前、中、后患者对病情的认知度、不良反应发生程度,患者及家属护理满意度等。结果:两组患者血压、心率和体温变化差异在上机治疗过程中均无统计学意义(P>0.05)。干预组血氧饱和度、病情认知得分、满意度治疗后均高于常规组(P<0.05)。两组患者在治疗过程中不良事件发生情况差异均无统计学意义(P>0.05)。结论:集束化护理模式应用于CBP可以改善患者的氧代谢,改善呼吸功能,提高临床治疗效果及患者和家属对病情的认知度、护理满意度。更多还原

【Abstract】 Objective:To observe the effect of cluster care of critical patients undergoing continuous blood purification.Methods:Forty patients undergoing continuous blood purification in the purification center of our hospital were included from January 2016 to December 2018,and allocated to conventional nursing group and cluster care group.All patients received survey on the knowledge on their conditions before therapy,in the course of purification and post-purification as well as degree of adverse event and satisfaction with the nursing from the patients and their families.Results:The difference was insignificant in blood pressure,heart rate and body temperature between the two groups during purification(P>0.05),yet patients in the cluster care group had better oxygen saturation,knowledge on the condition and higher satisfaction after treatment than those received simple conventional nursing(P<0.05).There was no significant difference in the occurrence of adverse events between the two groups(P>0.05).Conclusion:Cluster nursing can significantly improve the oxygen saturation,respiration function,clinical efficacies,patients′ knowledge on their condition and nursing satisfaction from the patients themselves and their families in critical patients undergoing continuous blood purification.更多还原