检验医学与临床2016，Vol.13Issue(13)：1811-1813,3.DOI:10.3969/j.issn.1672-9455.2016.13.025
集束化护理干预在机械通气行CRRT 患者中的应用效果
Application effect of bundle care in mechanical ventilation patients with CRRT
王敏娜 1李晓艳 1陈东莉 1汪滢 1樊静群 1韩娟 1马佳佳 1石秦东1
作者信息
- 1. 西安交通大学第一附属医院重症医学科，西安710061
- 折叠
摘要
Abstract
Objective To analyze the application effect of bundle care in mechanical ventilation patients with continuous renal re‐placement therapy(CRRT) .Methods A total of 96 patients with severe craniocerebral injury ,receiving mechanical ventilation and CRRT treatment in Intensive Care Unit (ICU ) ,were enrolled and divided into bundle nursing group and routine nursing group . Nursing effect were evaluated and compared .Results One week after treatment ,serum creatinine ,blood urea nitrogen ,Acute Phys‐iology and Chronic Health EvaluationⅡ score were significantly decreased(P<0 .05) .Of bundle nursing group ,mechanical ventila‐tion time and ICU treatment time were significantly shorter than control group ,incidence rates of puncture point infection ,blocking pipe ,unplanned extubation ,catheter related bloodstream infection ,ventilator associated pneumonia and 28 d mortality were signifi‐cantly lower than control group ,basic nursing qualified rate and patients satisfaction were significantly higher than control group ( P<0 .05) .Conclusion CRRT treatment could be helpful to alleviate pathogenetic condition of patients receiving mechanical venti‐lation .Bundle care could help to shorten mechanical ventilation time and ICU treatment time ,reduce complications ,then improve care quality .关键词
机械通气/连续性肾脏替代治疗/集束化护理/呼吸机相关性肺炎/导管相关性感染Key words
mechanical ventilation/continuous renal replacement therapy/bundle care/ventilator associated pneumonia/catheter related blood stream infection引用本文复制引用
王敏娜,李晓艳,陈东莉,汪滢,樊静群,韩娟,马佳佳,石秦东..集束化护理干预在机械通气行CRRT 患者中的应用效果[J].检验医学与临床,2016,13(13):1811-1813,3.
