Application effect of predictive nursing in patients with continuous renal replacement therapy
预见性护理在连续性肾脏替代治疗患者中的应用效果

摘要

目的 探析预见性护理在连续性肾脏替代治疗（CRRT）患者中的应用效果。方法 选择2018年2月至2022年1月在本院收治的71例CRRT患者为研究对象，依据诊治先后顺序将其分为研究组（36例）和对照组（35例）。对照组运用常规护理，研究组在此基础上运用预见性护理。所有患者均护理3个月，护理前后分别运用心理弹性量表（CD-RISC）评估两组患者心理弹性；护理后运用内源性凝血系统凝血活性敏感筛选试验测定两组患者活化部分凝血活酶时间（APTT），同时运用人体反应外源性凝血途径筛选试验测定其凝血酶时间（TT）与血浆凝血酶原时间（PT）；护理前后分别运用生命质量评定量表（EORTCQLQ-C30）评估两组患者生命质量；护理前后分别运用全自动生化仪联合配套试剂测定两组患者血清肌酐（SCr）、尿素氮（BUN）、血清钾（K）以及血清钠（Na）等生化指标。结果 研究组心理弹性评分与生命质量高于对照组，凝血时间与生化指标低于对照组（P＜0.05）。结论 对CRRT患者采取预见性护理临床效果显著，患者心理弹性与各项生化指标得到明显改善，不仅可有效缩短凝血时间，同时还可以提升其生命质量，值得推广应用。

Abstract

Objective To explore the effect of predictive nursing in patients with continuous renal replacement therapy (CRRT).
Methods 71 patients with CRRT treated in our hospital from February 2018 to January 2022 were selected as the research object. They were divided into the research group (36 cases) and the control group (35 cases) according to the order of diagnosis and treatment. The control group used routine nursing, and the study group used predictive nursing on this basis. All patients were nursed for 3 months. Before and after nursing, cd-risc was used to evaluate the psychological elasticity of the two groups; After nursing, the activated partial thromboplastin time (APTT) of the two groups was measured by the sensitive screening test of coagulation activity of endogenous coagulation system, and the thrombin time (TT) and plasma prothrombin time (PT) were measured by the screening test of exogenous coagulation pathway of human response; Quality of life (eortcqlq-c30) was used to evaluate the quality of life of the two groups before and after nursing; Before and after nursing, the biochemical indexes of serum creatinine (SCR), urea nitrogen (BUN), serum potassium (k) and serum sodium (NA) were measured by automatic biochemical instrument combined with supporting reagents.
Results the score of psychological elasticity and quality of life in the study group were higher than those in the control group, and the coagulation time and biochemical indexes were lower than those in the control group (P < 0.05).
Conclusion   the clinical effect of predictive nursing for CRRT patients is remarkable, and the psychological elasticity and various biochemical indexes of patients have been significantly improved. It can not only effectively shorten the coagulation time, but also improve their quality of life, which is worthy of popularization and application.