护理质控小组管理在ICU床旁连续性肾替代治疗中的应用

目的 观察护理质控小组管理在ICU床旁连续性肾替代治疗中的应用效果。方法 选取2017年4月~2019年2月在我院ICU接受床旁连续性肾替代治疗的患者120例，按照随机数字表法分为对照组和观察组，每组60例。对照组进行ICU常规护理，观察组实施护理质控小组管理，比较两组管路使用时间、连续性肾替代治疗时间、ICU时间、住院30天死亡数、并发症发生率及护理的满意度。结果 观察组管路使用时间长于对照组，连续性肾替代治疗时间、ICU时间、住院30天死亡率及并发症发生率均低于对照组，差异有统计学意义（P＜0.05）；观察组满意度（90.00%）高于对照组（70.00%），差异有统计学意义（P＜0.05）。结论 护理控制小组管理可以有效提高ICU重症患者床旁连续性肾替代治患者的满意度，降低并发症的发生率，提高临床治疗效率，提高患者机体康复效率。

Application of Nursing Quality Control Team Management in Continuous Renal Replacement Therapy at ICU Bedside

Objective To observe the application effect of nursing quality control group management in continuous renal replacement therapy at the bedside of ICU. Methods A total of 120 patients who underwent bedside continuous renal replacement therapy in our hospital from April 2017 to February 2019 were enrolled. The patients were divided into the control group and the observation group according to the random number table method, with 60 cases in each group. The control group underwent routine ICU care, and the observation group implemented the quality control group management. The time of the two groups, the time of continuous renal replacement therapy, the time of ICU, the number of deaths in hospital for 30 days, the complication rate and the satisfaction of nursing were compared. Results The use time of the observation group was longer than that of the control group. The time of continuous renal replacement therapy, ICU time, 30-day mortality and complication rate were lower than the control group, the difference was statistically significant (P<0.05). The satisfaction of the observation group (90.00%) was higher than that of the control group (70.00%),the difference was statistically significant (P<0.05). Conclusion The management of nursing control group can effectively improve the satisfaction of patients with severe renal replacement in bedside of ICU, reduce the incidence of complications, improve the efficiency of clinical treatment, and improve the recovery efficiency of patients.