钟文　黄艳青　唐敏　黄春霞　蒋秋媛

【摘要】 目的：分析连续肾脏替代疗法（CRRT）联合血流灌流（HP）在中毒并多器官功能障碍患者中的应用及护理效果。方法：选取2017年1月-2018年10月笔者所在医院40例中毒并多器官功能障碍患者为研究对象，均接受CRRT联合HP治疗，在此基础上随机分组，对照组采用常规护理模式，观察组采用护理干预模式，比较两组护理效果。结果：两组护理前Kolcaba评分比较，差异无统计学意义（P=0.781）;护理后，对照组Kolcaba评分为（56.39±5.61）分，明显低于观察组的（78.83±6.21）分，差异有统计学意义（P=0.000）。观察组护理总满意率为95.0%，明显高于对照组的60.0%，差异有统计学意义（P=0.000）。结论：中毒合并多器官功能障碍患者在采用CRRT聯合HP治疗的基础上联合护理干预可提高患者的舒适度，促进护患关系改善，值得临床应用与推广。

【关键词】 CRRT; HP; 中毒并多器官功能障碍; 应用; 护理

doi：10.14033/j.cnki.cfmr.2019.16.077 文献标识码 B 文章编号 1674-6805（2019）16-0-02

【Abstract】 Objective：To analyze the application and nursing effect of continuous renal replacement therapy（CRRT） combined with blood flow perfusion（HP） in patients with poisoning and multiple organ dysfunction.Method：A total of 40 patients with poisoning and multiple organ dysfunction from January 2017 to October 2018 in our hospital were enrolled in the study.All patients received CRRT combined with HP treatment.On this basis，the patients were randomly divided into two groups.The control group was given routine nursing mode and the observation group was given nursing intervention mode.The nursing effects of the two groups were compared.Result：There was no significant difference in Kolcaba score between the two groups before nursing （P=0.781）.After nursing，the Kolcaba score of the control group was （56.39±5.61）points，which was significantly lower than （78.83±6.21）points of the observation group.The total satisfaction rate of nursing in the observation group was 95.0%，which was significantly higher than 60.0% in the control group（P=0.000）.Conclusion：On the basis of CRRT combined with HP，combined nursing intervention can improve patients comfort and nurse-patient relationship，which is worthy of clinical application and promotion.

【Key words】 CRRT; HP; Poisoning and multiple organ dysfunction; Application; Nursing

First-authors address：Liuzhou Peoples Hospital，Liuzhou 545001，China

中毒合并多器官功能障碍患者目前临床上普遍采用连续肾脏替代疗法（CRRT）联合血流灌流（HP）的治疗方式，但是由于疾病发生突然等原因，患者及家属均容易出现心理异常表现，面对这种情况积极有效的治疗配合临床高质量的护理工作也十分重要[1-2]。本次研究共筛选40例重度合并多器官功能障碍患者进行临床分析，现具体报道如下。

1 资料与方法

1.1 一般资料

将笔者所在医院2017年1月-2018年10月收治的40例中毒并多器官功能障碍患者作为研究对象，（1）纳入标准：①均为误食野生菌中毒者;②合并中毒性肝损伤[3];③依从性良好，后期可定时接受随访。……