胡宏伟

【摘 要】目的：对行连续性血液净化的危重症患者进行护理干预，探究护理干预措施产生的临床效果。方法：70例行连续血液净化的危重症患者被纳入研究（2020年5月至2021年5月），按照治疗顺序分组，前35例为对照组行常规护理，后35例为观察组行护理干预，对比分析两组临床疗效和护理总满意度。结果：观察组治疗总有效率91.43%>对照组治疗总有效率71.43%，观察组总满意度85.71%>对照组总满意度62.86%（P<0.05）。结论：在危重症患者的连续性血液治疗中，护理干预可以使护理措施更细节化、人性化，通过实行高效的护理手段，有效维护患者健康，使治疗效率显著提高；因治疗效果较为显著，使患者对院内的护理服务评价也有所改善。

【关键词】危重症；连续性血液净化；护理干预；临床疗效；护理满意度

Nursing intervention measures of continuous blood purification for critically ill patients and observation of their implementation effects

Hu Hongwei

Weihai Municipal Hospital Affiliated to Shandong University，Shandong Weihai 264200，China

【Abstract】Objective： To carry out nursing intervention for critically ill patients undergoing continuous blood purification and explore the clinical effects of nursing interventions measures.Methods： 70 critically ill patients undergoing continuous blood purification were included in the study （from May 2020 to May 2021） and were grouped according to the order of treatment. The first 35 cases were treated with routine nursing in the control group， and the latter 35 cases were treated with nursing intervention in the observation group， comparative analysis of clinical efficacy and total nursing satisfaction between the two groups. Results：The total effective rate of the observation group was 91.43%，which was greater than the total effective rate of the control group was 71.43%， the total satisfaction rate of the observation group was 85.71%，which was greater than the total satisfaction rate of the control group was 62.86%（P<0.05）. Conclusion： In the continuous blood treatment of critically ill patients， nursing intervention can make nursing measures more detailed and humanized. Through the implementation of efficient nursing methods， the health of patients can be effectively maintained， and the treatment efficiency can be significantly improved； Because the treatment effect is more significant， the patient’s evaluation of the nursing service in the hospital has also been improved.

【Key？Words】Critical illness； Continuous blood purification； Nursing intervention； Clinical efficacy； Nursing satisfaction

連续性血液净化（CBP）是以一种连续、缓慢的方式将血液中的杂质、毒物清除，持续、稳定的控制电解质和水盐代谢，有效帮助维持机体稳态平衡的临床治疗手段[1]。临床中，CBP已广泛用于危重症疾病的治疗中，而为了保持CBP的治疗效果，需辅助有效的护理措施。本次研究对CBP治疗的危重症患者开展护理干预，探究其护理干预的实施效果。

1.1 基础资料

在2020年5月至2021年5月开展危重症患者行CBP的护理干预措施及实施效果观察的课题研究，以我院收治的70例危重症患者为研究对象，按照治疗顺序进行分组，前35例患者纳入对照组，后35例患者纳入观察组。对照组，男性21例，女性14例，年龄45岁～58岁，平均年龄（52.36±4.42）岁；观察组，男性18例，女性17例，年龄45岁～58岁，平均年龄（52.57±4.13）岁。……