规范化护理在危重症患者CRRT治疗中的应用及对其满意度的影响

The Application of Standardized Nursing in the Treatment of CRRT in Critically Ill Patients and Its Influence on Their Satisfaction

摘要: 目的：此次研究分析研究在危重症患者进行CRRT治疗过程在重症监护病房实施规范化护理的意义和价值，分析危重症患者护理满意度以及护理效果。方法：本次研究选择了2023年4月到2024年4月在我院接受治疗的90名ICU危重患者，通过随机数字表达的模式划分为对照组和实验组危重症患者，对照组45名采取传统常规护理措施，实验组在对照组基础上采取规范化护理措施，对比两组患者满意度、住院时间、护理前后患者的急性生理和慢性健康评估(APACHE II)评分、血氧饱和度、心率以及肾功能指标进行比较，并记录患者的死亡率。结果：实验组和对照组的护理满意度进行对比，实验组护理满意度显著优于对照组，差异显著。在开始护理干预之前对两组患者APACHEII评分、血氧饱和度、心率以及肾功能进行了比较。实验组患者在APACHE II评分、血氧饱和度、心率以及肾功能方面的表现均优于对照组，且这些差异均达到了统计学上的显著性水平。实验组平均住院时间为11.22 ± 2.56天，对照组平均住院时间为16.45 ± 2.45差异显著具有统计学意义。实验组的死亡率为0，而对照组的死亡率为15.56%，即在45名患者中有7名患者不幸去世。这一差异在统计学上同样具有显著性意义，P值小于0.05。讨论：对于ICU危重症患者实施全方位护理干预措施可以提高治疗效果，有效改善和缓解患者的生命体征，缩短住院所需时间，提高了患者的护理满意度，规范化护理作为一种新型的护理模式，通过制定详细的护理流程和标准，保证了医护人员遵守相关规范，提高护理质量。通过本次研究证明在CRRT治疗过程当中实施规范化护理对危重症患者治疗效果以及满意度具有积极的影响。

Abstract: Objective: This study analyzed the significance and value of standardized nursing in intensive care unit during CRRT treatment in critically ill patients, and analyzed the nursing satisfaction and nursing effect of critically ill patients. Methods: In this study, 90 critically ill ICU patients who received treatment in our hospital from April 2023 to April 2024 were selected and divided into the control group and the experimental group of critically ill patients through the mode of random number expression. 45 patients in the control group used traditional conventional nursing measures, while the experimental group used standardized nursing measures on the basis of the control group. Patients’ satisfaction, length of stay, acute physiological and chronic health assessment (APACHE II) scores, blood oxygen saturation, heart rate and renal function before and after care were compared between the two groups, and mortality was recorded. Results: The nursing satisfaction of the experimental group and the control group was compared. The nursing satisfaction of the experimental group was significantly better than that of the control group, and the difference was statistically significant. APACHE II scores, blood oxygen saturation, heart rate, and renal function were compared between the two groups before starting nursing intervention. The experimental group performed better than the control group in APACHE II score, oxygen saturation, heart rate and renal function, and these differences reached a statistically significant level. The average length of stay in the experimental group was 11.22 ± 2.56 days, and the average length of stay in the control group was 16.45 ± 2.45 days, the difference was statistically significant. The death rate in the experimental group was 0, while the death rate in the control group was 15.56%, or 7 out of 45 patients died. This difference was also statistically significant, with a P-value of less than 0.05. Discussion: The implementation of comprehensive nursing interventions for critically ill ICU patients can improve the treatment effect, effectively improve and alleviate the vital signs of patients, shorten the time required for hospitalization, and improve the nursing satisfaction of patients. Standardized nursing, as a new nursing model, ensures that medical staff comply with relevant norms and improve the quality of nursing by developing detailed nursing procedures and standards. This study proves that the implementation of standardized nursing during the treatment of CRRT has a positive impact on the treatment effect and satisfaction of critically ill patients.